Home-based pulmonary rehabilitation for people with COPD: A qualitative study reporting the patient perspective.

AuthorsLahham, A.
McDonald, C.F.
Mahal, A.
Lee, A. L.
Hill, C. J.
Burge, A. T.
Cox, N.S.
Moore, R.
Nicolson, C.
O'Halloran, P.
Gillies, R.
Holland, A.E.
TypeJournal Article (Original Research)
JournalChronic Respiratory Disease
Year of Publication2017
URLhttps://www.ncbi.nlm.nih.gov/pubmed/28868892
DOIhttp://dx.doi.org/10.1177/1479972317729050
Download 1479972317729050_1.pdf (312.3 KB)
AbstractThis study aimed to document the perspective of patients with chronic obstructive pulmonary disease (COPD) who underwent home-based pulmonary rehabilitation (HBPR) in a clinical trial. In this qualitative study, open-ended questions explored participants' views regarding HBPR. Thirteen semi-structured interviews were analysed using a thematic analysis approach. Major themes from interviews included the positive impact of HBPR on physical fitness, breathing and mood. Participants valued the flexibility and convenience of the programme. Participants also highlighted the importance of social support received, both from the physiotherapist over the phone and from family and friends who encouraged their participation. Reported challenges were difficulties in initiating exercise, lack of variety in training and physical incapability. While most participants supported the home setting, one participant would have preferred receiving supervised exercise training at the hospital. Participants also reported that HBPR had helped establish an exercise routine and improved their disease management. This study suggests that people with COPD valued the convenience of HBPR, experienced positive impacts on physical fitness and symptoms and felt supported by their community and programme staff. This highly structured HBPR model may be acceptable to some people with COPD as an alternative to centre-based pulmonary rehabilitation.

http://www.ibas.org.au/what-we-do/publications/3872931


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