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Lewis, Adam, Knight, Ellena, Bland, Matthew, Middleton, Jack, Mitchell, Esther, McCrum, Kate, Conway, Joy and Bevan-Smith, Elaine 
ORCID: 0000-0002-9636-5367
(2021)
Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease.
BMJ Open Respiratory Research, 8 (1).
e000880.
doi:10.1136/bmjresp-2021-000880
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Text (Final Published version)
9507_Bevan-Smith_et_al_(2021)_Feasibility_of_an_online_platform_delivery_of_pulmonary_rehabilitation.pdf - Published Version Available under License Creative Commons Attribution Non-commercial 4.0. Download (382kB) | Preview |
Abstract
Introduction SARS-CoV- 2 has restricted access to face-to- face delivery of pulmonary rehabilitation (PR). Evidence suggests that telehealth-PR is non-inferior to outpatient PR. However, it is unknown whether patients who have been referred to face-to- face programmes can feasibly complete an online-PR programme. Methods This service evaluation used a mixed-methods approach to investigate a rapid PR service remodelling using the University of Gloucestershire eLearn Moodle platform. Quantitative baseline demographic and PR outcome data were collected from online-PR participants, and semistructured interviews were completed with PR staff and participants. Results Twenty-five individuals were eligible from a PR waiting list. Thirteen declined participation and 14 completed PR. Significant pre-post online PR improvements were achieved in 1 min sit-to- stand (CI 2.1 to 9 (p=0.004)), Generalised Anxiety Disorder (CI −0.3 to −2.6 (p=0.023)), Primary Health Questionnaire-9 (CI −0.3 to −5.1 (p=0.029)), Chronic Respiratory Questionnaire dyspnoea (CI 0.5 to 1.3 (p=0.001)), fatigue (CI 0.7 to 2 (p=0.0004)), emotion (CI 0.7 to 1.7 (p=0.0002)), mastery (CI 0.4 to 1.3 (p=0.001)). Interviews indicated that patient PR inclusion was made possible with digital support and a PR introduction session improved participant engagement and safety. Incremental progression of exercise was perceived as more successful online compared with face-to- face PR. However, perceptions were that education sessions were less successful. Online-PR required significant staff time resource. Discussion Online-PR improves patient outcomes and is feasible and acceptable for individuals referred for face-to- face PR in the context of a requirement for social distancing. Face-to- face programmes can be adapted in a rapid fashion with both staff and participants perceiving benefit. Future pragmatic trials are now warranted comparing online-PR including remote assessments to centre-based PR with suitably matched outcomes, and patient and staff perceptions sought regarding barriers and facilitators of online delivery.
| Item Type: | Article |
|---|---|
| Article Type: | Article |
| Uncontrolled Keywords: | Online rehabilitation; Chronic respiratory disease; Pulmonary rehabilitation |
| Subjects: | R Medicine > RM Therapeutics. Pharmacology > RM695 Physical medicine. physical therapy including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy |
| Divisions: | Schools and Research Institutes > School of Health and Social Care |
| Research Priority Areas: | Society and Learning |
| Depositing User: | Susan Turner |
| Date Deposited: | 25 Mar 2021 13:00 |
| Last Modified: | 27 Jul 2023 14:10 |
| URI: | https://eprints.glos.ac.uk/id/eprint/9507 |
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