Abstract
BackgroundStandardised home-based pulmonary rehabilitation (PR) programmes offer an alternative model to centre-based supervised PR for which uptake is currently poor. We determined if a structured home-based unsupervised PR programme was...
Highlights
Pulmonary rehabilitation (PR) is a highly effective intervention for individuals with COPD and other chronic respiratory diseases
We have recently reported the effectiveness of a supported, but unsupervised home-based pulmonary rehabilitation (PR) programme that was facilitated by a standardised manual that participants worked through (SPACE for COPD—a Self-management Programme of Activity Coping and Education10)
Subjects Participants with COPD and Medical Research Council (MRC) score of 2–5 were recruited from those referred to PR at Glenfield Hospital and Leicester General Hospital, UK
Summary
Pulmonary rehabilitation (PR) is a highly effective intervention for individuals with COPD and other chronic respiratory diseases. ►► Can a structured home-based unsupervised pulmonary rehabilitation (PR) programme of activity, coping and education for COPD be considered non-inferior to centre-based PR?. We determined if a structured homebased unsupervised PR programme was non-inferior to supervised centre-based PR for participants with COPD. Methods A total of 287 participants with COPD who were referred to PR (187 male, mean (SD) age 68 (8.86) years, FEV1% predicted 48.34 (17.92)) were recruited They were randomised to either centre-based PR or a structured unsupervised home-based PR programme including a hospital visit with a healthcare professional trained in motivational interviewing, a self-management manual and two telephone calls. Further evidence is needed to definitively determine if the health benefits of the standardised home-based programme are non-inferior or equivalent to supervised centre-based rehabilitation.
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