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Comprehensive pulmonary rehabilitation in home-based online groups: a mixed method pilot study in COPD
Tatjana M Burkow1, Lars K Vognild2, Elin Johnsen3
1Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, P.O. Box 35, 9038, Tromsø, Norway. tatjana.m.burkow@telemed.no.
BMC Research Notes
|December 15, 2015
Summary
Home-based pulmonary rehabilitation programs are feasible for patients with chronic obstructive pulmonary disease (COPD). This approach, utilizing online groups and technology, is well-accepted across all disease stages and may improve quality of life.
Area of Science:
- Pulmonary medicine and rehabilitation
- Chronic Obstructive Pulmonary Disease (COPD) management
- Digital health interventions
Background:
- Comprehensive pulmonary rehabilitation is crucial for all stages of COPD.
- Traditional center-based programs face accessibility barriers (distance, transportation).
- Home-based rehabilitation offers improved access, but its acceptability for less severe COPD is unknown.
Purpose of the Study:
- To assess patient acceptability of a home-based comprehensive pulmonary rehabilitation program for any stage of COPD.
- To evaluate technology usability, patient outcomes, and economic feasibility.
- To determine the suitability of home-based delivery for diverse COPD severity levels.
Main Methods:
- A 9-week home-based program involving online exercise training, self-management education, and consultations for 10 COPD participants (GOLD grades I-IV).
- Semi-structured interviews and System Usability Scale (SUS) questionnaire assessed acceptability and usability.
- St. George's Respiratory Questionnaire (SGRQ) measured quality of life; attendance and economic calculations were also performed.
Main Results:
- The home-based delivery mode and program components were well-accepted by participants across different COPD severities.
- Participants valued the peer and professional interaction, learning, and social aspects of the online group format.
- Technology was easy to learn and use; a probable clinically significant improvement in SGRQ scores (-6.53) was observed, and the program was economically feasible.
Conclusions:
- Comprehensive pulmonary rehabilitation delivered via home-based online groups appears feasible for COPD patients.
- The program's delivery and components are acceptable for patients with varying COPD severity.
- Further research is needed to confirm patient outcome results.
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