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Updated: Mar 2, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
"We are all there for the same purpose": Support for an integrated community exercise program for older adults with
Laura Desveaux1, Samantha Harrison2, Annemarie Lee2
1Rehabilitation Science Institute, Faculty of Medicine, University of Toronto, 160-500 University Ave., Toronto, ON, M5G 1V7, Canada; Department of Respiratory Medicine, West Park Healthcare Centre, 82 Buttonwood Avenue, Toronto, ON M6M 2J5, Canada.
Background:
Despite well-established improvements following rehabilitation, functional gains often diminish following discharge.
Objective:
To explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance.
Methods:
Semi-structured interviews were conducted with 11 individuals with HF or COPD.
Results:
Deductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) "We are all there for the same purpose" - participant support for integrated exercise, including the benefit of multiple perspectives and sustainability.
Conclusions:
A motivating program leader and access to appropriate facilities are key features to support adherence to prescribed activity. Tailored programs can be delivered consecutively to older adults with HF and COPD.
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