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Enhance Access to Pulmonary Rehabilitation with a Structured and Personalized Home-Based Program-reabilitAR: Protocol
Sarah Bernard1, Rui Vilarinho2, Inês Pinto2
1Centre de Recherche, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, QC G1V 4G5, Canada.
Summary
This study introduces reabilitAR, Portugal's first nationwide home-based pulmonary rehabilitation (PR) program for chronic respiratory disease (CRD) patients. It assesses the program's benefits over 52 weeks using various outcome measures.
Area of Science:
- Pulmonary Rehabilitation
- Chronic Respiratory Disease Management
- Home-Based Healthcare Models
Background:
- Pulmonary rehabilitation (PR) accessibility is limited for chronic respiratory disease (CRD) patients.
- Home-based PR offers a solution to improve access and adherence.
- The reabilitAR program addresses the need for structured, nationwide home-based PR in Portugal.
Purpose of the Study:
- To present the implementation of Portugal's first nationwide home-based PR program, reabilitAR.
- To outline strategies for assessing the benefits of this home-based PR program in CRD patients.
- To establish a structured, personalized, and accessible PR service for CRD patients.
Main Methods:
- A 52-week program with a 12-week intensive phase and a 40-week maintenance phase.
- Intervention includes home visits, phone follow-ups, exercise training, and self-management education (Living Well with COPD).
- Outcomes measured: patient-reported dyspnea, disease impact, emotional status, daily activity dyspnea, 1-minute sit-to-stand test, steps/day, fall risk, and cognitive function. Data collected at baseline, 12, 26, and 52 weeks.
Main Results:
- The protocol details the implementation of a novel nationwide home-based PR program.
- It establishes a framework for assessing the effectiveness of home-based PR interventions.
- The program aims to enhance PR accessibility and provide tailored support for CRD patients.
Conclusions:
- The reabilitAR program represents a significant advancement in delivering PR services to CRD patients in Portugal.
- This nationwide home-based model enhances accessibility and offers a structured, personalized approach to rehabilitation.
- The study protocol provides a comprehensive strategy for evaluating the benefits of home-based PR.
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