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Updated: Sep 22, 2025
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Effectiveness of a Home-Based Pulmonary Rehabilitation Program in Veterans
Kariann R Drwal1,2, Delanie Hurst1,2, Bonnie J Wakefield1,2,3
1VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Iowa City, Iowa City VA Healthcare System, Iowa City, Iowa, USA.
Summary
Home-based pulmonary rehabilitation (HBPR) significantly improved Veterans' dyspnea, exercise capacity, and quality of life. This safe and effective program addresses access gaps in pulmonary rehabilitation for Veterans.
Area of Science:
- Pulmonary Medicine
- Rehabilitation Science
- Health Services Research
Background:
- Pulmonary rehabilitation is crucial for managing chronic respiratory diseases.
- Access and utilization of pulmonary rehabilitation programs remain a challenge for many Veterans.
- Home-based pulmonary rehabilitation (HBPR) offers a potential solution to improve accessibility.
Purpose of the Study:
- To evaluate the effectiveness of a 12-week home-based pulmonary rehabilitation (HBPR) program.
- To assess the safety of the HBPR program in a Veteran population.
- To determine if HBPR can improve clinical outcomes and quality of life for Veterans.
Main Methods:
- A 12-week HBPR program was implemented across five Veteran Affairs facilities.
- Clinical outcomes were assessed pre- and post-program using paired t-tests and Wilcoxon signed rank sum test.
- Patient demographics, emergency room visits, and hospitalizations were analyzed using descriptive statistics.
Main Results:
- Significant improvements were observed in dyspnea (MRC scale), exercise capacity (6MWD, DASI, daily steps), and quality of life (CAT score).
- Multicomponent assessments including BODE Index and GOLD ABCD showed significant improvements.
- No adverse events were reported, indicating a high safety profile for the HBPR program.
Conclusions:
- The HBPR program is a safe and effective intervention for Veterans with chronic respiratory conditions.
- HBPR demonstrates significant improvements in key clinical outcomes and patient-reported measures.
- This program provides a viable option to enhance pulmonary rehabilitation access and utilization within the VA system.
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