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Home-based pulmonary rehabilitation for people with COPD: A qualitative study reporting the patient perspective

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Lahham, A ORCID: 0000-0003-2090-0746, McDonald, CF, Mahal, A, Lee, AL, Hill, CJ, Burge, AT, Cox, NS, Moore, R, Nicolson, C, O'Halloran, P, Gillies, R and Holland, AE 2018 , 'Home-based pulmonary rehabilitation for people with COPD: A qualitative study reporting the patient perspective' , Chronic Respiratory Disease, vol. 15, no. 2 , 123–130 , doi: 10.1177/1479972317729050.

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Abstract

This study aimed to document the perspective of patients with chronic obstructive pulmonary disease (COPD) who underwent home-based pulmonary rehabilitation (HBPR) in a clinical trial. In this qualitative study, open-ended questions explored participants' views regarding HBPR. Thirteen semi-structured interviews were analysed using a thematic analysis approach. Major themes from interviews included the positive impact of HBPR on physical fitness, breathing and mood. Participants valued the flexibility and convenience of the programme. Participants also highlighted the importance of social support received, both from the physiotherapist over the phone and from family and friends who encouraged their participation. Reported challenges were difficulties in initiating exercise, lack of variety in training and physical incapability. While most participants supported the home setting, one participant would have preferred receiving supervised exercise training at the hospital. Participants also reported that HBPR had helped establish an exercise routine and improved their disease management. This study suggests that people with COPD valued the convenience of HBPR, experienced positive impacts on physical fitness and symptoms and felt supported by their community and programme staff. This highly structured HBPR model may be acceptable to some people with COPD as an alternative to centre-based pulmonary rehabilitation.

Item Type: Article
Authors/Creators:Lahham, A and McDonald, CF and Mahal, A and Lee, AL and Hill, CJ and Burge, AT and Cox, NS and Moore, R and Nicolson, C and O'Halloran, P and Gillies, R and Holland, AE
Keywords: pulmonary disease, chronic obstructive, home care services, motivational interviewing, qualitative research, rehabilitation
Journal or Publication Title: Chronic Respiratory Disease
Publisher: Sage Publications Ltd.
ISSN: 1479-9723
DOI / ID Number: 10.1177/1479972317729050
Copyright Information:

Copyright 2017 the authors. Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/

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