Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/22309
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dc.contributor.authorLahham, Aroub-
dc.contributor.authorMcDonald, Christine F-
dc.contributor.authorMoore, Rosemary P-
dc.contributor.authorCox, Narelle S-
dc.contributor.authorRawlings, Sarah-
dc.contributor.authorNichols, Amanda-
dc.contributor.authorLiacos, Athina-
dc.contributor.authorHolland, Anne E-
dc.date2019-12-26-
dc.date.accessioned2020-01-07T00:33:30Z-
dc.date.available2020-01-07T00:33:30Z-
dc.date.issued2020-04-
dc.identifier.citationThe Clinical Respiratory Journal 2020; 14(4): 335-344en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/22309-
dc.description.abstractPeople with mild chronic obstructive pulmonary disease (COPD) experience exercise intolerance, dyspnoea and poor quality of life. However, the role of pulmonary rehabilitation (PR) in this group is unclear. This randomised controlled trial aimed to explore the effects of home-based PR in people with mild COPD. People with mild COPD (FEV1/FVC<70%; FEV1>80%predicted) with a smoking history of ≥ 10 packet years were randomised to either eight weeks of home-based PR (one home visit and seven once-weekly telephone calls) or standard care (weekly social telephone calls). Six-minute walk distance (6MWD), and modified Medical Research Council (mMRC) and Chronic Respiratory Questionnaire (CRQ) scores were compared. A total of 58 participants (34 males, mean age 68 (SD 9) years, FEV1%predicted 90 (7), 6MWD 496 (105) meters) were included with 31 participants randomised to home-based PR. Participants attended an average of 6.8 of the 8 scheduled sessions, ranging from 3 to 8 sessions. Both groups showed improvements in exercise capacity, symptoms and health-related quality of life over time, however there was no difference in 6MWD at end-intervention (mean difference -3 metres, 95% confidence interval (CI) -64 to 58) or six months (7 metres, 95% CI -59 to 72). At six months home-based PR participants were more likely to have clinically important improvements in CRQ emotional function (50% of home PR vs 0% control, p<0.001) and CRQ total score (45% vs 17%, p=0.05). For people with mild COPD, home-based pulmonary rehabilitation did not improve exercise capacity more than standard care.en_US
dc.language.isoeng-
dc.subjectChronic Obstructive Pulmonary Diseaseen_US
dc.subjecthome care servicesen_US
dc.subjectpulmonary rehabilitationen_US
dc.titleThe impact of home-based pulmonary rehabilitation on people with mild chronic obstructive pulmonary disease: a randomised controlled trial.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleThe Clinical Respiratory Journalen_US
dc.identifier.affiliationPhysiotherapy, Monash Health, Melbourne, Australiaen_US
dc.identifier.affiliationRespiratory and Sleep Medicineen_US
dc.identifier.affiliationDepartment of Medicine, The University of Melbourne, Melbourne, Australiaen_US
dc.identifier.affiliationPhysiotherapy, Alfred Health, Melbourne, Australiaen_US
dc.identifier.affiliationPhysiotherapy, La Trobe University, Melbourne, Australiaen_US
dc.identifier.affiliationInstitute for Breathing and Sleepen_US
dc.identifier.doi10.1111/crj.13138en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0003-2090-0746en_US
dc.identifier.orcid0000-0001-6481-3391en_US
dc.identifier.orcid0000-0003-2090-0746en_US
dc.identifier.orcid0000-0003-2061-845Xen_US
dc.identifier.pubmedid31880078-
dc.type.austinJournal Article-
local.name.researcherCox, Narelle S
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.languageiso639-1en-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptRespiratory and Sleep Medicine-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptPhysiotherapy-
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