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Title: Home-based pulmonary rehabilitation for people with COPD: a qualitative study reporting the patient perspective
Austin Authors: Lahham, Aroub;McDonald, Christine F ;Mahal, Ajay;Lee, Annemarie L;Hill, Catherine J ;Burge, Angela T ;Cox, Narelle S ;Moore, Rosemary P ;Nicolson, Caroline;O’Halloran, Paul;Gillies, Rebecca;Holland, Anne E 
Affiliation: Department of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia
Institute for Breathing and Sleep
Respiratory and Sleep Medicine
Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia
Issue Date: 2018
Date: 2017-09-04
Publication information: Chronic Respiratory Disease 2018; 15(2): 123-130
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.
DOI: 10.1177/1479972317729050
ORCID: 0000-0001-6481-3391
Journal: Chronic Respiratory Disease
PubMed URL: 28868892
Type: Journal Article
Subjects: Pulmonary disease
Chronic obstructive
Home care services
Motivational interviewing
Qualitative research
Appears in Collections:Journal articles

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