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Home-based pulmonary rehabilitation for people with COPD: A qualitative study reporting the patient perspective
Citation
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, Home-based pulmonary rehabilitation for people with COPD: A qualitative study reporting the patient perspective, Chronic Respiratory Disease, 15, (2) pp. 123-130. ISSN 1479-9723 (2018) [Refereed Article]
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Copyright Statement
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/
DOI: doi:10.1177/1479972317729050
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 Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | pulmonary disease, chronic obstructive, home care services, motivational interviewing, qualitative research, rehabilitation |
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Cardiovascular medicine and haematology |
| Research Field: | Respiratory diseases |
| Objective Division: | Expanding Knowledge |
| Objective Group: | Expanding knowledge |
| Objective Field: | Expanding knowledge in the health sciences |
| UTAS Author: | Lahham, A (Dr Aroub Lahham) |
| ID Code: | 128341 |
| Year Published: | 2018 |
| Web of Science® Times Cited: | 30 |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2018-09-14 |
| Last Modified: | 2018-10-10 |
| Downloads: | 82 View Download Statistics |
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