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An interactive web-based pulmonary rehabilitation programme: A randomised controlled feasibility trial

Emma Chaplin, Stacey Hewitt, Lindsay Apps, Kelly Edwards, Chris Brough, Aga Glab, John Bankart, Ruth Jacob, Sally Schreder, Johanna Williams, Sally Singh
European Respiratory Journal 2016 48: PA2064; DOI: 10.1183/13993003.congress-2016.PA2064
Emma Chaplin
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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Stacey Hewitt
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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Lindsay Apps
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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Kelly Edwards
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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Chris Brough
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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Aga Glab
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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John Bankart
2Department of Primary Care and Health Sciences, Keele University, Keele, United Kingdom
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Ruth Jacob
3Health Sciences Research Institute, Medical School, University of Warwick, Coventry, United Kingdom
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Sally Schreder
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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Johanna Williams
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
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Sally Singh
1Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, UHL NHS Trust, Leicester, United Kingdom
4School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom
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Abstract

Introduction: There are barriers for patients with chronic obstructive pulmonary disease(COPD) partaking in Pulmonary Rehabilitation(PR) and a need for the provision of PR in other forms, increasing patient choice and service capacity.

Aim: Determine if an interactive web-based PR programme is a feasible alternative to conventional PR.

Methods: Patients were randomised to a web programme or a conventional PR programme for 7weeks. Patients had to be willing to partake in either arm, have internet access and be web literate.

Standard outcomes for a PR assessment including measures of exercise capacity(shuttle walk tests:SWTs) and quality of life questionnaires(chronic respiratory disease Q–dyspnoea domain:CRQ-D) were evaluated. Patient preference was also recorded.

Results: 103 patients were recruited [baseline characteristics table 1]. The largest proportion of patients randomised wanted the web programme(n=38%). A statistically significant improvement(p≤ 0.01) was observed within each group in the ESWT(WEB:mean change 189±211.1;PR classes:mean change 184.5±247.4secs) and CRQ-D(WEB:mean change 0.7±1.2;PR classes:mean change 0.8±1.0). There were no significant differences between the groups in any outcome.

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TABLE 1

Baseline Demographics

Discussion: A web-based PR programme is feasible and acceptable when compared to conventional PR. Future trials maybe around choice based PR enabling stratification of patient care.

  • COPD - management
  • Rehabilitation
  • Telemedicine
  • Copyright ©the authors 2016
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An interactive web-based pulmonary rehabilitation programme: A randomised controlled feasibility trial
Emma Chaplin, Stacey Hewitt, Lindsay Apps, Kelly Edwards, Chris Brough, Aga Glab, John Bankart, Ruth Jacob, Sally Schreder, Johanna Williams, Sally Singh
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2064; DOI: 10.1183/13993003.congress-2016.PA2064

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An interactive web-based pulmonary rehabilitation programme: A randomised controlled feasibility trial
Emma Chaplin, Stacey Hewitt, Lindsay Apps, Kelly Edwards, Chris Brough, Aga Glab, John Bankart, Ruth Jacob, Sally Schreder, Johanna Williams, Sally Singh
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2064; DOI: 10.1183/13993003.congress-2016.PA2064
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