Document Detail


Improving chronic lung disease management in rural and remote Australia: the Breathe Easy Walk Easy program.
MedLine Citation:
PMID:  22994566     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
SUMMARY AT A GLANCE: The Breathe Easy Walk Easy Program was designed with the aim of improving the capacity of rural/remote healthcare practitioners to deliver pulmonary rehabilitation. This study demonstrated that the BEWE program increased healthcare practitioner confidence and knowledge and facilitated the establishment of effective pulmonary rehabilitation programs in rural and remote settings. ABSTRACT: Background and Objective:  To evaluate the impact of a chronic lung disease management training program, Breathe Easy Walk Easy (BEWE), for rural and remote healthcare practitioners. Methods:   Quasi-experimental, before and after repeated measures design. Healthcare practitioners (n=33) from various professional backgrounds who attended the BEWE training workshop were eligible to participate. Breathe Easy Walk Easy, an interactive educational program, consisted of a training workshop, access to online resources, provision of community awareness-raising materials and ongoing telephone/email support. Participant confidence, knowledge and attitudes were assessed via anonymous questionnaire before, immediately after and at three and 12 months following the BEWE workshop. At 12 months local provision of pulmonary rehabilitation services and patient outcome data (six-minute walk test results before and after pulmonary rehabilitation) were also recorded. Results:  Measured knowledge (score out of 19) improved significantly after the workshop (mean difference 7.6 correct answers, 95% CI 5.8 to 9.3). Participants' self-rated confidence and knowledge also increased. At 12 month follow-up three locally run pulmonary rehabilitation programs had been established. For completing patients there was a significant increase in six-minute walk distance following rehabilitation of 48 m (95% CI 18 to 70 m). Conclusions:  The BEWE program increased rural and remote healthcare practitioner knowledge and confidence in delivering management for people living with chronic lung disease and facilitated the establishment of effective pulmonary rehabilitation programs in regional and remote Australian settings where access to such programs is limited. © 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology.
Authors:
Catherine L Johnston; Eileen Boyle; Lyndal J Maxwell; Graeme P Maguire; Jennifer A Alison
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-19
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  -     ISSN:  1440-1843     ISO Abbreviation:  Respirology     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology.
Affiliation:
Discipline of Physiotherapy, School of Health Sciences, The University of Newcastle, Callaghan, NSW 2308 Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW 2141 The Australian Lung Foundation, Lutwyche, QLD, 4030 School of Physiotherapy, Faculty of Health Sciences, Australian Catholic University, North Sydney, NSW, 2060 BakerIDI, Alice Springs, Northern Territory, Australia School of Medicine and Dentistry, James Cook University, Cairns, Queensland.
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