Document Detail


Using Telehealth technology to deliver pulmonary rehabilitation in chronic obstructive pulmonary disease patients.
MedLine Citation:
PMID:  22059179     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pulmonary rehabilitation (PR) is an effective therapeutic strategy to improve health outcomes in patients with chronic obstructive pulmonary disease (COPD); however, there is insufficient PR capacity to service all COPD patients, thus necessitating creative solutions to increase the availability of PR.
OBJECTIVE: To examine the efficacy of PR delivered via Telehealth (Telehealth-PR) compared with PR delivered in person through a standard outpatient hospital-based program (Standard-PR).
METHODS: One hundred forty-seven COPD patients participated in an eight-week rural PR program delivered via Telehealth-PR. Data were compared with a parallel group of 262 COPD patients who attended Standard-PR. Education sessions were administered two days per week via Telehealth, and patients exercised at their satellite centre under direct supervision. Standard-PR patients viewed the same education sessions in person and exercised at the main PR site. The primary outcome measure was change in quality of life as evaluated by the St George's Respiratory Questionnaire (SGRQ). A noninferiority analysis was performed using both intention-to-treat and per-protocol approaches.
RESULTS: Both Telehealth-PR and Standard-PR resulted in clinically and statistically significant improvements in SGRQ scores (4.5 ± 0.8% versus 4.1 ± 0.6%; P<0.05 versus baseline for both groups), and the improvement in SGRQ was not different between the two programs. Similarly, exercise capacity, as assessed by 12 min walk test, improved equally in both Telehealth-PR and Standard-PR programs (81±10 m versus 82 ± 10 m; P<0.05 versus baseline for both groups).
CONCLUSION: Telehealth-PR was an effective tool for increasing COPD PR services, and demonstrated improvements in quality of life and exercise capacity comparable with Standard-PR.
Authors:
Michael Stickland; Tina Jourdain; Erie Y L Wong; Wendy M Rodgers; Nicholas G Jendzjowsky; G Fred Macdonald
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian respiratory journal : journal of the Canadian Thoracic Society     Volume:  18     ISSN:  1916-7245     ISO Abbreviation:  Can. Respir. J.     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-11-07     Completed Date:  2012-06-12     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  9433332     Medline TA:  Can Respir J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  216-20     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. michael.stickland@ulaberta.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Care / methods,  standards
Exercise Tolerance*
Female
Home Care Services, Hospital-Based* / standards
Humans
Male
Middle Aged
Outcome and Process Assessment (Health Care)
Patient Education as Topic / methods
Pulmonary Disease, Chronic Obstructive / physiopathology,  psychology,  rehabilitation*
Quality Improvement / organization & administration
Quality of Life*
Questionnaires
Telemedicine* / methods,  standards
Treatment Outcome
Comments/Corrections
Comment In:
Can Respir J. 2011 Jul-Aug;18(4):196   [PMID:  22059177 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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