Drop-out and attendance in pulmonary rehabilitation: The role of clinical and psychosocial variables

Abstract

In general, adherence in rehabilitation is high. However, paying attention to patients' nutritional status and creating a positive expectation of treatment during referral and intake appear to be important if one aims to optimise patients' attendance during rehabilitation.

Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD

“…Twentythree (37%) of our initial 63 patients dropped out. That drop-out ratio is somewhat higher than that observed by Fischer et al 34 and Pitta et al, 3 but much lower than that observed by Bourbeau et al 35 and Cote and Celli, 36 who had drop-out rates of up to 60%. The drop-out rates did not differ between the 2 groups (35% in the calisthenics-andbreathing group, 38% in the endurance-and-strength group), which conflicts with the expectation that a lower-intensity training program should have a lower drop-out rate and higher adherence than a higher-intensity program.…”

The Efficacy of Supervised Home-based Pulmonary Rehabilitation In Patients With Chronic Respiratory Disorders

“…The attainment of individual independence, social participation, and skills at the highest level and their continuation are the targets of PR programs (7). Despite its many proven effects, it was reported in the literature that the rate of participation in PR fell to 50% and the discontinuation rate was 23-31% (8)(9)(10). In the studies conducted, transportation, work conditions, a level of increased shortness of breath, and low social support were observed to be among the reasons for noncompliance and nonattendance in PR programs (8,9,(11)(12)(13).…”

“…Despite its many proven effects, it was reported in the literature that the rate of participation in PR fell to 50% and the discontinuation rate was 23-31% (8)(9)(10). In the studies conducted, transportation, work conditions, a level of increased shortness of breath, and low social support were observed to be among the reasons for noncompliance and nonattendance in PR programs (8,9,(11)(12)(13). Those who have transportation and work problems or a high level of perception of shortness of breath as well as advanced-stage and bedbound cases also benefit from PR by means of supervised home-based, remotely supervised, and unsupervised programs.…”

Pulmonary Rehabilitation: Improvement with Movement

“…The PEP program is currently in 262 PR centers (232 active) in 44 states with more than 5000 individuals enrolled in the program in 2015. Pulmonary rehabilitation is built around a relationship of education, exercise, coping skills, and social bonding. A patient will typically have [12][13][14][15][16][17][18][19][20][21] sessions. After graduation, they receive a graduation kit and continue to receive long term benefits.…”

“…15 A total of 30% of patients declined to attend even the first visit. Half of the patients reported not receiving PR information at the time of referral.…”