Feasibility, safety and effectiveness of remote pulmonary rehabilitation during COVID-19 pandemic

Grosbois, Jean-Marie; Géphine, Sarah; Rouzic, Olivier Le; Chenivesse, Cécile

doi:10.1016/j.resmer.2021.100846

Cited by 5 publications

(6 citation statements)

References 6 publications

(11 reference statements)

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“…The virtual pulmonary rehabilitation program improved patient outcomes including exercise capacity, psychological condition, and primary health, with high patient satisfaction. Similarly, Grosbois et al [27 ▪ ] rapidly transitioned their Grosbois service to a program consisting of one supervised (via phone or video call) 90-min exercise session per week for 8 weeks. The completion rate was 79%, and there were significant improvements in both physical and psychological domains in the cohort as a whole.…”

Section: Pulmonary Rehabilitation During Coronavirus Disease 2019mentioning

confidence: 99%

“…Despite increasing evidence for the feasibility and safety of remote tele-pulmonary rehabilitation, a ‘hybrid’ pulmonary rehabilitation model may be more desirable as some in-person components may be indispensable. For example, initial assessment and exercise prescription have been performed in-person in most tele-pulmonary rehabilitation programs, either in-centre [35,40 ▪▪ ] or in the patient's home [27 ▪ ,32 ▪▪ ]. Many tele-pulmonary rehabilitation studies did not specify how the exercises were prescribed in the virtual setting, making it difficult to compare studies.…”

Section: Ongoing Challenges and Solutionsmentioning

confidence: 99%

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Pulmonary rehabilitation in a postcoronavirus disease 2019 world: feasibility, challenges, and solutions

Wen

Milne

Sin

2021

Current Opinion in Pulmonary Medicine

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Purpose of reviewPulmonary rehabilitation improves clinical outcomes in patients with chronic obstructive pulmonary disease (COPD). Traditional centre-based (in-person) pulmonary rehabilitation was largely shut down in response to the COVID-19 pandemic, forcing many centres to rapidly shift to remote home-based programs in the form of telerehabilitation (tele-pulmonary rehabilitation). This review summarizes the recent evidence for the feasibility and effectiveness of remote pulmonary rehabilitation programs, and their implications for the delivery of pulmonary rehabilitation in a postpandemic world. Recent findingsA number of innovative adaptations to pulmonary rehabilitation in response to COVID-19 have been reported, and the evidence supports tele-pulmonary rehabilitation as a viable alternative to traditional centre-based pulmonary rehabilitation. However, these studies also highlight the challenges that must be surmounted in order to see its widespread adoption.

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Section: Pulmonary Rehabilitation During Coronavirus Disease 2019mentioning

confidence: 99%

Section: Ongoing Challenges and Solutionsmentioning

confidence: 99%

Pulmonary rehabilitation in a postcoronavirus disease 2019 world: feasibility, challenges, and solutions

Wen

Milne

Sin

2021

Current Opinion in Pulmonary Medicine

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“…A range of factors appeared to influence the acceptance of telehealth physiotherapy as an alternative option in selected participants. That it was considered to be a necessary adaption to ensure a continued service of delivery during the COVID-19 pandemic, when stay-at-home orders were stipulated, has been similarly reported in other populations [ 25 , 27 , 30 ]. The reduced burden of travel with telehealth services compared to in-person consultation has also been observed for those with chronic conditions [ 25 , 34 ], with lower reports of physical exhaustion in those with chronic respiratory conditions undertaking telehealth [ 30 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 85%

“…Scepticism towards telehealth services have been previously reported, with consumers cancelling, postponing consultations, or not adhering to the intervention when clinical interactions were pivoted to a telehealth format during the COVID-19 pandemic [ 25 , 26 , 27 ]. Professional acceptance of telehealth by patients and health care professionals has been noted to be challenging [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

The Perceptions of Telehealth Physiotherapy for People with Bronchiectasis during a Global Pandemic—A Qualitative Study

Lee

Tilley

Baenziger

et al. 2022

JCM

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Physiotherapy is a core component of management for people with bronchiectasis and has predominantly been delivered in an in-person consultative format. With the global pandemic, a telehealth physiotherapy model of service evolved, but the perceptions and experiences from the consumer perspective of this service have not been evaluated. Participants who had a diagnosis of bronchiectasis and received a minimum of two telehealth physiotherapy sessions during the months of March 2020 to December 2020 at a private hospital were invited to take part in a semistructured interview. Interview transcripts were coded independently, with themes established by consensus from two researchers. In total, nine participants completed interviews (age range 44 to 83 years, 67% male), with four themes identified. Themes were initial mixed opinions and acceptance of telehealth physiotherapy as an alternate model, ease of use and limitations to the telehealth platform, enablers and barriers to physiotherapy service provision, and preferences for future models of telehealth physiotherapy beyond a pandemic. In the event of the continuation of telehealth physiotherapy services for people with bronchiectasis, the perceptions and experiences outlined by consumers could be applied to inform future modification of this model of service.

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“…1. During the COVID pandemic when centre-based PR were closed (Grosbois et al, 2021;Lewis et al, 2021).…”

Section: Non-randomised Studiesmentioning

confidence: 99%

Factors which influence participation in telerehabilitation – A scoping review of the literature

Candy,

Reeve,

Taylor

2023

NZJP

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Pulmonary rehabilitation (PR) is a high-value intervention for people living with a chronic respiratory disease. Uptake and completion of PR remains low, and telerehabilitation provides an alternative model for remotely delivering PR, which may improve the reach of this intervention. While telerehabilitation is safe and likely equivalent to centre-based PR, little is known about the barriers to participation in telerehabilitation to date. This scoping review aims to better understand the factors influencing perception of and participation in telerehabilitation for people living with a chronic respiratory disease. Scopus, MEDLINE, and CINAHL were searched between July 27 to November 23, 2022. Articles were screened, and those fulfilling inclusion criteria were extracted to a standard template. Extracted data were analysed using narrative synthesis. Twenty-seven studies met the inclusion criteria. People living with a chronic respiratory disease perceive telerehabilitation to be convenient and flexible, but technically challenging and lacking in contact with clinicians and peer support. The experiences from a small number of people who have participated in these programmes counter this with praise for the therapeutic relationship they developed with their clinician and the social support they received

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Feasibility, safety and effectiveness of remote pulmonary rehabilitation during COVID-19 pandemic

Cited by 5 publications

References 6 publications

Pulmonary rehabilitation in a postcoronavirus disease 2019 world: feasibility, challenges, and solutions

Pulmonary rehabilitation in a postcoronavirus disease 2019 world: feasibility, challenges, and solutions

The Perceptions of Telehealth Physiotherapy for People with Bronchiectasis during a Global Pandemic—A Qualitative Study

Factors which influence participation in telerehabilitation – A scoping review of the literature

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