Implementation and maintenance of an enhanced pulmonary rehabilitation program in a single centre: An implementation study

Abstract

Background Pulmonary rehabilitation (PR) has major benefits for patients with chronic obstructive pulmonary disease (COPD). An enhanced PR program was developed with a self-management education intervention. The objective of our study was to evaluate the implementation of the enhanced PR program into a single centre. Methods Pre-post implementation study consisted of two evaluation periods: immediately after implementation and 18 months later. Guided by the RE-AIM framework, outcomes included: Reach, Effectiveness, Adoption, Implementation and Maintenance . Results Reach: 70–75% of referred patients agreed to a PR program ( n = 26). Effectiveness: Clinically important improvements occurred in some patients in functional exercise capacity (64% of the patients achieved clinical important difference in 6-min walk test in the first evaluation period and 44% in the second evaluation period), knowledge, functional status, and self-efficacy in both evaluation periods. Adoption: All healthcare professionals (HCPs) involved in PR ( n = 8) participated. Implementation: Fidelity for the group education sessions ranged from 76 to 95% (first evaluation) and from 82 to 88% (second evaluation). Maintenance: The program was sustained over 18 months with minor changes. Patients and HCPs were highly satisfied with the program. Conclusions The enhanced PR program was accepted by patients and HCPs and was implemented and maintained at a single expert center with good implementation fidelity.

Effect of Tai Ji and/or Qigong on Patients with Stable Chronic Obstructive Pulmonary Disease A protocol for meta-analysis and systematic review

“…Patient with stable COPD was normally managed by inhaled medications presented as bronchodilators and inhaled corticosteroids (ICSs) [3], however the treatment outcomes were not always satisfactory due to patient’s poor tolerance with pharmacy side effect. Pulmonary rehabilitation (PR) is described as a comprehensive intervention based on a thorough patient assessment followed by patient-tailored therapies that include exercise training, education, and behavior change, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence to health-enhancing behaviors [4, 5], and is an essential component of COPD management, would benefit the disease stabilization, and reduce exacerbation. Daily practice of PR included breathing trainings such as pursed lip breathing, yoga breathing, or breathing with computer-aided feedback, and exercise training which aimed to strengthen back, arms, and legs, as well as the muscles used to breathe.…”