People attending pulmonary rehabilitation demonstrate a substantial engagement with technology and willingness to use telerehabilitation: a survey

Seidman, Zachariah; McNamara, Renae J; Wootton, Sally; Leung, Regina; Spencer, Lissa; Dale, Marita; Dennis, Sarah; McKeough, Zoe J.

doi:10.1016/j.jphys.2017.05.010

Cited by 66 publications

(47 citation statements)

References 18 publications

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“…These interventions, whilst attractive, may offer limited applicability due to the levels of digital literacy and competency required in a COPD rehabilitation population. However, this may differ between countries …”

Section: Pulmonary Rehabilitation In Copdmentioning

confidence: 99%

Pulmonary rehabilitation for obstructive lung disease

Osadnik

Singh

2019

Respirology

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Pulmonary rehabilitation (PR) is a highly effective, established therapy to improve exercise intolerance, impaired quality of life and limb muscle weakness associated with a range of chronic respiratory diseases. The evidence base for PR is largest in the area of chronic obstructive pulmonary disease (COPD), yet its role in other obstructive lung diseases such as asthma is less well defined. Despite several features being common across both COPD and asthma, factors such as younger age or employment may affect the potential applicability of traditional PR models for patients with asthma. This review examines the current evidence regarding PR for the obstructive lung diseases of COPD and asthma. It offers appraisal of some of the strengths and weaknesses of existing literature, identifies areas in need of future research and details some of the issues facing clinicians responsible for the clinical management and rehabilitation of patients with these diseases.

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Section: Pulmonary Rehabilitation In Copdmentioning

confidence: 99%

Pulmonary rehabilitation for obstructive lung disease

Osadnik

Singh

2019

Respirology

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“… 18 – 20 Importantly, qualitative research has begun to investigate how telecare is experienced from the perspective of both COPD patients and health professionals. 21 – 24 In general, most of these studies have focused on the satisfaction, adherence, and acceptability of telecare interventions from the perspective of the patients resulting in conclusions, which support an increased use of telecare. 21 , 23 Studies taking the health professionals’ perspective have on the other hand identified a series of barriers when implementing telecare interventions.…”

Section: Introductionmentioning

confidence: 99%

Barriers and enablers of COPD telerehabilitation – a frontline staff perspective

Damhus¹,

Emme²,

Hansen³

2018

COPD

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BackgroundTelerehabilitation (TR) aimed at patients with COPD has shown promising effects on symptoms, physical function, and quality of life, but little research has been conducted to understand the impact of implementation on frontline health professionals. Therefore, the aim of this study was to examine the barriers and enablers of health professionals to online exercise-based TR in patients with COPD, to support a successful implementation process.MethodsSemistructured individual and focus group interviews were conducted with 25 health professionals working with conventional COPD rehabilitation or TR. Interviews were audio-taped and transcribed verbatim. Investigator triangulation was applied during data generation. The Theoretical Domains Framework directed the interview guide and was used as a coding framework in the analysis.ResultsWe identified six predominant domains essential in understanding the enablers and barriers of TR from a staff perspective: 1) skills, 2) professional role and identity, 3) beliefs about capabilities, 4) beliefs about consequences, 5) environmental context and resources, and 6) social influences. We found that health professionals held both enablers and barriers important for the implementation process of TR. TR introduces new work tasks and new ways for the health professionals to communicate and exercise with the patients, which influence their professional role and self-perceived capability.ConclusionSpecific attention toward involvement of the health professionals in the decision process combined with sufficient education and skill training is highly essential to support a successful implementation of TR in clinical practice.

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“…Despite these challenges, participants remained committed to the program as they perceived that the health outcomes and convenience outweighed the technical issues. This view is supported by a recent survey of 254 patients attending pulmonary rehabilitation, where participants cited enhance therapy and convenience as motivators to participate in telerehabilitation; and 40% of the participants indicated a willingness to use telerehabilitation, whilst 20% were undecided (Seidman et al, 2017). Our study participants utilised and recommended various strategies to overcome inhibiting influences like using phones as backup communication, connecting to wired broadband instead of wireless internet, accessing the demonstration session and information booklet, and liaising with family for computer support.…”

Section: Patient Experiences and Perspectives Related To Telerehabilimentioning

confidence: 87%

“…Although it is possible to use smartphones for videoconferencing, the smaller screen size may preclude its applicability in group-based programs compared with computers and tablets. A recent Australian survey of 254 patients attending pulmonary rehabilitation found that 92% of the participants were classified as technology engagers (personal access to and use of at least one technological device in their home), and 82% of these technology engagers accessed a computer or tablet device (Seidman et al, 2017).…”

Section: Telerehabilitationmentioning

confidence: 99%

Providing Heart Failure Rehabilitation in the Home via Telerehabilitation

Hwang

Bruning

Mandrusiak

et al. 2016

Heart, Lung and Circulation

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Exercise is effective for patients with chronic heart failure (CHF). Despite this, many patients are unable to access traditional exercise-based rehabilitation programs for various reasons, such as transport difficulties and program availability. Telerehabilitation, in which telecommunication technologies are used to provide rehabilitation at a distance, is an alternative approach which may overcome some of these barriers.The current literature suggests that telerehabilitation is effective in patients with cardiopulmonary diseases. However the majority of studies focus on phone-based interventions, so there is a need for more studies on the use of video-based telerehabilitation programs. Video-based telerehabilitation is a new approach which enables patients to exercise in the comfort of their homes, whilst maintaining synchronous audiovisual communication. This approach enables the clinician to watch patients performing the exercises and to provide real-time feedback and modification as required, as well as facilitate the development of rapport between the clinician and patients, and peer support amongst patients. Video-based telerehabilitation also presents a potential way to conduct remote assessment of functional exercise capacity.This thesis aimed to explore a new service delivery model for providing heart failure exercise-based rehabilitation programs. The thesis commences with a systematic review of telerehabilitation in patients with cardiopulmonary diseases (Study 1, Paper 1). The next study aimed to determine the suitability of the timed up and go test (TUGT) as an outcome measurement in heart failure rehabilitation programs (Study 2, Paper 2). In addition, the validity and reliability of telerehabilitation assessments of functional tests including the TUGT were examined in patients with CHF (Study 3, Paper 3). A randomised controlled trial determined the feasibility and effectiveness of a home-based heart failure telerehabilitation program compared with a traditional centre-based program (Study 4, Paper 4). A mixed methods study was also conducted to determine patient experiences and perspectives related to a heart failure telerehabilitation program (Study 5, Paper 5).Based on the systematic review of 11 studies, telerehabilitation appears to be a promising alternative to traditional centre-based programs in patients with cardiopulmonary diseases. In particular, telerehabilitation has been shown to improve exercise capacity and quality of life in these patient groups and has higher adherence rates compared with traditional centre-based programs.iii However, suitable outcome measures that can be administered via telerehabilitation are required. A possible outcome measure is the TUGT, which is a quick and easy-to-administer functional test.However prior to using the TUGT as an outcome measure in telerehabilitation studies, it was first important to validate its use in both face-to-face and telerehabilitation environments. The TUGT demonstrated excellent test-retest reliability in patients with C...

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People attending pulmonary rehabilitation demonstrate a substantial engagement with technology and willingness to use telerehabilitation: a survey

Cited by 66 publications

References 18 publications

Pulmonary rehabilitation for obstructive lung disease

Pulmonary rehabilitation for obstructive lung disease

Barriers and enablers of COPD telerehabilitation – a frontline staff perspective

Providing Heart Failure Rehabilitation in the Home via Telerehabilitation

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People attending pulmonary rehabilitation demonstrate a substantial engagement with technology and willingness to use telerehabilitation: a survey

Cited by 66 publications

References 18 publications

Pulmonary rehabilitation for obstructive lung disease

Pulmonary rehabilitation for obstructive lung disease

Barriers and enablers of COPD telerehabilitation &ndash; a frontline staff perspective

Providing Heart Failure Rehabilitation in the Home via Telerehabilitation

Contact Info

Product

Resources

About

Barriers and enablers of COPD telerehabilitation – a frontline staff perspective