Rapid access rehabilitation after exacerbations of COPD – A qualitative study

Oliveira, Ana Irene Alves de; Quach, Shirley; Alsubheen, Sanaa; Dasouki, Sabrina; Walker, Jan; Brooks, Dina; Goldstein, Roger

doi:10.1016/j.rmed.2021.106532

Cited by 4 publications

(6 citation statements)

References 30 publications

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“…However, comparatively, the positive approach and support received from the healthcare staff at the rehabilitation programme were perceived as motivational influence. 28 …”

Section: Resultsmentioning

confidence: 99%

“…Patients were satisfied with the usefulness of rehabilitation programmes delivered via telehealth and also expressed the need for greater education to provide more knowledge about self-management of COPD especially during the early stages of the pandemic. Similarly, pulmonary rehabilitation services were able to be successfully adapted using technology platforms such as Zoom and were found to be particularly useful 28 ; however, managing the technology was a challenge reported by some patients in this setting. Importantly, participants appeared to be more willing to attend a greater number of sessions per week when classes were held via video.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, impacts on coordination of care were only reported in the context of pulmonary rehabilitation setting. 28 Further research involving patients treated principally in primary care and community settings is needed to understand how coordination of care was impacted through the pandemic and the impact this may have on longer-term health outcomes and disease control.…”

Section: Discussionmentioning

confidence: 99%

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Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature

et al. 2023

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BackgroundPeople living with chronic obstructive pulmonary disease (COPD) are a group who may be particularly vulnerable to COVID-19. This vulnerability has been associated with increased anxiety or fear about exposure to the virus, which may also impact upon experience in healthcare settings.Aim/objectivesThe aim of this narrative mixed-methods review was to systematically scope, identify and synthesise findings from peer-reviewed qualitative, quantitative and mixed-methods studies published in academic journals describing the healthcare experiences of adults living with COPD independently in the community, following the emergence of COVID-19 in December 2019–June 2022.MethodsDatabases including Ovid MEDLINE, PsychINFO, Ovid Emcare and CINAHL Plus were searched. Studies were uploaded to Covidence to support selection and appraisal of studies. Studies were appraised for quality using the Mixed Methods Appraisal Tool. A narrative synthesis of these themes was provided, and qualitative and quantitative findings are interpreted together in the discussion.FindingsThe quality and experience of care for patients with COPD was impacted through the COVID-19 pandemic. Innovations and adoption of technologies such as telehealth and telerehabilitation were well received and mitigated the potential implications of severe disruption to care access to some extent. Patients feared feeling forgotten and experienced isolation and anxiety; however, telerehabilitation and exercise through modalities such as Zoom classes help support social connection and physical activity.ImplicationsThese innovations are likely to be useful to be offered to patients on an ongoing basis, and education and standardised protocols around their use will benefit healthcare providers and patients alike.PROSPERO registration numberCRD42022341168.

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“…However, comparatively, the positive approach and support received from the healthcare staff at the rehabilitation programme were perceived as motivational influence. 28 …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature

et al. 2023

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“…cloth masks) resulted in more breathing effort in comparison to no mask ( p=0.001) or a surgical mask ( p=0.012) [36]. Lastly, A. Oliveira provided qualitative evidence (semi-structured interviews with patients, healthcare professionals and policy makers) that rapid access rehabilitation after AECOPD is well accepted by the different stakeholders [37].…”

Section: Take-home Messagesmentioning

confidence: 96%

European Respiratory Society International Congress 2021: highlights from best-abstract awardees

Ramakrishnan

Beaufils

Brandt

et al. 2022

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“…To improve PR access [10], new intervention models have been emerging. Oliveira et al [13] conducted a Delphi study to achieve consensus on the essential outcomes of Rapid Access Rehabilitation for acute exacerbations of COPD (AE-COPD) [13]. The key components identified, i.e., eligibility and timeline, treatment priorities, programme design, outcomes and measures and referral and uptake, provide the foundation for developing interventions to optimise access to PR in AE-COPD.…”

Section: Take-home Messagesmentioning

confidence: 99%

ERS International Congress 2022: highlights from the Allied Respiratory Professionals Assembly

et al. 2023

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In this paper, we provide a brief overview of some of the outstanding sessions that were (co)organised by the Allied Respiratory Professionals Assembly during the 2022 European Respiratory Society (ERS) International Congress, which was held in a hybrid format. Early Career Members from Assembly 9 summarised the content of the sessions, with the support of the Officers from the four Assembly groups: Respiratory Function Technologists and Scientists (Group 9.01); Physiotherapists (Group 9.02); Nurses (Group 9.03); Psychologists and Behavioural Scientists (Group 9.04). The sessions covered the following topics: recent advances in cardiopulmonary exercise and challenge testing; the role and new trends in physiotherapy, exercise and physical activity promotion interventions in chronic respiratory diseases; development of the international curriculum for respiratory nurses and nursing aspects in disease management; and treatment adherence, e-health interventions and post Covid-19 challenges. This Highlights paper targets delegates who attended the Congress sessions, as well as those who were unable to attend, and provides valuable insight into the latest scientific data and emerging areas affecting the clinical practice of Allied Respiratory Professionals.

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Rapid access rehabilitation after exacerbations of COPD – A qualitative study

Cited by 4 publications

References 30 publications

Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature

Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature

European Respiratory Society International Congress 2021: highlights from best-abstract awardees

ERS International Congress 2022: highlights from the Allied Respiratory Professionals Assembly

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