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Home-based pulmonary rehabilitation: an implementation study using the RE-AIM framework

Janet Bondarenko, Chloe Babic, Angela T. Burge, Anne E. Holland
ERJ Open Research 2021 7: 00469-2020; DOI: 10.1183/23120541.00469-2020
Janet Bondarenko
1Dept of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia
2Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
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  • ORCID record for Janet Bondarenko
  • For correspondence: j.bondarenko@alfred.org.au
Chloe Babic
3Hospital Admissions Risk Program, Alfred Health, Melbourne, Victoria, Australia
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Angela T. Burge
1Dept of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia
2Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
4Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
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Anne E. Holland
1Dept of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia
2Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia
4Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
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Tables

  • TABLE 1

    Participant characteristics and outcomes according to RE-AIM framework

    Reach
     Total referrals100
     Attended initial assessment71
     Number of home visits per patient1 (1–4)
     Number of phone calls per patient7 (3–7)
     Completion53
    Characteristics
     Age years71±12
     Male/female28/43
     FEV1 % predicted57±22
     Long-term oxygen therapy13
     Diagnoses
      COPD49
      Asthma8
      Bronchiectasis7
      Interstitial lung disease4
      Pulmonary hypertension2
      Cystic fibrosis1
     Reason for HBPR choice
      Symptom limitation32
      Work commitments24
      Transportation15
    Effectiveness
     OutcomesBaselineChange following HBPR (n=53)
     6MWD m360 (218–541)24 (6–34)#
     CRQ score
      Dyspnoea15 (10–18)3 (1–5)#
      Fatigue15 (11–18)2 (1–3)#
      Emotional function35 (28–39)2 (0–3)
      Mastery20 (16–23)2 (1–3)#
     CAT score18 (13–22)−2 (−3–1)#
     HADS score
      Anxiety5 (2–9)−1 (−2–0)
      Depression5 (2–9)0 (−2–1)
     mMRC score2 (1–3)34 (64%) score unchanged
    19 (36%) score improved
    Adoption
     Staff trained7
    Implementation
     Programme modification20
     Pedometer use20
     Home diary completion46
    Maintenance
     Pilot period 1 year>3 years

    Data are n, median (interquartile range) or mean±sd. n=71 unless otherwise stated. RE-AIM: Reach, Effectiveness, Adoption, Implementation, Maintenance; FEV1: forced expiratory volume in 1 s; COPD: chronic obstructive pulmonary disease; HBPR: home-based pulmonary rehabilitation; 6MWD: 6-min walk distance; CRQ: Chronic Respiratory Questionnaire; CAT: COPD Assessment Test; HADS: Hospital Anxiety and Depression Scale; mMRC: modified Medical Research Council dyspnoea scale. #: clinically important change.

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    Home-based pulmonary rehabilitation: an implementation study using the RE-AIM framework
    Janet Bondarenko, Chloe Babic, Angela T. Burge, Anne E. Holland
    ERJ Open Research Apr 2021, 7 (2) 00469-2020; DOI: 10.1183/23120541.00469-2020

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    Home-based pulmonary rehabilitation: an implementation study using the RE-AIM framework
    Janet Bondarenko, Chloe Babic, Angela T. Burge, Anne E. Holland
    ERJ Open Research Apr 2021, 7 (2) 00469-2020; DOI: 10.1183/23120541.00469-2020
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