Participant characteristics and outcomes according to RE-AIM framework
Reach | ||
Total referrals | 100 | |
Attended initial assessment | 71 | |
Number of home visits per patient | 1 (1–4) | |
Number of phone calls per patient | 7 (3–7) | |
Completion | 53 | |
Characteristics | ||
Age years | 71±12 | |
Male/female | 28/43 | |
FEV1 % predicted | 57±22 | |
Long-term oxygen therapy | 13 | |
Diagnoses | ||
COPD | 49 | |
Asthma | 8 | |
Bronchiectasis | 7 | |
Interstitial lung disease | 4 | |
Pulmonary hypertension | 2 | |
Cystic fibrosis | 1 | |
Reason for HBPR choice | ||
Symptom limitation | 32 | |
Work commitments | 24 | |
Transportation | 15 | |
Effectiveness | ||
Outcomes | Baseline | Change following HBPR (n=53) |
6MWD m | 360 (218–541) | 24 (6–34)# |
CRQ score | ||
Dyspnoea | 15 (10–18) | 3 (1–5)# |
Fatigue | 15 (11–18) | 2 (1–3)# |
Emotional function | 35 (28–39) | 2 (0–3) |
Mastery | 20 (16–23) | 2 (1–3)# |
CAT score | 18 (13–22) | −2 (−3–1)# |
HADS score | ||
Anxiety | 5 (2–9) | −1 (−2–0) |
Depression | 5 (2–9) | 0 (−2–1) |
mMRC score | 2 (1–3) | 34 (64%) score unchanged |
19 (36%) score improved | ||
Adoption | ||
Staff trained | 7 | |
Implementation | ||
Programme modification | 20 | |
Pedometer use | 20 | |
Home diary completion | 46 | |
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.