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Are improvements maintained after in-home pulmonary telerehabilitation for patients with chronic obstructive pulmonary disease?

Marquis N, Larivée P, Dubois MF, Tousignant M - Int J Telerehabil (2015)

Bottom Line: Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions.Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3).Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1).

View Article: PubMed Central - PubMed

Affiliation: RESEARCH CENTRE ON AGING, UNIVERSITY INSTITUTE OF GERIATRICS OF SHERBROOKE, UNIVERSITÉ DE SHERBROOKE, SHERBROOKE, QUEBEC, CANADA.

ABSTRACT
This study investigated if improvements can be maintained over 24 weeks when in-home pulmonary telerehabilitation is combined with asynchronous self-management education for Chronic Obstructive Pulmonary Disease (COPD). Twenty-three community-living elders with moderate to very severe COPD participated in a pre/post-intervention study. Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions. Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3). Outcome measures were (1) exercise tolerance (6-minute walk test [6MWT]), Cycle Endurance Test [CET]), and (2) quality of life (Chronic Respiratory Questionnaire [CRQ]). Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1). While pulmonary telerehabilitation is possible and has a positive impact on patients with moderate to very severe COPD, improvements were not maintained in the long-term even when physical therapy was accompanied by self-management education.

No MeSH data available.


Related in: MedlinePlus

Changes in the four domains (A. dyspnea, B. fatigue, C. emotion and D. mastery) of the CRQ immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).
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f3-6156-24375-1-pb: Changes in the four domains (A. dyspnea, B. fatigue, C. emotion and D. mastery) of the CRQ immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).

Mentions: Quality of life improved significantly after the intervention (T2-T1) for three out of four domains of the CRQ (dyspnea, fatigue and emotion). However, none of these changes were still present 24 weeks later, with a significant decrease of values and return to baseline performance for each domain of the CRQ (Figure 3).


Are improvements maintained after in-home pulmonary telerehabilitation for patients with chronic obstructive pulmonary disease?

Marquis N, Larivée P, Dubois MF, Tousignant M - Int J Telerehabil (2015)

Changes in the four domains (A. dyspnea, B. fatigue, C. emotion and D. mastery) of the CRQ immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4353006&req=5

f3-6156-24375-1-pb: Changes in the four domains (A. dyspnea, B. fatigue, C. emotion and D. mastery) of the CRQ immediately after a pulmonary telerehabilitation intervention and 6 months later (gray lines inside the boxes are means, black lines are medians).
Mentions: Quality of life improved significantly after the intervention (T2-T1) for three out of four domains of the CRQ (dyspnea, fatigue and emotion). However, none of these changes were still present 24 weeks later, with a significant decrease of values and return to baseline performance for each domain of the CRQ (Figure 3).

Bottom Line: Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions.Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3).Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1).

View Article: PubMed Central - PubMed

Affiliation: RESEARCH CENTRE ON AGING, UNIVERSITY INSTITUTE OF GERIATRICS OF SHERBROOKE, UNIVERSITÉ DE SHERBROOKE, SHERBROOKE, QUEBEC, CANADA.

ABSTRACT
This study investigated if improvements can be maintained over 24 weeks when in-home pulmonary telerehabilitation is combined with asynchronous self-management education for Chronic Obstructive Pulmonary Disease (COPD). Twenty-three community-living elders with moderate to very severe COPD participated in a pre/post-intervention study. Over 8 weeks, they had access to self-learning capsules on self-management, received 15 in-home teletreatment sessions and were encouraged to gradually engage in unsupervised sessions. Participants were assessed before the intervention (T1), immediately after the intervention (T2), and 6 months later (T3). Outcome measures were (1) exercise tolerance (6-minute walk test [6MWT]), Cycle Endurance Test [CET]), and (2) quality of life (Chronic Respiratory Questionnaire [CRQ]). Although there were significant improvements after 8 weeks of pulmonary telerehabilitation on the 6MWT, CET and three of four CRQ domains, none of these improvements were maintained after 6 months and scores returned to their baseline values (all p values > 0.05 when comparing T3 with T1). While pulmonary telerehabilitation is possible and has a positive impact on patients with moderate to very severe COPD, improvements were not maintained in the long-term even when physical therapy was accompanied by self-management education.

No MeSH data available.


Related in: MedlinePlus