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Delivery of Remote Pulmonary Rehabilitation: COVID-19 Service Evaluation in England.

作者信息

Ellis James, Gilworth Gill, Morgan Toby, Harris Katherine, King Natalie, White Patrick

机构信息

GKT School of Medical Education, King's College London, London, UK.

Department of Population Health Sciences, King's College London, London, UK.

出版信息

Int J Chron Obstruct Pulmon Dis. 2025 Mar 5;20:533-538. doi: 10.2147/COPD.S488183. eCollection 2025.


DOI:10.2147/COPD.S488183
PMID:40060921
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11890304/
Abstract

BACKGROUND: Recent evidence suggests that remote pulmonary rehabilitation (PR) meeting international criteria may be as effective as traditional in-person PR. During social distancing associated with COVID-19, in-person PR services were suspended in England. We assessed the use of remote PR services during COVID-19 social distancing. METHODS: An online questionnaire survey to assess the use of remote PR during the COVID-19 pandemic and the subsequent availability and delivery of remote PR in England was conducted. The characteristics of PR services in England that provided remote PR, and the barriers and facilitators of delivery of remote online PR by videoconferencing were assessed. RESULTS: Sixty-three services took part. Provision of remote PR rose from 17% to 95% for participating PR services during the pandemic. Remote PR was provided by telephone (65% of services), group videoconferencing (56%) and by individual patient videoconferencing (51%). Remote PR continued to be provided by 49 (76%) services following the relaxation of COVID-19-related restrictions on social contact. Barriers to the delivery of remote online PR using videoconferencing included patients' lack of internet access through inability to use smart phones or computers and perceived preference of patients for in-person provision. Perceived facilitators of remote online PR using videoconferencing were ease of staff delivery and the belief that it would be beneficial to patients. CONCLUSION: Remote PR was widely used during the social distancing phase of the COVID-19 pandemic in England. Service users' lack of access to the internet was an important barrier to videoconferencing, the form of remote online PR for which evidence of effectiveness is most compelling. The provision of digital equipment and internet training should be considered to enable more equitable access to remote online PR. Despite no guideline recommendations for its utility at present, remote pulmonary rehabilitation via telephone or online videoconferencing appears to be a safe and feasible alternative when in-person pulmonary rehabilitation is unavailable.

摘要

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本文引用的文献

[1]
Rapid real-world implementation of pulmonary telerehabilitation: good fortune or COVID-19 luck?

ERJ Open Res. 2024-2-19

[2]
British Thoracic Society Clinical Statement on pulmonary rehabilitation.

Thorax. 2023-10

[3]
Exploring the delivery of remote physiotherapy during the COVID-19 pandemic: UK wide service evaluation.

Physiother Theory Pract. 2024-10

[4]
myCOPD App for Managing Chronic Obstructive Pulmonary Disease: A NICE Medical Technology Guidance for a Digital Health Technology.

Appl Health Econ Health Policy. 2023-9

[5]
Exploring community members' perceptions to adopt a Tele-COPD program in rural counties.

Explor Res Clin Soc Pharm. 2021-5-6

[6]
Digital habits of pulmonary rehabilitation service-users following the COVID-19 pandemic.

Chron Respir Dis. 2022

[7]
A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation.

BMC Med Inform Decis Mak. 2021-11-22

[8]
Telerehabilitation for chronic respiratory disease: a randomised controlled equivalence trial.

Thorax. 2022-7

[9]
Feasibility, safety and effectiveness of remote pulmonary rehabilitation during COVID-19 pandemic.

Respir Med Res. 2021-11

[10]
Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease.

BMJ Open Respir Res. 2021-3

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