Andrea Taylor
ABSTRACT
Chronic Obstructive Pulmonary Disease (COPD) is a common and debilitating lung condition. Pulmonary rehabilitation is effective in treating COPD. Rehabilitation, combining physical exercise with education, is usually undertaken in hospital or clinic-based groups led by a clinician. The support of the group is important. However, distance of travel, and mobility and transport problems can mean that patients are unable to participate. This paper describes a feasibility study to deliver a program to a group of patients in their own homes, improving accessibility. A novel videoconferencing system was installed in four patient's homes, connected to their TV and the Internet. A physiotherapist delivered a pulmonary rehabilitation program, involving twice-weekly exercise sessions for eight weeks. All were visible and audible to maintain the group-based approach of the conventional program. The technology performed well, satisfaction was high, and clinical improvements occurred in all patients, comparable to a conventional program. Larger studies are warranted.
- Arnold, E., Bruton, A., Ellis-Hill, C. Adherence to pulmonary rehabilitation: a qualitative study. Respiratory Medicine, (2006), 100(10):1716--1723.Google Scholar
- Better Breathing. http://www.betterbreathing.org.Google Scholar
- Burkow, T. M., Vognild, L. k., Krogstad, T., Borch, N., Østengen, G., Bratvold, A., Risberg, M. J. An Easy to Use and Affordable Home-Based Personal eHealth System for Chronic Disease Management Based on Free Open Source Software. Studies in Health Technology and Informatics, (2008), 136:83--88.Google Scholar
- Chronic Obstructive Pulmonary Disease. http://www.lunguk.org/media-and-campaigning/media-centre/lung-stats-and-facts/chronicobstructivepulmonarydisease.Google Scholar
- Chronic Obstructive Pulmonary Disease (COPD). Remote Rehabilitation Classes via Video Link. http://www.sct.scot.nhs.uk/copdtayside.html.Google Scholar
- Continua Health Alliance. http://www.continuaalliance.org/index.html.Google Scholar
- Delivering for Health. http://www.scotland.gov.uk/Publications/2005/11/02102635/26356.Google Scholar
- Garrod, R., Marshall, J., Barley, E., Jones, P. W. Predictors of success and failure in pulmonary rehabilitation. European Respiratory Journal, (2006), 27:788--94.Google ScholarCross Ref
- Guendelman, S., Meade, K., Benson, M., Chen, Y. Q., Samuels, S. Improving Asthma Outcomes and Self-management Behaviors of Inner-city Children. Archives of Pediatrics & Adolescent Medicine, (2002), 156(2):114--120.Google ScholarCross Ref
- Health Buddy System. http://www.bosch-telehealth.com/content/language1/html/5578_ENU_XHTML.aspx.Google Scholar
- Healthy Outlook. http://www.metoffice.gov.uk/health/professionals/healthyoutlook.Google Scholar
- Hernández, M. T. E., Rubio, T. M., Ruiz, F. O., Riera, H. S., Gil, R. S., Gómez, J. C. Results of a home-based training program for patients with COPD. Chest, (2000), 118:106--114.Google Scholar
- Hill, A. Report on the Potential Application of Telerehabilitation to Adult Rehabilitation Services in Scotland. http://www.sct.scot.nhs.uk/pdf/rehabreport.pdf.Google Scholar
- HomePlug. http://www.homeplug.org/home/.Google Scholar
- ICT & Aging - European Study on Users, Markets and Technologies. http://www.ict-ageing.eu/.Google Scholar
- Internet Access - Households and Individuals. http://www.statistics.gov.uk/pdfdir/iahi0809.pdf.Google Scholar
- JANET Desktop Videoconferencing. http://www.ja.net/services/video/jvcs/desktop/.Google Scholar
- Kairy, D., Lehoux, P., Vincent, C., Visintin, M. A systematic review of clinical outcomes, clinical process, healthcare utilization and costs associated with telerehabilitation. Disability and Rehabilitation, (2009), 31(6):427--447.Google ScholarCross Ref
- Lacasse, Y., Goldstein, R., Lasserson, T. J., Martin, S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, (2006), issue 4, Art no:CD003793. DOI 10,1002/14651858.CD003793.pub2.Google Scholar
- Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., Nguyen, T. D. Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, (1979), 2:197--207.Google ScholarCross Ref
- Liu, W. T., Wang, C. H., Lin, H. C., Lee, K. Y., Lo, Y. L., Hung, S. H., Chang, Y. M., Chung, K. F., Kuo, H. P. Efficacy of a cell phone-based exercise programme for COPD. European Respiratory Journal, (2008), 32:651--659.Google ScholarCross Ref
- Morgan, M. D. L. Pulmonary rehabilitation. BTS Standards of Care Subcommittee on Pulmonary Rehabilitation. Thorax, (2001), 56:827--834.Google Scholar
- MP's Anger Over Inverness's 'Slowest' Broadband. http://news.bbc.co.uk/1/hi/scotland/highlands_and_islands/8378119.stm.Google Scholar
- Nici, L., Donner, C., Wouters, E., Zuwallack, R., Ambrosino, N., Bourbeau, J., Carone, M., Celli, B., Engelen, M., Fahy, B., Garvey, C., Goldstein, R., Gosselink, R., Lareau S., MacIntyre, N., Maltais, F., Morgan, M., O'Donnell, D., Prefault, C., Reardon, J., Rochester, C., Schols, A., Singh, S., Troosters, T. American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. American Journal of Respiratory and Critical Care Medicine, (2006), 173:1390--1413.Google Scholar
- O'Shea, S. D., Taylor, N. F., Paratz, J. D. ...But watch out for the weather: factors affecting adherence to progressive resistance exercise for persons with COPD. Journal of Cardiopulmonary Rehabilitation and Prevention, (2007), 27:166--74.Google ScholarCross Ref
- Pare, G., Jaana, M., Sicotte, C. Systematic review of home telemonitoring for chronic diseases: the evidence base. Journal of the American Medical Informatics Association, (2007), 14(3):269--277.Google ScholarCross Ref
- Singh, S. J., Morgan, M. D., Scott, S., Walters, D., Hardman, A. E. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax, (1992), 47:1019--1024.Google Scholar
- Snaith, R. P. The Hospital Anxiety and Depression Scale. Health and Quality of Life Outcomes, (2003), 1:29 http://www.hqlo.com/content/1/1/29.Google Scholar
- Taylor, R., Dawson, S., Roberts, N., Sridhar, M., Partridge, M. R. Why do patients decline to take part in a research project involving pulmonary rehabilitation? Respiratory Medicine, (2007), 101:1942--46.Google Scholar
- The Communications Market Report: Scotland. http://stakeholders.ofcom.org.uk/market-data-research/market-data/communications-market-reports/cmr10/scotland/.Google Scholar
- Trappenburg, J. C., Niesink, A., de Weert-van Oene, G. H., van der Zeijden, H., van Snippenburg, R., Peters, A., Lammers, J. W., Schrijvers, A. J. Effects of telemonitoring in patients with chronic obstructive pulmonary disease. Telemedicine and e-Health, (2008), 14(2):138--146.Google Scholar
- Whole Systems Demonstrators: an overview of telecare and telehealth. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_100946.Google Scholar
- Williams, J. E., Singh, S. J., Sewell, L., Guyatt, G. H., Morgan, M. D. Development of a self-reported Chronic Respiratory Questionnaire. Thorax, (2001), 56:954--959.Google Scholar
- Wu, G., Keyes, L. M. Group tele-exercise for improving balance in elders. Telemedicine Journal and E-Health, (2006), 12(5):561--70.Google ScholarCross Ref
Index Terms
- Group pulmonary rehabilitation delivered to the home via the internet: feasibility and patient perception
Recommendations
PULSY -- Because Every Pulse Matters: A Budget-Friendly Pulse Oximeter
TEI '20: Proceedings of the Fourteenth International Conference on Tangible, Embedded, and Embodied InteractionDiseases come irrespective of income, but treatment and devices don't. Developing nations like India are faced with the problem of large and poor population that need medical care. 'Pulsy' is a low-cost and portable pulse oximeter that is used for ...
Applying Motivational Interview in Designing a Pulmonary Rehabilitation Unit
Design, User Experience, and UsabilityAbstractAlthough pulmonary rehabilitation has been well-recognized and recommended by the medical sector as an effective treatment to control and even prevent Chronic Obstructive Pulmonary Disease (COPD), a generally low level of compliance across ...
Development of posture adjustment supporting device of the head and neck for swallowing rehabilitation
i-CREATe '13: Proceedings of the 7th International Convention on Rehabilitation Engineering and Assistive TechnologyBackground & Aim: Stroke patients often develop dysphagia and sometimes have aspiration pneumonia. To prevent aspiration, dyshagic stroke patients usually undergo a program of comprehensive swallowing rehabilitation, which involves the provision of ...
Comments