ArticleJournal of cardiopulmonary rehabilitation and prevention2017
Implementation and Outcomes of a Community-Based Pulmonary Rehabilitation Program in Rural Appalachia.
Article in Journal of cardiopulmonary rehabilitation and prevention, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- RuralEuropean respiratory review : an official journal of the European Respiratory Society · 2026Pooled it
- Patients' perspectives on pulmonary rehabilitation for pulmonary hypertension in high-altitude areas: a mixed-methods study.Frontiers in public health · 2026Article
- Appalachian Home- and Community- Based Services for People Affected by Dementia.Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization · 2026Article
- Article
- Embedding Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease in the Home and Community Setting: A Rapid Review.Frontiers in rehabilitation sciences · 2022Review
- The Need for Expanding Pulmonary Rehabilitation Services.Life (Basel, Switzerland) · 2021Review
- Lung Disease in Central Appalachia: It's More than Coal Dust that Drives Disparities.The Yale journal of biology and medicine · 2021Review
- Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021Article
- Article
- COPD and Rural Health: A Dialogue on the National Action Plan.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeTo report on the implementation and clinical outcomes of a community-based pulmonary rehabilitation program in rural Appalachia.
methodsThree rural health centers and a large referral hospital worked together to establish pulmonary rehabilitation services based on AACVPR guidelines. Each site hired at least 1 respiratory therapist. To measure clinical outcomes, a retrospective medical record study compared pre- and post-program values for the modified Medical Research Council dyspnea level, 6-minute walk test (6MWT), negative inspiratory force (NIF), respiratory disease knowledge, St George Respiratory Questionnaire (SGRQ), BODE index (body mass index, airflow obstruction, dyspnea and exercise capacity), and smoking status. The percentages of persons completing the program and participating in maintenance exercise after the program were recorded.
resultsDuring the first 20 months of the program, 195 unduplicated persons with qualifying chronic lung diseases started the program. Of these, 111 (57%) completed the program. Mean improvements for all 6 measures were highly significant (P < .001) and compared favorably with published results from hospital-based programs: dyspnea level, -1.2; 6MWT, +259 ft; NIF, +11.3 cm H2O; knowledge test, +1.9; SGRQ, -6.2; BODE index, -1.1. Of the 23 smokers, 5 quit by the end of the program.
conclusionsCommunity-based pulmonary rehabilitation in rural health centers is feasible and achieves clinical outcomes similar to programs in large hospitals and academic centers. Furthermore, the addition of respiratory therapists to these primary care teams provides important collateral benefits for the evidence-based care of patients with chronic lung diseases.
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