ArticleBMJ open respiratory research2021
Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease.
Article in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Experiences of Individuals With Chronic Obstructive Pulmonary Disease and Their Caregivers During the Pandemic: A Systematic Review.Nursing open · 2026Pooled it
- Effectiveness and safety of home-basedEuropean respiratory review : an official journal of the European Respiratory Society · 2025Pooled it
- Trial
- Pulmonary Telerehabilitation and Telemonitoring for Patients with Chronic Obstructive Pulmonary Disease: A Single-Arm Pilot Feasibility Study.Journal of clinical medicine · 2026Article
- Losing Ground Following Community Exercise Programme Closures: A Qualitative Descriptive Study of the Impact of COVID-19 Related Pandemic Restrictions on Exercise Participation, Physical Activity, and Health of Older Adults With Balance and Mobility Limitations.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Pulmonary Telerehabilitation in COPD Patients: A Systematic Review to Analyse Patients' Adherence.Healthcare (Basel, Switzerland) · 2025Review
- Delivery of Remote Pulmonary Rehabilitation: COVID-19 Service Evaluation in England.International journal of chronic obstructive pulmonary disease · 2025Article
- Current Implementation of Digital Health in Chronic Disease Management: Scoping Review.Journal of medical Internet research · 2024Article
- Protected characteristics reported in pulmonary rehabilitation: a scoping review.European respiratory review : an official journal of the European Respiratory Society · 2024Article
- Developing a home-based pulmonary rehabilitation programme for patients with chronic respiratory diseases in Malaysia: A mixed-method feasibility study.Journal of global health · 2023Article
- Telemedicine in healthcare access during the covid-19 pandemic: a scoping review.Revista de saude publica · 2023Article
- Experience on the Management of Patients with Asthma or Chronic Obstructive Pulmonary Disease During the COVID-19 Pandemic: the NEUMOBIAL Study.Advances in therapy · 2022Article
- Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data.Palliative medicine · 2022Article
- Listen to Me! - A Mixed-Methods Study of Thoughts and Attitudes Towards Participation in Pulmonary Telerehabilitation Among People with Severe and Very Severe COPD Who Declined Participation in Pulmonary Rehabilitation.Patient preference and adherence · 2022Article
- Efficacy of an asynchronous telerehabilitation program in post-COVID-19 patients: A protocol for a pilot randomized controlled trial.PloS one · 2022Article
- Telerehabilitation during the COVID-19 Pandemic: Patients and Physical Therapists' Experiences.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022Article
- Patient and public partnership at BMJ Open Respiratory Research.BMJ open respiratory research · 2021Article
- Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?Life (Basel, Switzerland) · 2021Review
- Exercise-Based Pulmonary Rehabilitation for Interstitial Lung Diseases: A Review of Components, Prescription, Efficacy, and Safety.Frontiers in rehabilitation sciences · 2021Review
- Digital healthcare in COPD management: a narrative review on the advantages, pitfalls, and need for further research.Therapeutic advances in respiratory diseaseReview
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSARS-CoV-2 has restricted access to face-to-face delivery of pulmonary rehabilitation (PR). Evidence suggests that telehealth-PR is non-inferior to outpatient PR. However, it is unknown whether patients who have been referred to face-to-face programmes can feasibly complete an online-PR programme.
methodsThis service evaluation used a mixed-methods approach to investigate a rapid PR service remodelling using the University of Gloucestershire eLearn Moodle platform. Quantitative baseline demographic and PR outcome data were collected from online-PR participants, and semistructured interviews were completed with PR staff and participants.
resultsTwenty-five individuals were eligible from a PR waiting list. Thirteen declined participation and 14 completed PR. Significant pre-post online PR improvements were achieved in 1 min sit-to-stand (CI 2.1 to 9 (p=0.004)), Generalised Anxiety Disorder (CI -0.3 to -2.6 (p=0.023)), Primary Health Questionnaire-9 (CI -0.3 to -5.1 (p=0.029)), Chronic Respiratory Questionnaire dyspnoea (CI 0.5 to 1.3 (p=0.001)), fatigue (CI 0.7 to 2 (p=0.0004)), emotion (CI 0.7 to 1.7 (p=0.0002)), mastery (CI 0.4 to 1.3 (p=0.001)). Interviews indicated that patient PR inclusion was made possible with digital support and a PR introduction session improved participant engagement and safety. Incremental progression of exercise was perceived as more successful online compared with face-to-face PR. However, perceptions were that education sessions were less successful. Online-PR required significant staff time resource. DISCUSSION: Online-PR improves patient outcomes and is feasible and acceptable for individuals referred for face-to-face PR in the context of a requirement for social distancing. Face-to-face programmes can be adapted in a rapid fashion with both staff and participants perceiving benefit. Future pragmatic trials are now warranted comparing online-PR including remote assessments to centre-based PR with suitably matched outcomes, and patient and staff perceptions sought regarding barriers and facilitators of online delivery.
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