ArticleArchives of physical medicine and rehabilitation2022
Predictors of Outpatient Pulmonary Rehabilitation Uptake, Adherence, Completion, and Treatment Response Among Male U.S. Veterans With Chronic Obstructive Pulmonary Disease.
Article in Archives of physical medicine and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 16 citations in OpenAlex.
- Smartphone App-Based Music-Facilitated Pulmonary Rehabilitation Program Integrating Rhythm-Guided Walking and Singing for Patients With Chronic Obstructive Pulmonary Disease: Multicenter Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Who Enrolls After Referral to Virtual Pulmonary Rehabilitation? A Descriptive Comparison.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2026Article
- Defining nonresponse to pulmonary rehabilitation by threshold scores for personality traits: a population-based study.ERJ open research · 2026Article
- People with chronic obstructive pulmonary disease and exercise behaviour: a scoping review using the CFIR framework.BMC pulmonary medicine · 2026Article
- Characteristics of Virtual Pulmonary Rehabilitation Programs in the United States: Results from a National Electronic Survey.Annals of the American Thoracic Society · 2025Article
- Safety and Feasibility of a Two-Way Audiovisual Teleconferenced Pulmonary Rehabilitation Program.CHEST pulmonary · 2025Article
- Percentage of Discharged COPD Patients with Exclusion Criteria for Participation in Outpatient Pulmonary Rehabilitation.Journal of clinical medicine · 2025Article
- Development of a Multivariable Predictive Model for Adherence to Remotely Monitored Home-Based Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2025Article
- Maintenance Pulmonary Rehabilitation: An Update and Future Directions.Respiratory care · 2024Review
- Impact of pulmonary rehabilitation on exercise capacity, health-related quality of life, and cardiopulmonary function in lung surgery patients: a retrospective propensity score-matched analysis.Frontiers in medicine · 2024Article
- Efficacy and safety of a music-therapy facilitated pulmonary telerehabilitation program in COPD patients: the COPDMELODY study protocol.Frontiers in medicine · 2024Article
- Pulmonary Rehabilitation in Persons With COPD.Respiratory care · 2023Article
- Improving Physiological, Physical, and Psychological Health Outcomes: A Narrative Review in US Veterans with COPD.International journal of chronic obstructive pulmonary disease · 2022Review
- The acceptability, practicality, implementation and efficacy of a physical and social activity intervention 'BreatheHappy' for people with long-term respiratory conditions: A feasibility study.Chronic respiratory diseaseArticle
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo examine predictors of uptake (never start), adherence (drop out), and completion of pulmonary rehabilitation (PR), as well as PR treatment response based on minimal clinically important difference (MCID) on the 6-minute walk test (6MWT) distance and Chronic Respiratory Questionnaire-Self-Report (CRQ-SR).
designRetrospective, cohort study.
settingVeterans Health Administration.
participantsU.S. veterans with chronic obstructive pulmonary disease (COPD) (N=253) referred to PR between 2010 and 2018.
interventionsOutpatient PR program.
main outcome measuresParticipants completed baseline (time 1) measures of depression (Beck Depression Inventory-II), health-related quality of life (CRQ-SR), self-efficacy (Exercise Self-Regulatory Efficacy Scale [Ex-SRES]), and COPD knowledge. Exercise capacity was assessed with the 6MWT. Participants who completed all 18 sessions of PR repeated assessments (time 2). Logistic regression models examined predictors of uptake, adherence, and completion of PR as well as treatment response based on MCID.
resultsParticipants were referred to PR with 24.90% never starting, 28.90% dropping out, and 46.20% completing. No differences emerged between never starters and dropouts. Having a history of any cancer increased the likelihood of completing PR (vs never starting; odds ratio [OR], 3.18; P=.003). Greater CRQ-SR dyspnea score, indicating less dyspnea, was associated with increased likelihood of completing PR (OR, 1.12; P=.006). Past smoking compared with current smoking was associated with increased likelihood of completion (OR, 3.89; P≤.002). Those without a history of alcohol use disorder had increased likelihood of completing PR (OR, 2.23; P=.048). Greater baseline 6MWT distance was associated with lower likelihood of achieving MCID in 6MWT (OR, 0.99; P<.001). Greater Ex-SRES was associated with decreased likelihood of achieving 6MWT MCID (OR, 0.98; P=.023).
conclusionsFindings suggest that early psychoeducation on dyspnea management and smoking and alcohol cessation may increase completion of PR.
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