Acceptability and validity of a home exercise diary used in home‐based pulmonary rehabilitation: A secondary analysis of a randomised controlled trial

Lahham, Aroub; McDonald, Christine F; Mahal, Ajay; Lee, Annemarie L.; Hill, Catherine J.; Burge, Angela T; Cox, Narelle S; Moore, Rosemary; Nicolson, Caroline; O’Halloran, Paul; Gillies, Rebecca; Holland, Anne E

doi:10.1111/crj.12773

Cited by 14 publications

(20 citation statements)

References 26 publications

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“…If a fall calendar or an exercise diary was not returned on time, the participant was reminded via a telephone call. The self-documented home-exercise diary has been found to be an acceptable and valid method to reflect home-based exercise participation (Lahham et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

The Otago Exercise Program With or Without Motivational Interviewing for Community-Dwelling Older Adults: A 12-Month Follow-Up of a Randomized, Controlled Trial

et al. 2020

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The aim of this randomized controlled trial was to examine the 12-month effects of the home-based Otago Exercise Program (OEP) with or without the support of motivational interviewing (MI) on community-dwelling people 75 years and older who needed walking aids and/or home help service. In total, 175 participants were randomized into three groups: OEP ( n = 61), OEP with MI ( n = 58), and a control group ( n = 56) ( M age = 83 years). Measures were physical performance, physical activity level, balance, grip strength, fall-related self-efficacy, fall rate, and fall injury rate. The OEP with and the OEP without MI, with the support of a physical therapist (six home visits and three phone calls), demonstrated no benefits in any of the measures compared with a control group. In this subgroup of pre-frail older adults, more frequent support by personnel may be required to secure efficient intensity and progression in the exercises performed on your own at home.

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Section: Methodsmentioning

confidence: 99%

The Otago Exercise Program With or Without Motivational Interviewing for Community-Dwelling Older Adults: A 12-Month Follow-Up of a Randomized, Controlled Trial

et al. 2020

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“…Evidence shows that nonadherence due to low confidence in the method and benefits of RMT is the major reason for low compliance [22] . The relatively high compliance rate may be partly contributable to the use of training journals to log each session, as self-documented diaries have proven to be a useful tool for home-based rehabilitation and to provide a reliable method to monitor participation [23] .…”

Section: Outcome Compliancementioning

confidence: 99%

Respiratory Muscle Training Improves Speech and Pulmonary Function in COPD Patients in a Home Health Setting - a Pilot Study

Bausek¹,

Havenga²,

Aldarondo³

2019

Preprint

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Clinical Context and Key Findings: Home-based COPD management, as provided by certified home-health providers, represents a cornerstone of patient care. Respiratory muscle training (RMT) reduces symptoms of COPD and improves underlying respiratory muscle weakness, and may be a beneficial adjunct of standard of care treatment plans. This 4 week pilot study shows that RMT in combination with a standard of care home-based COPD management program can improve pulmonary and speech functions.

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“…Telephone appointments were conducted by respiratory physiotherapists who were trained in motivational interviewing techniques and specific exercise goal setting was a critical component of every contact . Exercise programmes were designed so that the home‐based group received a similar ‘dose’ of exercise to the centre‐based group; this was confirmed by diary entries for exercise time in the home‐based group, which correlated with objective measures of physical activity . Participants noted the time convenience and flexibility in training opportunities as benefits of the model …”

Section: Discussionmentioning

confidence: 99%

Home‐based pulmonary rehabilitation for COPD using minimal resources: An economic analysis

et al. 2019

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Background and objective This study aimed to compare the cost‐effectiveness and cost‐utility of home and centre‐based pulmonary rehabilitation for adults with stable chronic obstructive pulmonary disease (COPD). Methods Prospective economic analyses were undertaken from a health system perspective alongside a randomized controlled equivalence trial in which participants referred to pulmonary rehabilitation undertook a standard 8‐week outpatient centre‐based or a new home‐based programme. Participants underwent clinical assessment prior to programme commencement, immediately following completion and 12 months following programme completion. They provided data for utility (quality‐adjusted life years (QALY) determined using SF6D (utility scores for health states) calculated from 36‐Item Short Form Health Survey version 2) and effectiveness (change in distance walked on 6‐min walk test (Δ6MWD) following pulmonary rehabilitation ). Individual‐level cost data for the 12 months following programme completion was sourced from healthcare administration and government databases. Results Between‐group mean difference point estimates for cost (−$4497 (95% CI: −$12 250 to $3257), utility (0.025 (−0.038 to 0.086) QALY) and effectiveness (14 m (−11 to 39) Δ6MWD) favoured the home‐based group. Cost‐utility analyses demonstrated 63% of estimates falling in the dominant southeast quadrant and the probability that the new home‐based model was cost‐effective at a $0 threshold for willingness to pay was 78%. Results were robust to a range of sensitivity analyses. Programme completion was associated with significantly lower healthcare costs in the following 12 months. Conclusion Home‐based pulmonary rehabilitation provides a cost‐effective alternative model for people with COPD who cannot access traditional centre‐based programmes.

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Acceptability and validity of a home exercise diary used in home‐based pulmonary rehabilitation: A secondary analysis of a randomised controlled trial

Abstract: The self-documented home exercise diary is an acceptable and valid method to reflect exercise participation during home-based PR.

Cited by 14 publications

References 26 publications

The Otago Exercise Program With or Without Motivational Interviewing for Community-Dwelling Older Adults: A 12-Month Follow-Up of a Randomized, Controlled Trial

The Otago Exercise Program With or Without Motivational Interviewing for Community-Dwelling Older Adults: A 12-Month Follow-Up of a Randomized, Controlled Trial

Respiratory Muscle Training Improves Speech and Pulmonary Function in COPD Patients in a Home Health Setting - a Pilot Study

Home‐based pulmonary rehabilitation for COPD using minimal resources: An economic analysis

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