Development and Feasibility of a Home Pulmonary Rehabilitation Program With Health Coaching

Abstract

A home PR program was developed that integrated health coaching and a home PR system that facilitated remote monitoring. Pilot testing indicated that the program is well-developed and feasible in a population of individuals with COPD. (ClinicalTrials.gov registration NCT02999685.).

The Role of Technology in Adherence to Physical Activity Programs in Patients with Chronic Diseases Experiencing Fatigue: a Systematic Review

“…Moy et al recruited patients with no ( n = 4), slight ( n = 10), moderate ( n = 6), severe ( n = 4), and very severe ( n = 1) dyspnea assessed with the MMRC scale [54]. Benzo et al recruited patients with II, III, and IV COPD GOLD 2011 [56] stage [52]. The description of the ten COPD patients undergoing 2 years intervention and one additional year of unsupervised follow-up [44, 50] is presented in Zanaboni et al [57], showing that the majority of them had high COPD assessment test (CAT) scores ( n = 6), and the rest medium ( n = 3) or low ( n = 1) CAT scores.…”

“…In three studies, PA programs were based on step counts [49, 51, 54]; in other studies, the goal was expressed in minutes of activity [44, 50, 52, 53, 55]. PA programs were personalized and activity levels adjusted in four studies [49, 53–55], with the final goal to meet the guidelines formulated in the different studies.…”

“…Backman et al proposed 10,000 steps per day as a fixed goal [51]. Benzo et al used 12 min of slow walking in a COPD home-based rehabilitation program, 6 days/week [52]. In Backman et al, PA increased in the intervention group compared with the control group, but decreased during the study [51].…”

“…In Backman et al, PA increased in the intervention group compared with the control group, but decreased during the study [51]. Benzo et al did not analyze PA as pre-post intervention [52]. Programs lasted a minimum of 8 weeks to a maximum of 2 years.…”

Pulmonary Rehabilitation House Calls

“…11,12 Dr Benzo's work that appears in RESPIRATORY CARE this month presents pilot work for a proposed randomized clinical trial focused on home-based pulmonary rehabilitation with health coaching. 13 The group designed videos to be viewed by subjects in the home using a tablet provided by the study. Additionally, subjects wore an activity monitor for motivation, and pulse oximetry was monitored during exercise for safety reasons.…”