Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?

Despite numerous benefits, traditional Pulmonary Rehabilitation (PR) as a resource remains underutilized in chronic lung disease. Less than 3% of eligible candidates for PR attend one or more sessions after hospitalization due to many barriers, including the ongoing COVID-19 pandemic. Emerging alter...

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Autores principales:	Himanshu Rawal, Sharon D. Cornelison, Sheryl M. Flynn, Jill A. Ohar
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	remotely tele-rehabilitation pulmonary COPD Science Q
Acceso en línea:	https://doaj.org/article/ed59f405235c49b68dcc94c1dacf7b19
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spelling	oai:doaj.org-article:ed59f405235c49b68dcc94c1dacf7b192021-11-25T18:11:43ZWill Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?10.3390/life111112702075-1729https://doaj.org/article/ed59f405235c49b68dcc94c1dacf7b192021-11-01T00:00:00Zhttps://www.mdpi.com/2075-1729/11/11/1270https://doaj.org/toc/2075-1729Despite numerous benefits, traditional Pulmonary Rehabilitation (PR) as a resource remains underutilized in chronic lung disease. Less than 3% of eligible candidates for PR attend one or more sessions after hospitalization due to many barriers, including the ongoing COVID-19 pandemic. Emerging alternative models of PR delivery such as home-based PR, tele-rehabilitation, web-based PR, or hybrid models could help address these barriers. Numerous studies have tested the feasibility, safety, and efficacy of these methods, but there is wide variability across studies and methods. We conducted a literature review to help determine if these alternative delivery methods watered down the effectiveness of PR. To evaluate the effectiveness of remotely based PR, the authors performed a literature search for randomized controlled trials (RCTs), cohort studies, and case series using PubMed, CINAHL, and Medline to identify relevant articles through 1 May 2021. Twenty-six applicable studies were found in which 11 compared tele-rehabilitation to conventional clinic-based PR; 11 evaluated tele-rehabilitation using the patient’s baseline status as control; and four compared tele-rehabilitation to no rehabilitation. Despite the different technologies used across studies, tele-rehabilitation was found to be both a feasible and an efficacious option for select patients with lung disease. Outcomes across these studies demonstrated similar benefits to traditional PR programs. Thus the existing data does not show that remotely based PR waters down the effectiveness of conventional PR. Use of remotely based PR is a feasible and effective option to deliver PR, especially for patients with significant barriers to conventional clinic-based PR. Additional, well-conducted RCTs are needed to answer the questions regarding its efficacy, safety, cost-effectiveness and who, among patients with COPD and other lung diseases, will derive the maximum benefit.Himanshu RawalSharon D. CornelisonSheryl M. FlynnJill A. OharMDPI AGarticleremotelytele-rehabilitationpulmonaryCOPDScienceQENLife, Vol 11, Iss 1270, p 1270 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	remotely tele-rehabilitation pulmonary COPD Science Q
spellingShingle	remotely tele-rehabilitation pulmonary COPD Science Q Himanshu Rawal Sharon D. Cornelison Sheryl M. Flynn Jill A. Ohar Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?
description	Despite numerous benefits, traditional Pulmonary Rehabilitation (PR) as a resource remains underutilized in chronic lung disease. Less than 3% of eligible candidates for PR attend one or more sessions after hospitalization due to many barriers, including the ongoing COVID-19 pandemic. Emerging alternative models of PR delivery such as home-based PR, tele-rehabilitation, web-based PR, or hybrid models could help address these barriers. Numerous studies have tested the feasibility, safety, and efficacy of these methods, but there is wide variability across studies and methods. We conducted a literature review to help determine if these alternative delivery methods watered down the effectiveness of PR. To evaluate the effectiveness of remotely based PR, the authors performed a literature search for randomized controlled trials (RCTs), cohort studies, and case series using PubMed, CINAHL, and Medline to identify relevant articles through 1 May 2021. Twenty-six applicable studies were found in which 11 compared tele-rehabilitation to conventional clinic-based PR; 11 evaluated tele-rehabilitation using the patient’s baseline status as control; and four compared tele-rehabilitation to no rehabilitation. Despite the different technologies used across studies, tele-rehabilitation was found to be both a feasible and an efficacious option for select patients with lung disease. Outcomes across these studies demonstrated similar benefits to traditional PR programs. Thus the existing data does not show that remotely based PR waters down the effectiveness of conventional PR. Use of remotely based PR is a feasible and effective option to deliver PR, especially for patients with significant barriers to conventional clinic-based PR. Additional, well-conducted RCTs are needed to answer the questions regarding its efficacy, safety, cost-effectiveness and who, among patients with COPD and other lung diseases, will derive the maximum benefit.
format	article
author	Himanshu Rawal Sharon D. Cornelison Sheryl M. Flynn Jill A. Ohar
author_facet	Himanshu Rawal Sharon D. Cornelison Sheryl M. Flynn Jill A. Ohar
author_sort	Himanshu Rawal
title	Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?
title_short	Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?
title_full	Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?
title_fullStr	Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?
title_full_unstemmed	Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?
title_sort	will remotely based pulmonary rehabilitation water down its effectiveness?
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ed59f405235c49b68dcc94c1dacf7b19
work_keys_str_mv	AT himanshurawal willremotelybasedpulmonaryrehabilitationwaterdownitseffectiveness AT sharondcornelison willremotelybasedpulmonaryrehabilitationwaterdownitseffectiveness AT sherylmflynn willremotelybasedpulmonaryrehabilitationwaterdownitseffectiveness AT jillaohar willremotelybasedpulmonaryrehabilitationwaterdownitseffectiveness
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Will Remotely Based Pulmonary Rehabilitation Water Down Its Effectiveness?

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