Source: Annual Congress 2010 - Exercise training and pulmonary rehabilitation
Disease area: Airway diseases

Abstract

Background
Pulmonary rehabilitation (PR) is effective in the management of COPD. However, 33% of COPD patients referred for PR do not start the programme (Garrod et al, 2006). Determining the factors affecting PR uptake is crucial to addressing this issue.
Objectives - To determine the relationship between uptake of outpatient PR and patient baseline measures of depression, social support, health locus of control (HLC) and COPD severity.
Methods
In a prospective observational study and prior to scheduled outpatient PR appointment, all consenting COPD patients completed outcome measures of depression (BASDEC, Adshead et al, 1992), social support (11-item Duke Social Support Index, Koenig et al, 1993), Multidimensional Health Locus of Control (Wallston & Wallston, 1981) and MRC COPD severity score (Fletcher, 1960). Data on subsequent attendance at the PR appointment was obtained from PR attendance record.
Results
51 patients completed the study over 1 year. 43% of participants did not uptake. Spearman Rho analysis showed a significant correlation between non uptake of PR and patient‘s baseline depression status (0.361 correlation, P<0.01). No significant correlation was shown between PR uptake and each of social support, HLC and COPD severity
Conclusion
Non-uptake of PR in COPD patients is associated with patient‘s baseline depression status. A strategy was identified which seeks to establish the depression status of COPD patients before referral to PR.

Rating:

Share or cite this content

Citations should be made in the following way:
A. Adekunle, T. Watson, F. M. Schreuder (Hatfield, London, United Kingdom). Factors affecting uptake of pulmonary rehabilitation in COPD patients. Eur Respir J 2010; 36: Suppl. 54, 1939

Member's Comments

No comment yet.

Related content which might interest you: Metabolic risk factors in patients with advanced COPD and the response to short-term high-intensity pulmonary rehabilitation Source: International Congress 2015 – Best abstracts on pulmonary rehabilitation in chronic lung diseases Year: 2015 Activity monitoring in pulmonary rehabilitation in patients with COPD Source: Annual Congress 2011 - Measuring physical activity and exercise performance in chronic lung disease: implications for rehabilitation Year: 2011 Factors predicting clinically improved health status in COPD patients after pulmonary rehabilitation Source: Annual Congress 2011 - What do individuals know about their disease? Educational needs, the psychological impact of chronic respiratory disease and health-related quality of life Year: 2011 Pulmonary rehabilitation outcome in COPD patients Source: Annual Congress 2003 - Outcome of pulmonary rehabilitation Year: 2003 Impact of obesity on pulmonary rehabilitation in COPD patients Source: Annual Congress 2011 - Challenges in rehabilitation: some old dilemmas revisited with some solutions? Year: 2011 Survival following pulmonary rehabilitation in COPD patients Source: Eur Respir J 2004; 24: Suppl. 48, 209s Year: 2004 Abnormal illness behaviour amongst COPD patients entering pulmonary rehabilitation Source: Annual Congress 2011 - What do individuals know about their disease? Educational needs, the psychological impact of chronic respiratory disease and health-related quality of life Year: 2011 Early pulmonary rehabilitation increases 6MWD and reduces CRP in hospitalized patients with severe AECOPD Source: Virtual Congress 2020 – Comprehensive care and pulmonary rehabilitation for chronic respiratory diseases Year: 2020 Knowledge deficits in COPD patients entering pulmonary rehabilitation Source: Annual Congress 2011 - What do individuals know about their disease? Educational needs, the psychological impact of chronic respiratory disease and health-related quality of life Year: 2011 Effect of pulmonary rehabilitation on self-efficacy in patients with COPD Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease Year: 2009 Factors associated with improvement in breathing capacity during exercise in patients with chronic obstructive pulmonary disease (COPD) Source: Eur Respir J 2002; 20: Suppl. 38, 285s Year: 2002 Factors associated with outcome among COPD patients undergoing pulmonary rehabilitation Source: Annual Congress 2013 –The latest insights in pulmonary rehabilitation (part 2) Year: 2013 Effect of pulmonary rehabilitation on muscle remodelling in cachectic patients with COPD Source: Annual Congress 2010 - What's new in pulmonary rehabilitation and chronic care in 2010 Year: 2010 The impact of comorbidities on pulmonary rehabilitation outcomes in patients with COPD Source: International Congress 2016 – Hospitalisation and comorbidities in chronic lung diseases Year: 2016 Factors affecting patients' reporting of COPD exacerbations Source: Eur Respir J 2001; 18: Suppl. 33, 487s Year: 2001 Oxygen desaturation during exercise relates to poorer outcome of pulmonary rehabilitation in COPD Source: Annual Congress 2006 - Outcomes in pulmonary rehabilitation Year: 2006 Predictors for increase in exercise capacity after pulmonary rehabilitation in COPD Source: International Congress 2019 – Exercise and rehabilitation in patients with acute and chronic respiratory diseases Year: 2019 Pulmonary rehabilitation outcomes in COPD patients including water training Source: Eur Respir J 2006; 28: Suppl. 50, 554s Year: 2006 Predictors of daily physical activity in COPD patients undergoing pulmonary rehabilitation Source: International Congress 2018 – Additional latest insights in pulmonary rehabilitation for chronic lung diseases Year: 2018 Food-related symptoms in patients with COPD entering pulmonary rehabilitation Source: Annual Congress 2010 - Rehabilitation: more than just exercise Year: 2010