Source: International Congress 2016 – Best abstracts in physical activity and telemedicine
Disease area: Airway diseases

Abstract

IntroductionThere are barriers for patients with chronic obstructive pulmonary disease(COPD) partaking in Pulmonary Rehabilitation(PR) and a need for the provision of PR in other forms, increasing patient choice and service capacity.Aim: Determine if an interactive web-based PR programme is a feasible alternative to conventional PR.Methods Patients were randomised to a web programme or a conventional PR programme for 7weeks. Patients had to be willing to partake in either arm, have internet access and be web literate.Standard outcomes for a PR assessment including measures of exercise capacity(shuttle walk tests:SWTs) and quality of life questionnaires(chronic respiratory disease Q–dyspnoea domain:CRQ-D) were evaluated. Patient preference was also recorded.Results103 patients were recruited [baseline characteristics table 1]. The largest proportion of patients randomised wanted the web programme(n=38%). A statistically significant improvement(p£ 0.01) was observed within each group in the ESWT(WEB:mean change 189±211.1;PR classes:mean change 184.5±247.4secs) and CRQ-D(WEB:mean change 0.7±1.2;PR classes:mean change 0.8±1.0). There were no significant differences between the groups in any outcome.

Table 1:Baseline Demographics

	PR (n = 52)	WEB (n=51)
Age (Years)	66.1 ± 8.1	66.4 ± 10.1
FEV1 (% predicted)	55.0 ± 20.5	58.7 ± 29.1
BMI (kg/m2)	29.3 ± 6.3	27.9 ± 6.4
MRC (IQR)	3 (2-4)	3 (2-4)

 

DiscussionA web-based PR programme is feasible and acceptable when compared to conventional PR. Future trials maybe around choice based PR enabling stratification of patient care.
Data are presented as n or mean±SD. FEV1:forced expiratory volume in 1s;BMI:body mass index;MRC:Medical Research Council

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Emma Chaplin (Leicester, United Kingdom), Emma Chaplin, Stacey Hewitt, Lindsay Apps, Kelly Edwards, Chris Brough, Aga Glab, John Bankart, Ruth Jacob, Sally Schreder, Johanna Williams, Sally Singh. An interactive web-based pulmonary rehabilitation programme: A randomised controlled feasibility trial. Eur Respir J 2016; 48: Suppl. 60, 2064

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