Development and feasibility of a home pulmonary rehabilitation program with health coaching

Roberto P. Benzo, Kevin M. Kramer, Johanna P. Hoult, Paige M. Anderson, Ivonne M. Begue, Sara J. Seifert

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

BACKGROUND: Pulmonary rehabilitation (PR) is an effective intervention for COPD. However, traditional center-based PR programs suffer from low uptake. Home-based PR is a viable solution, but few studies have shown the effectiveness of remote PR, as there is a scarcity of systems that can be easily adopted in clinical practice. The aim of this report is to communicate the development and feasibility of a home PR program that includes commercially available technology that allows the PR health coach to follow the patient through his or her PR process and to present the design of a prospective clinical trial. METHODS: We developed a home PR system that includes a computer tablet, an activity monitor, and an oximeter connected to a cloud server. The home PR consists of 12 min of walking and 6 full-body exercises, to be completed 6 d/week, plus weekly telephone calls with the PR health coach. Two pilot studies were conducted in subjects with moderate-to-severe COPD. The first aimed to fine-tune the system development (N = 3), and the second tested the program feasibility of the 8-week program (N = 12). RESULTS: In pilot study 1, PR monitoring data from the subjects’ home PR sessions were transmitted to the health coach application successfully. On a 10-point scale, participants rated the system as helpful (median = 8, interquartile range 8–9) and simple to use (median = 10, interquartile range 9–10). In pilot study 2, adherence ± SD for prescribed use was 87 ± 0.24%. Overall, participants gave the home PR system a rating of 6.2 ± 0.94 on a 7-point scale. CONCLUSIONS: 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.).

Original languageEnglish (US)
Pages (from-to)131-140
Number of pages10
JournalRespiratory care
Volume63
Issue number2
DOIs
StatePublished - Feb 1 2018

Keywords

  • COPD
  • Health coaching
  • Home-based pulmonary rehabilitation
  • Motivational interviewing
  • Pulmonary rehabilitation
  • Quality of life
  • Self-management

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

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  • Cite this

    Benzo, R. P., Kramer, K. M., Hoult, J. P., Anderson, P. M., Begue, I. M., & Seifert, S. J. (2018). Development and feasibility of a home pulmonary rehabilitation program with health coaching. Respiratory care, 63(2), 131-140. https://doi.org/10.4187/respcare.05690