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      International Journal of COPD (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on pathophysiological processes underlying Chronic Obstructive Pulmonary Disease (COPD) interventions, patient focused education, and self-management protocols. Sign up for email alerts here.

      39,063 Monthly downloads/views I 2.893 Impact Factor I 5.2 CiteScore I 1.16 Source Normalized Impact per Paper (SNIP) I 0.804 Scimago Journal & Country Rank (SJR)

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      Long-term evaluation of home-based pulmonary rehabilitation in patients with COPD.

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          Abstract

          Personalized, global pulmonary rehabilitation (PR) management of patients with COPD is effective, regardless of the place in which this rehabilitation is provided. The objective of this retrospective observational study was to study the long-term outcome of exercise capacity and quality of life during management of patients with COPD treated by home-based PR.

          Most cited references42

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          Self management for patients with chronic obstructive pulmonary disease.

          Marlies Zwerink, Marjolein Brusse-Keizer, Paul van der Valk … (2014)
          Self management interventions help patients with chronic obstructive pulmonary disease (COPD) acquire and practise the skills they need to carry out disease-specific medical regimens, guide changes in health behaviour and provide emotional support to enable patients to control their disease. Since the first update of this review in 2007, several studies have been published. The results of the second update are reported here.
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            The effectiveness and applicability of motivational interviewing: a practice-friendly review of four meta-analyses.

            Brad Lundahl, Brian L Burke (2009)
            This article reviews the research support for Motivational interviewing (MI) so that practitioners can make informed decisions about the value and applicability of MI in their clinical work. We highlight the evidence from the three published meta-analyses of MI and a recent meta-analysis that we completed. MI is significantly (10%-20%) more effective than no treatment and generally equal to other viable treatments for a wide variety of problems ranging from substance use (alcohol, marijuana, tobacco, and other drugs) to reducing risky behaviors and increasing client engagement in treatment. Although most client-related variables are unrelated to outcomes (e.g., age, gender, severity), some decisions about treatment format (e.g., individual vs. group) are important. For example, relying solely on group-delivered MI appears to be less effective than one-on-one MI, whereas delivering MI with problem feedback is likely to generate better outcomes for some problems than MI alone.
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              Pulmonary rehabilitation for chronic obstructive pulmonary disease.

              Y Lacasse, Thalia R. Goldstein, T Lasserson … (2005)
              The widespread application of pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) should be preceded by demonstrable improvements in function attributable to the programs. This review updates that reported in 2001. To determine the impact of rehabilitation on health-related quality of life (QoL) and exercise capacity in patients with COPD. We identified additional RCTs from the Cochrane Airways Group Specialised Register. Searches were current as of July 2004. We selected RCTs of rehabilitation in patients with COPD in which quality of life (QoL) and/or functional (FEC) or maximal (MEC) exercise capacity were measured. Rehabilitation was defined as exercise training for at least four weeks with or without education and/or psychological support. Control groups received conventional community care without rehabilitation. We calculated weighted mean differences (WMD) using a random-effects model. We requested missing data from the authors of the primary study. We included the 23 randomized controlled trials (RCTs) in the 2001 Cochrane review. Eight additional RCTs (for a total of 31) met the inclusion criteria. We found statistically significant improvements for all the outcomes. In four important domains of QoL (Chronic Respiratory Questionnaire scores for Dyspnea, Fatigue, Emotional function and Mastery), the effect was larger than the minimal clinically important difference of 0.5 units (for example: Dyspnoea score: WMD 1.0 units; 95% confidence interval: 0.8 to 1.3 units; n = 12 trials). Statistically significant improvements were noted in two of the three domains of the St. Georges Respiratory Questionnaire. For FEC and MEC, the effect was small and slightly below the threshold of clinical significance for the six-minute walking distance (WMD: 48 meters; 95% CI: 32 to 65; n = 16 trials). Rehabilitation relieves dyspnea and fatigue, improves emotional function and enhances patients' sense of control over their condition. These improvements are moderately large and clinically significant. Rehabilitation forms an important component of the management of COPD.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Int J Chron Obstruct Pulmon Dis
                Title: International journal of chronic obstructive pulmonary disease
                Publisher: Informa UK Limited
                ISSN (Electronic): 1178-2005
                ISSN (Print): 1176-9106
                Publication date (Electronic): 2015
                Volume: 10
                Affiliations
                [1 ] FormAction Santé, rue Pietralunga, Pérenchies, France ; Service de Pneumologie, CH Béthune, France.
                [2 ] Service de Pneumologie et Immunoallergologie, Centre des Compétences des Maladies Pulmonaires Rares, Hôpital Calmette, CHRU Lille, France.
                [3 ] Unité de Biostatistiques, CHRU Lille, France.
                [4 ] Service de Pneumologie, CH Béthune, France.
                [5 ] Service de Pneumologie, CH Béthune, France ; Service de Pneumologie et Immunoallergologie, Centre des Compétences des Maladies Pulmonaires Rares, Hôpital Calmette, CHRU Lille, France.
                [6 ] AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale, Boulevard de l'Hôpital, Paris, France.
                Article
                Publisher Item ID: copd-10-2037
                DOI: 10.2147/COPD.S90534
                PMC ID: 4590573
                PubMed ID: 26445534
                SO-VID: a0efaa1d-0643-4782-937e-273a388be686
                History

                Keywords: COPD,anxiety,depression,home,pulmonary rehabilitation,quality of life,self-management
                Data availability:
                Keywords: COPD, anxiety, depression, home, pulmonary rehabilitation, quality of life, self-management

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