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      Patient and health care professional perspectives on using telehealth to deliver pulmonary rehabilitation

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          Abstract

          The objective of this study was to identify the necessary features of pulmonary telerehabilitation (P-TR) from the perspectives of individuals living with chronic lung disease and health care professionals (HCPs) who deliver pulmonary rehabilitation (PR). Focus groups were carried out with patients ( n = 26) and HCPs ( n = 26) to elicit and explore their opinions about the critical elements of in-person PR and ideas for how these elements could be supported using technology. A questionnaire was used to assess technology use, PR experience, and general health status. Four key elements of PR were identified as critical to P-TR: the social aspect of PR; communicating with HCPs for education and support; using biosensors for monitoring and promoting self-knowledge; and the evolution of support with progress over time. A range of technology-enabled devices and programs were suggested as means to recreate aspects of these integral elements. Consultations with patients and HCPs suggest that users are interested in technology and want to ensure it recreates the important aspects of PR. Patients and HCPs identified similar key elements for P-TR. The opinions and suggestions of patients and HCPs should be the driving force of innovation if P-TR is to succeed in improving health outcomes.

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          Most cited references38

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          R: A language and environment for statistical computing

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            Pulmonary rehabilitation for chronic obstructive pulmonary disease.

            Widespread application of pulmonary rehabilitation (also known as respiratory rehabilitation) in chronic obstructive pulmonary disease (COPD) should be preceded by demonstrable improvements in function (health-related quality of life, functional and maximal exercise capacity) attributable to the programmes. This review updates the review reported in 2006.
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              American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation.

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                Author and article information

                Journal
                Chron Respir Dis
                Chron Respir Dis
                CRD
                spcrd
                Chronic Respiratory Disease
                SAGE Publications (Sage UK: London, England )
                1479-9723
                1479-9731
                1 June 2017
                February 2018
                : 15
                : 1
                : 71-80
                Affiliations
                [1 ]Centre for Heart Lung Innovation, University of British Columbia (UBC), Vancouver, British Columbia, Canada
                [2 ]Department of Physical Therapy, UBC, Vancouver, British Columbia, Canada
                [3 ]Digital Emergency Medicine, UBC, Vancouver, British Columbia, Canada
                [4 ]Arthritis Research Canada, Richmond, Canada
                [5 ]Electrical and Computer Engineering, UBC, Vancouver, Canada
                [6 ]Division of Respiratory Medicine, Department of Medicine, UBC, Vancouver, British Columbia, Canada
                [7 ]Providence Health Care, St. Paul’s Hospital, Vancouver, British Columbia, Canada
                Author notes
                [*]PG Camp, Centre for Heart Lung Innovation, University of British Columbia, 166-1081 Burrard Street, Vancouver, British Columbia, Canada V6Z 1Y6. Email: Pat.Camp@ 123456hli.ubc.ca
                Article
                10.1177_1479972317709643
                10.1177/1479972317709643
                5802656
                28569116
                4d62e618-b77f-4d4b-97cc-4ec40aa9c4d2
                © The Author(s) 2017

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 9 January 2017
                : 29 March 2017
                Funding
                Funded by: Canadian Institutes of Health Research, FundRef https://doi.org/10.13039/501100000024;
                Award ID: Catalyst Grant e-Health Innovations #316713
                Categories
                Original Papers

                Respiratory medicine
                chronic lung disease,telerehabilitation,technology,qualitative methods,focus groups,chronic obstructive lung disease,pulmonary rehabilitation

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