Short-Term Health Outcomes of a Structured Pulmonary Rehabilitation Program Implemented Within Rural Canadian Sites Compared With an Established Urban Site: A Pre-Post Intervention Observational Study
To evaluate congruence in program delivery and short-term health outcomes of a structured pulmonary rehabilitation (S-PR) program implemented at 11 Canadian rural pulmonary rehabilitation (PR) sites compared with an urban reference site. Multi-center, pre- and post-intervention, comparative, observa...
Gespeichert in:
| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2023-05, Vol.104 (5), p.753-760 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 760 |
|---|---|
| container_issue | 5 |
| container_start_page | 753 |
| container_title | Archives of physical medicine and rehabilitation |
| container_volume | 104 |
| creator | Etruw, Evelyn Fuhr, Desi Huynh, Virginia Jourdain, Tina Deuchar, Lesly Sharpe, Heather Dubois, Roberta Damant, Ron Stickland, Michael K. |
| description | To evaluate congruence in program delivery and short-term health outcomes of a structured pulmonary rehabilitation (S-PR) program implemented at 11 Canadian rural pulmonary rehabilitation (PR) sites compared with an urban reference site.
Multi-center, pre- and post-intervention, comparative, observational study.
Eleven rural Canadian PR sites and 1 urban reference PR site.
Adults with chronic respiratory diseases (CRDs) referred to PR.
Clinicians at the reference site worked with local clinicians to implement the S-PR program in rural sites. A PR survey evaluated site congruence with the S-PR components, with congruence defined as delivering program components ≥80% in alignment with the S-PR program. Participants were enrolled in 16 sessions of group education and supervised exercise, offered twice or thrice a week. Health outcomes were tracked using a quality assurance database.
Main outcomes were congruence in program delivery and changes in the 6-minute walk (6MW) distance and COPD Assessment Test (CAT).
A total of 555 participants (rural n=204 and reference n=351) were included in the analyses. There was congruence in exercise and group education; however, individual education varied. Following the S-PR program, 6MW distance increased, with greater changes observed at rural sites (51±67 m at rural sites vs 30±46 m at the reference site). CAT score was reduced by -2.6±5.4 points with no difference between reference and rural sites. Changes in 6MW distance and CAT scores were similar for participants at sites that were congruent vs noncongruent with the individual education component, and similar for patients with COPD, asthma, bronchiectasis, and interstitial lung disease.
The S-PR program components can be implemented with good congruence in Canadian rural settings, resulting in similar short-term health outcomes as in an established urban site and across CRDs. |
| doi_str_mv | 10.1016/j.apmr.2022.10.011 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2738188517</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999322017105</els_id><sourcerecordid>2738188517</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-e83d27ca4318bdcca0436ff28b72f50218916a640d7c8804d2744a61af7f24923</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EokvhD3BAPnLJ4o98OIhLtWrpSpV21W0FN8txJsSrOA62U6n_kJ-Fwy4cOVkzeuaxZl6E3lOypoSWn45rNVm_ZoSx1FgTSl-gFS04ywSj31-iFSGEZ3Vd8wv0JoRjKsuC09fogpc5IawQK_Tr0DsfswfwFt-CGmKPd3PUzkLArsMKH6KfdZw9tHg_D9aNyj_je-hVYwYTVTRuxHvvfnhl8dZOA1gYY4K_mdibEd_PXg14o0bVGjXig4lJvHF2Uv4M4dS-DlE1gwl96j365gx-xldJDdnehYi3yeqfknv5cNeEVPz5PNkPcW6f36JXnRoCvDu_l-jx5vphc5vd7b5uN1d3mU4rxwwEb1mlVc6paFqtFcl52XVMNBXrCsKoqGmp0nnaSgtB8gTnuSqp6qqO5TXjl-jjyTt593OGEKU1QcMwqBHcHCSruKBCFLRKKDuh2rsQPHRy8sam-0lK5JKgPMolQbkkuPRSgmnow9k_NxbafyN_I0vAlxMAacsnA14GbWDU0BoPOsrWmf_5fwO_07BI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2738188517</pqid></control><display><type>article</type><title>Short-Term Health Outcomes of a Structured Pulmonary Rehabilitation Program Implemented Within Rural Canadian Sites Compared With an Established Urban Site: A Pre-Post Intervention Observational Study</title><source>MEDLINE</source><source>ScienceDirect Freedom Collection (Elsevier)</source><creator>Etruw, Evelyn ; Fuhr, Desi ; Huynh, Virginia ; Jourdain, Tina ; Deuchar, Lesly ; Sharpe, Heather ; Dubois, Roberta ; Damant, Ron ; Stickland, Michael K.</creator><creatorcontrib>Etruw, Evelyn ; Fuhr, Desi ; Huynh, Virginia ; Jourdain, Tina ; Deuchar, Lesly ; Sharpe, Heather ; Dubois, Roberta ; Damant, Ron ; Stickland, Michael K.</creatorcontrib><description>To evaluate congruence in program delivery and short-term health outcomes of a structured pulmonary rehabilitation (S-PR) program implemented at 11 Canadian rural pulmonary rehabilitation (PR) sites compared with an urban reference site.
Multi-center, pre- and post-intervention, comparative, observational study.
Eleven rural Canadian PR sites and 1 urban reference PR site.
Adults with chronic respiratory diseases (CRDs) referred to PR.
Clinicians at the reference site worked with local clinicians to implement the S-PR program in rural sites. A PR survey evaluated site congruence with the S-PR components, with congruence defined as delivering program components ≥80% in alignment with the S-PR program. Participants were enrolled in 16 sessions of group education and supervised exercise, offered twice or thrice a week. Health outcomes were tracked using a quality assurance database.
Main outcomes were congruence in program delivery and changes in the 6-minute walk (6MW) distance and COPD Assessment Test (CAT).
A total of 555 participants (rural n=204 and reference n=351) were included in the analyses. There was congruence in exercise and group education; however, individual education varied. Following the S-PR program, 6MW distance increased, with greater changes observed at rural sites (51±67 m at rural sites vs 30±46 m at the reference site). CAT score was reduced by -2.6±5.4 points with no difference between reference and rural sites. Changes in 6MW distance and CAT scores were similar for participants at sites that were congruent vs noncongruent with the individual education component, and similar for patients with COPD, asthma, bronchiectasis, and interstitial lung disease.
The S-PR program components can be implemented with good congruence in Canadian rural settings, resulting in similar short-term health outcomes as in an established urban site and across CRDs.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2022.10.011</identifier><identifier>PMID: 36400258</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Asthma ; Bronchiectasis ; Canada ; Chronic Obstructive ; Exercise Tolerance ; Humans ; Interstitial ; Lung Diseases ; Pulmonary Disease ; Pulmonary Disease, Chronic Obstructive - rehabilitation ; Quality of Life ; Rehabilitation ; Six-minute walk test ; Treatment Outcome</subject><ispartof>Archives of physical medicine and rehabilitation, 2023-05, Vol.104 (5), p.753-760</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-e83d27ca4318bdcca0436ff28b72f50218916a640d7c8804d2744a61af7f24923</citedby><cites>FETCH-LOGICAL-c400t-e83d27ca4318bdcca0436ff28b72f50218916a640d7c8804d2744a61af7f24923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2022.10.011$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36400258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Etruw, Evelyn</creatorcontrib><creatorcontrib>Fuhr, Desi</creatorcontrib><creatorcontrib>Huynh, Virginia</creatorcontrib><creatorcontrib>Jourdain, Tina</creatorcontrib><creatorcontrib>Deuchar, Lesly</creatorcontrib><creatorcontrib>Sharpe, Heather</creatorcontrib><creatorcontrib>Dubois, Roberta</creatorcontrib><creatorcontrib>Damant, Ron</creatorcontrib><creatorcontrib>Stickland, Michael K.</creatorcontrib><title>Short-Term Health Outcomes of a Structured Pulmonary Rehabilitation Program Implemented Within Rural Canadian Sites Compared With an Established Urban Site: A Pre-Post Intervention Observational Study</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>To evaluate congruence in program delivery and short-term health outcomes of a structured pulmonary rehabilitation (S-PR) program implemented at 11 Canadian rural pulmonary rehabilitation (PR) sites compared with an urban reference site.
Multi-center, pre- and post-intervention, comparative, observational study.
Eleven rural Canadian PR sites and 1 urban reference PR site.
Adults with chronic respiratory diseases (CRDs) referred to PR.
Clinicians at the reference site worked with local clinicians to implement the S-PR program in rural sites. A PR survey evaluated site congruence with the S-PR components, with congruence defined as delivering program components ≥80% in alignment with the S-PR program. Participants were enrolled in 16 sessions of group education and supervised exercise, offered twice or thrice a week. Health outcomes were tracked using a quality assurance database.
Main outcomes were congruence in program delivery and changes in the 6-minute walk (6MW) distance and COPD Assessment Test (CAT).
A total of 555 participants (rural n=204 and reference n=351) were included in the analyses. There was congruence in exercise and group education; however, individual education varied. Following the S-PR program, 6MW distance increased, with greater changes observed at rural sites (51±67 m at rural sites vs 30±46 m at the reference site). CAT score was reduced by -2.6±5.4 points with no difference between reference and rural sites. Changes in 6MW distance and CAT scores were similar for participants at sites that were congruent vs noncongruent with the individual education component, and similar for patients with COPD, asthma, bronchiectasis, and interstitial lung disease.
The S-PR program components can be implemented with good congruence in Canadian rural settings, resulting in similar short-term health outcomes as in an established urban site and across CRDs.</description><subject>Asthma</subject><subject>Bronchiectasis</subject><subject>Canada</subject><subject>Chronic Obstructive</subject><subject>Exercise Tolerance</subject><subject>Humans</subject><subject>Interstitial</subject><subject>Lung Diseases</subject><subject>Pulmonary Disease</subject><subject>Pulmonary Disease, Chronic Obstructive - rehabilitation</subject><subject>Quality of Life</subject><subject>Rehabilitation</subject><subject>Six-minute walk test</subject><subject>Treatment Outcome</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EokvhD3BAPnLJ4o98OIhLtWrpSpV21W0FN8txJsSrOA62U6n_kJ-Fwy4cOVkzeuaxZl6E3lOypoSWn45rNVm_ZoSx1FgTSl-gFS04ywSj31-iFSGEZ3Vd8wv0JoRjKsuC09fogpc5IawQK_Tr0DsfswfwFt-CGmKPd3PUzkLArsMKH6KfdZw9tHg_D9aNyj_je-hVYwYTVTRuxHvvfnhl8dZOA1gYY4K_mdibEd_PXg14o0bVGjXig4lJvHF2Uv4M4dS-DlE1gwl96j365gx-xldJDdnehYi3yeqfknv5cNeEVPz5PNkPcW6f36JXnRoCvDu_l-jx5vphc5vd7b5uN1d3mU4rxwwEb1mlVc6paFqtFcl52XVMNBXrCsKoqGmp0nnaSgtB8gTnuSqp6qqO5TXjl-jjyTt593OGEKU1QcMwqBHcHCSruKBCFLRKKDuh2rsQPHRy8sam-0lK5JKgPMolQbkkuPRSgmnow9k_NxbafyN_I0vAlxMAacsnA14GbWDU0BoPOsrWmf_5fwO_07BI</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Etruw, Evelyn</creator><creator>Fuhr, Desi</creator><creator>Huynh, Virginia</creator><creator>Jourdain, Tina</creator><creator>Deuchar, Lesly</creator><creator>Sharpe, Heather</creator><creator>Dubois, Roberta</creator><creator>Damant, Ron</creator><creator>Stickland, Michael K.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202305</creationdate><title>Short-Term Health Outcomes of a Structured Pulmonary Rehabilitation Program Implemented Within Rural Canadian Sites Compared With an Established Urban Site: A Pre-Post Intervention Observational Study</title><author>Etruw, Evelyn ; Fuhr, Desi ; Huynh, Virginia ; Jourdain, Tina ; Deuchar, Lesly ; Sharpe, Heather ; Dubois, Roberta ; Damant, Ron ; Stickland, Michael K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-e83d27ca4318bdcca0436ff28b72f50218916a640d7c8804d2744a61af7f24923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Asthma</topic><topic>Bronchiectasis</topic><topic>Canada</topic><topic>Chronic Obstructive</topic><topic>Exercise Tolerance</topic><topic>Humans</topic><topic>Interstitial</topic><topic>Lung Diseases</topic><topic>Pulmonary Disease</topic><topic>Pulmonary Disease, Chronic Obstructive - rehabilitation</topic><topic>Quality of Life</topic><topic>Rehabilitation</topic><topic>Six-minute walk test</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Etruw, Evelyn</creatorcontrib><creatorcontrib>Fuhr, Desi</creatorcontrib><creatorcontrib>Huynh, Virginia</creatorcontrib><creatorcontrib>Jourdain, Tina</creatorcontrib><creatorcontrib>Deuchar, Lesly</creatorcontrib><creatorcontrib>Sharpe, Heather</creatorcontrib><creatorcontrib>Dubois, Roberta</creatorcontrib><creatorcontrib>Damant, Ron</creatorcontrib><creatorcontrib>Stickland, Michael K.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Etruw, Evelyn</au><au>Fuhr, Desi</au><au>Huynh, Virginia</au><au>Jourdain, Tina</au><au>Deuchar, Lesly</au><au>Sharpe, Heather</au><au>Dubois, Roberta</au><au>Damant, Ron</au><au>Stickland, Michael K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-Term Health Outcomes of a Structured Pulmonary Rehabilitation Program Implemented Within Rural Canadian Sites Compared With an Established Urban Site: A Pre-Post Intervention Observational Study</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2023-05</date><risdate>2023</risdate><volume>104</volume><issue>5</issue><spage>753</spage><epage>760</epage><pages>753-760</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>To evaluate congruence in program delivery and short-term health outcomes of a structured pulmonary rehabilitation (S-PR) program implemented at 11 Canadian rural pulmonary rehabilitation (PR) sites compared with an urban reference site.
Multi-center, pre- and post-intervention, comparative, observational study.
Eleven rural Canadian PR sites and 1 urban reference PR site.
Adults with chronic respiratory diseases (CRDs) referred to PR.
Clinicians at the reference site worked with local clinicians to implement the S-PR program in rural sites. A PR survey evaluated site congruence with the S-PR components, with congruence defined as delivering program components ≥80% in alignment with the S-PR program. Participants were enrolled in 16 sessions of group education and supervised exercise, offered twice or thrice a week. Health outcomes were tracked using a quality assurance database.
Main outcomes were congruence in program delivery and changes in the 6-minute walk (6MW) distance and COPD Assessment Test (CAT).
A total of 555 participants (rural n=204 and reference n=351) were included in the analyses. There was congruence in exercise and group education; however, individual education varied. Following the S-PR program, 6MW distance increased, with greater changes observed at rural sites (51±67 m at rural sites vs 30±46 m at the reference site). CAT score was reduced by -2.6±5.4 points with no difference between reference and rural sites. Changes in 6MW distance and CAT scores were similar for participants at sites that were congruent vs noncongruent with the individual education component, and similar for patients with COPD, asthma, bronchiectasis, and interstitial lung disease.
The S-PR program components can be implemented with good congruence in Canadian rural settings, resulting in similar short-term health outcomes as in an established urban site and across CRDs.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36400258</pmid><doi>10.1016/j.apmr.2022.10.011</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-9993 |
| ispartof | Archives of physical medicine and rehabilitation, 2023-05, Vol.104 (5), p.753-760 |
| issn | 0003-9993 1532-821X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2738188517 |
| source | MEDLINE; ScienceDirect Freedom Collection (Elsevier) |
| subjects | Asthma Bronchiectasis Canada Chronic Obstructive Exercise Tolerance Humans Interstitial Lung Diseases Pulmonary Disease Pulmonary Disease, Chronic Obstructive - rehabilitation Quality of Life Rehabilitation Six-minute walk test Treatment Outcome |
| title | Short-Term Health Outcomes of a Structured Pulmonary Rehabilitation Program Implemented Within Rural Canadian Sites Compared With an Established Urban Site: A Pre-Post Intervention Observational Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T06%3A02%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Short-Term%20Health%20Outcomes%20of%20a%20Structured%20Pulmonary%20Rehabilitation%20Program%20Implemented%20Within%20Rural%20Canadian%20Sites%20Compared%20With%20an%20Established%20Urban%20Site:%20A%20Pre-Post%20Intervention%20Observational%20Study&rft.jtitle=Archives%20of%20physical%20medicine%20and%20rehabilitation&rft.au=Etruw,%20Evelyn&rft.date=2023-05&rft.volume=104&rft.issue=5&rft.spage=753&rft.epage=760&rft.pages=753-760&rft.issn=0003-9993&rft.eissn=1532-821X&rft_id=info:doi/10.1016/j.apmr.2022.10.011&rft_dat=%3Cproquest_cross%3E2738188517%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2738188517&rft_id=info:pmid/36400258&rft_els_id=S0003999322017105&rfr_iscdi=true |