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May 31, 2019BMC Public HealthOpen Access

Improving access to community-based pulmonary rehabilitation: 3R protocol for real-world settings with cost-benefit analysis

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Why the study?

Pulmonary rehabilitation remains highly inaccessible due to poor awareness, low referral, and hospital-based delivery, requiring novel delivery models to enhance implementation while maintaining cost-efficiency.

Does a 12-week community-based pulmonary rehabilitation programme improve health-related quality of life in patients with chronic respiratory diseases and their caregivers?

Population

73 patients with CRD and their caregivers in the experimental group alongside matched control dyads

Comparison

12-week community-based pulmonary rehabilitation programme vs matched dyads not receiving PR

Design

Controlled trial protocol with cost-benefit analysis

Follow-up

6-months post-PR

Authors

AMAlda MarquesCJCristina JácomePRPatrícia Rebelo

Discussion

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Member takes

Overview

Community-based PR may enhance access and cost-efficiency; leaves open whether real-world implementation yields net clinical or economic gains versus standard models.

Structured PICO

Does a 12-week community-based pulmonary rehabilitation programme improve health-related quality of life in patients with chronic respiratory diseases and their caregivers?

P
Population
102 patients with chronic respiratory diseases (CRD) and their caregivers (dyads) (73 needed for power, 102 recruited to account for dropouts)
I
Intervention
12-week community-based pulmonary rehabilitation (PR) programme implemented in primary healthcare centres, including 2 weekly exercise sessions (60-75 min) and 1 education/psychosocial session every other week (90 min)
C
Comparator
Age- and disease-matched dyads receiving standard care from the primary healthcare team, willing to collaborate in data collection but not in PR
O
Outcome
Health-related quality of life, assessed with the St. George Respiratory Questionnaire (SGRQ) in patients and with the World Health Organization Quality of Life Bref Questionnaire in caregiverspatient reported

This study protocol outlines a non-randomized controlled trial to evaluate the clinical and cost-effectiveness of a 12-week community-based pulmonary rehabilitation program for patients with chronic respiratory diseases and their caregivers.

Cite This Study

Marques et al. (2019) studied this question.

synapsesocial.com/papers/6a70da7fa7fbea1e44083be3https://doi.org/10.1186/s12889-019-7045-1
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