The Impact of Patient Preference on Attendance and Completion Rates at Centre-Based and mHealth Pulmonary Rehabilitation: A Non-Inferiority Pragmatic Clinical Trial

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aut.relation.endpage1429
aut.relation.journalInternational Journal of Chronic Obstructive Pulmonary Disease
aut.relation.startpage1419
aut.relation.volumeVolume 18
dc.contributor.authorCandy, Sarah
dc.contributor.authorReeve, Julie
dc.contributor.authorDobson, Rosie
dc.contributor.authorWhittaker, Robyn
dc.contributor.authorGarrett, Jeffrey
dc.contributor.authorWarren, Jim
dc.contributor.authorCalder, Amanda
dc.contributor.authorTane, Taria
dc.contributor.authorRobertson, Trina
dc.contributor.authorRashid, Usman
dc.contributor.authorTaylor, Denise
dc.date.accessioned2023-07-24T00:01:49Z
dc.date.available2023-07-24T00:01:49Z
dc.date.issued2023-07
dc.description.abstractPurpose: Pulmonary rehabilitation (PR) is vital in the management of chronic respiratory disorders (CRDs) although uptake, attendance and completion are poor. Differing models of delivering PR are emerging in an attempt to increase the uptake and completion of this intervention. This study aimed to evaluate participant rate of attendance and completion of PR when given a preference regarding model of delivery (centre-based and mPR). Secondary aims were to evaluate the factors affecting patient preference for model of delivery and determine whether mPR is non-inferior to centre-based PR in health outcomes. Methods: A multi-centre non-inferiority preference based clinical trial in Auckland, New Zealand. Participants with a CRD referred for PR were offered the choice of centre-based or mHealth PR (mPR). The primary outcome was completion rate of chosen intervention. Results: A total of 105 participants were recruited to the study with 67 (64%) preferring centre-based and 38 (36%) mPR. The odds of completing the PR programme were higher in the centre-based group compared to mPR (odds ratio 1.90 95% CI [0.83– 4.35]). Participants opting for mPR were significantly younger (p = 0.002) and significantly more likely to be working (p = 0.0001). Results showed that mPR was not inferior to centre-based regarding changes in symptom scores (CAT) or time spent in sedentary behaviour (SBQ). When services were forced to transition to telehealth services during COVID-19 restrictions, the attendance and completion rates were higher with telephone calls and video conferencing compared to mPR – suggesting that synchronous interpersonal interactions with clinicians may facilitate the best attendance and completion rates. Conclusion: When offered the choice of PR delivery method, the majority of participants preferred centre-based PR and this facilitated the best completion rates. mPR was the preferred choice for younger, working participants suggesting that mPR may offer a viable alternative to centre-based PR for some participants, especially younger, employed participants.
dc.identifier.citationInternational Journal of Chronic Obstructive Pulmonary Disease, ISSN: 1178-2005 (Online), Informa UK Limited, Volume 18, 1419-1429. doi: 10.2147/copd.s408423
dc.identifier.doi10.2147/copd.s408423
dc.identifier.issn1178-2005
dc.identifier.urihttp://hdl.handle.net/10292/16452
dc.languageen
dc.publisherInforma UK Limited
dc.relation.urihttps://www.dovepress.com/the-impact-of-patient-preference-on-attendance-and-completion-rates-at-peer-reviewed-fulltext-article-COPD
dc.rights.accessrightsOpenAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/
dc.subject1102 Cardiorespiratory Medicine and Haematology
dc.subjectRespiratory System
dc.subject3201 Cardiovascular medicine and haematology
dc.titleThe Impact of Patient Preference on Attendance and Completion Rates at Centre-Based and mHealth Pulmonary Rehabilitation: A Non-Inferiority Pragmatic Clinical Trial
dc.typeJournal Article
pubs.elements-id514628
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