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https://ahro.austin.org.au/austinjspui/handle/1/16345
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DC Field | Value | Language |
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dc.contributor.author | Holland, Anne E | - |
dc.contributor.author | Mahal, Ajay | - |
dc.contributor.author | Hill, Catherine J | - |
dc.contributor.author | Lee, Annemarie L | - |
dc.contributor.author | Burge, Angela T | - |
dc.contributor.author | Cox, Narelle S | - |
dc.contributor.author | Moore, Rosemary P | - |
dc.contributor.author | Nicolson, Caroline | - |
dc.contributor.author | O'Halloran, Paul | - |
dc.contributor.author | Lahham, Aroub | - |
dc.contributor.author | Gillies, Rebecca | - |
dc.contributor.author | McDonald, Christine F | - |
dc.date | 2016-09-26 | - |
dc.date.accessioned | 2016-10-14T00:51:56Z | - |
dc.date.available | 2016-10-14T00:51:56Z | - |
dc.date.issued | 2017-01 | - |
dc.identifier.citation | Thorax 2017; 72(1): 57-65 | en_US |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/16345 | - |
dc.description.abstract | BACKGROUND: Pulmonary rehabilitation is a cornerstone of care for COPD but uptake of traditional centre-based programmes is poor. We assessed whether home-based pulmonary rehabilitation, delivered using minimal resources, had equivalent outcomes to centre-based pulmonary rehabilitation. METHODS: A randomised controlled equivalence trial with 12 months follow-up. Participants with stable COPD were randomly assigned to receive 8 weeks of pulmonary rehabilitation by either the standard outpatient centre-based model, or a new home-based model including one home visit and seven once-weekly telephone calls from a physiotherapist. The primary outcome was change in 6 min walk distance (6MWD). RESULTS: We enrolled 166 participants to receive centre-based rehabilitation (n=86) or home-based rehabilitation (n=80). Intention-to-treat analysis confirmed non-inferiority of home-based rehabilitation for 6MWD at end-rehabilitation and the confidence interval (CI) did not rule out superiority (mean difference favouring home group 18.6 m, 95% CI -3.3 to 40.7). At 12 months the CI did not exclude inferiority (-5.1 m, -29.2 to 18.9). Between-group differences for dyspnoea-related quality of life did not rule out superiority of home-based rehabilitation at programme completion (1.6 points, -0.3 to 3.5) and groups were equivalent at 12 months (0.05 points, -2.0 to 2.1). The per-protocol analysis showed the same pattern of findings. Neither group maintained postrehabilitation gains at 12 months. CONCLUSIONS: This home-based pulmonary rehabilitation model, delivered with minimal resources, produced short-term clinical outcomes that were equivalent to centre-based pulmonary rehabilitation. Neither model was effective in maintaining gains at 12 months. Home-based pulmonary rehabilitation could be considered for people with COPD who cannot access centre-based pulmonary rehabilitation. TRIAL REGISTRATION NUMBER: NCT01423227, clinicaltrials.gov. | en_US |
dc.subject | Pulmonary Rehabilitation | en_US |
dc.title | Home-based rehabilitation for COPD using minimal resources: a randomised, controlled equivalence trial | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | Thorax | en_US |
dc.identifier.affiliation | Austin Health, Heidelberg, Victoria, Australia | en_US |
dc.identifier.affiliation | Discipline of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia | en_US |
dc.identifier.affiliation | Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia | en_US |
dc.identifier.affiliation | Institute for Breathing and Sleep, Heidelberg, Victoria, Australia | en_US |
dc.identifier.affiliation | The Nossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia | en_US |
dc.identifier.affiliation | Department of Physiotherapy, Austin Health, Melbourne, Victoria, Australia | en_US |
dc.identifier.affiliation | Department of Public Health, La Trobe University, Melbourne, Victoria, Australia | en_US |
dc.identifier.affiliation | Department of Respiratory and Sleep Medicine, Austin Health, Melbourne, Victoria, Australia | en_US |
dc.identifier.affiliation | Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia | en_US |
dc.identifier.pubmeduri | https://pubmed.ncbi.nlm.nih.gov/27672116 | en_US |
dc.identifier.doi | 10.1136/thoraxjnl-2016-208514 | en_US |
dc.type.content | Text | en_US |
dc.type.austin | Journal Article | en_US |
local.name.researcher | Burge, Angela T | |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Physiotherapy | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Physiotherapy | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Respiratory and Sleep Medicine | - |
Appears in Collections: | Journal articles |
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