Implementing Pulmonary Rehabilitation in Primary care: Feasibility, acceptability, and safety

niversity of Sydney0 个研究点目标入组 91 人开始时间: 2022年12月1日最近更新: 2023年12月4日

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•Clinician participants:
•AHPRA registered physiotherapist or Exercise & Sports Science Australia accredited exercise physiologist
•Working in private practice where:
•oAt least two staff (clinical or administrative) are present during assessments or group exercise sessions
•oThere is adequate space for group exercise (minimum 3 participants) to occur
•oAccessible for people with chronic respiratory disease
•Willing to provide intervention for part two of study (twice weekly PR for 8-weeks)
•Have or be willing to obtain current CPR training prior to assessing any study participants
•Patient participants:
•Age greater than 18 years
•Diagnosis of COPD (confirmed by spirometry or diagnosis by medical doctor, symptomatically breathless and smoking history) or diagnosis of interstitial lung disease (ILD) (diagnosis by medical doctor)
•Referred to pulmonary rehabilitation at Sydney Local Health District, South Eastern Sydney Local Health District or South Western Sydney Local Health District and on the waiting list
•Willing to attend twice weekly PR for 8 weeks in a private practice setting

•Clinician participants:
•Physiotherapists or AEPs with significant prior PR experience (more than one rotation as Level 1 clinician, or delivery of Lungs in Action)
•Physiotherapists or AEPs with post-graduate cardiopulmonary qualifications
•Patient participants:
•Exacerbation of respiratory disease within 4 weeks prior to recruitment
•Completed PR in the past year
•Prescribed home supplemental oxygen or requiring supplemental oxygen for exercise (desaturates < 80% SpO2 on field walking test)
•Medical conditions that contraindicate safe group exercise outside hospital setting (e.g. unstable cardiac disease, severe musculoskeletal impairments)
•Unable to provide informed consent

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