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

Not Applicable

Recruiting

• Conditions: Chronic obstructive pulmonary disease (COPD); Respiratory - Chronic obstructive pulmonary disease; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12622001501730
• Lead Sponsor: niversity of Sydney

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-12-01
• Last Update Posted: 4 December 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 91

Inclusion Criteria

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

Exclusion Criteria

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

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Part One: Change in participant content knowledge as measured by knowledge questionnaire before and after training course. The knowledge questionnaire has been designed specifically for this study. <br>[ Prior to and at the completion of the training program<br>];Part Two: Proportion of randomised participants who complete the intervention by audit of session logs<br>[ Conclusion of the study];Part One: Change in participant self-rated confidence, knowledge and skills questionnaire before and after training course. The questionnaire has been designed specifically for this study. [ Prior to and at the completion of the training program<br>]