A feasibility study of home-based Pulmonary Rehabilitation in Bangladesh context.

05 May 2022
Clinical Research Results Abstract Introduction and aim:Pulmonary Rehabilitation (PR) is an evidence-based integral part of chronic respiratory disease (CRD) management. However, the evidence on the effectiveness, applicable components, and deliverable models are generated from high-income countries within a different clinical context from low- and middle-income countries. Informed by global PR guidelines, a systematic review and stakeholder engagement, we adapted a PR programme to home-based (because of COVID) in a low-resource setting. This feasibility study tested the PR programme in Bangladesh socio-demographic and clinical context.Methods: After the initial assessment at the PR centre, participants were asked to undertake twice-weekly tele-supervised PR sessions for 8 weeks at home and exercise independently on other weekdays. Primary outcomes, assessed pre- and post-PR, were Endurance Shuttle Walk Test (ESWT) and COPD Assessment Test (CAT). Nonparametric tests (Wilcoxon Signed Rank test) were used to compare pre-and post- outcomes using SPSS version 26.Results: 51 participants (33 male; mean age 55yrs (SD 12)) were recruited with a range of CRDs. 40 completed the final assessment (COVID deterred eight follow-ups). Both ESWT and CAT improved by more than the minimum clinically important difference (MCID). MCID Pre-PR Median (IQR)Post-PR Median (IQR)p-valueESWT (s)174 seconds291 (119, 989)544 (60, 1200)<0.0001CAT score216.5 (4, 28)7.5 (0, 26)<0.0001 Individual changes in ESWT and CAT are illustrated in the figure.Conclusion: Home-based PR is feasible in the Bangladesh context and associated with significant improvements in functional exercise capacity and health-related quality of life. Research Idea Abstract Service Development & Evaluation Abstract Declaration of Interest References and Clinical Trial Registry Information

Resource information

Respiratory topics
  • Rehabilitation
Type of resource
Abstract
Conference
Malaga 2022
Author(s)
Monsur Habib, Bangladesh Primary Care Respiratory Society