Emerging models of pulmonary rehabilitation

Abstract

The evidence to support conventional PR in the management of COPD is well-described, but problems exist. Emerging programme models have the potential to address barriers to access and participation. Models investigated to date include programmes delivered in patients’ homes that, for the purposes of this article, are categorised as requiring and not requiring internet access. In COPD, the evidence to support improvements in exercise capacity, breathlessness and HRQoL derived from emerging programmes is accumulating and appears to be similar to conventional PR. However, there is uncertainty as to whether these programmes are as effective as conventional PR because of heterogenous interventions and statistical concerns. Accordingly, there is a need for continued research exploring clinical benefit, psychological and health outcomes, and health-economic impact as well as patient and HCP experience. Identification of the optimal model(s) may facilitate adoption into clinical practice, the efficacy of which is an important component of future research.