Maintenance after Pulmonary Rehabilitation in Chronic Lung Disease
- 15 March 2003
- journal article
- clinical trial
- Published by American Thoracic Society in American Journal of Respiratory and Critical Care Medicine
- Vol. 167 (6), 880-888
- https://doi.org/10.1164/rccm.200204-318oc
Abstract
Pulmonary rehabilitation is beneficial for patients with chronic lung disease. However, long-term maintenance has been difficult to achieve after short-term treatment. We evaluated a telephone-based maintenance program after pulmonary rehabilitation in 172 patients with chronic lung disease recruited from pulmonary rehabilitation graduates. Subjects were randomly assigned to a 12-month maintenance intervention with weekly telephone contacts and monthly supervised reinforcement sessions (n = 87) or standard care (n = 85) and followed for 24 months. Except for a slight imbalance between sexes, experimental and control groups were equivalent at baseline and showed similar improvements after rehabilitation. During the 12-month intervention, exercise tolerance (maximum treadmill workload and 6-minute walk distance) and overall health status ratings were better maintained in the experimental group together with a reduction in hospital days. There were no group differences for other measures of pulmonary function, dyspnea, self-efficacy, generic and disease-specific quality of life, and health care use. By 24 months, there were no significant group differences. Patients returned to levels close to but above prerehabilitation measures. We conclude that a maintenance program of weekly telephone calls and monthly supervised sessions produced only modest improvements in the maintenance of benefits after pulmonary rehabilitation.Keywords
This publication has 33 references indexed in Scilit:
- Short- and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trialAmerican Journal Of Medicine, 2000
- Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trialThe Lancet, 2000
- LONG-TERM EFFECTS OF A PULMONARY REHABILITATION PROGRAMME IN OUTPATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A RANDOMIZED CONTROLLED STUDYJournal of Rehabilitation Medicine, 1999
- The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease: A research synthesisArchives Of Physical Medicine and Rehabilitation, 1999
- Pulmonary RehabilitationChest, 1997
- Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Guidelines*Journal of Cardiopulmonary Rehabilitation, 1997
- Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary diseaseThe Lancet, 1996
- A Comparison Between an Outpatient Hospital-Based Pulmonary Rehabilitation Program and a Home-Care Pulmonary Rehabilitation Program in Patients With COPDChest, 1996
- Definitions, Epidemiology, Pathophysiology, Diagnosis, and StagingAmerican Journal of Respiratory and Critical Care Medicine, 1995
- Effects of Pulmonary Rehabilitation on Physiologic and Psychosocial Outcomes in Patients with Chronic Obstructive Pulmonary DiseaseAnnals of Internal Medicine, 1995