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Changes in pulmonary rehabilitation: new diseases, new approaches
S84 Do patients gain as much knowledge around their condition from a web-based pulmonary rehabilitation programme?
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  1. E Chaplin1,
  2. S Hewitt1,
  3. S Singh1,2
  1. 1Centre for Exercise and Rehabilitation Science, Pulmonary Rehabilitation Department, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK
  2. 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK

Abstract

Introduction The educational components of Pulmonary Rehabilitation (PR) are fundamental to the format and success of the programme.1 All patients enrolled onto a PR programme should have access to a structured education programme. However the ideal mode of delivery is unknown and delivery can be varied. It has previously been demonstrated that a web-based programme is feasible.2 However the gains in knowledge have not previously been reported for a digital programme compared to face-to-face contact. The Bristol COPD knowledge questionnaire (BCKQ) is a 65 item self-completed questionnaire often used to assess the effectiveness of education delivered.

Methods A single blinded, randomised, controlled feasibility trial comparing a web-based PR programme with a conventional PR programme for 7 weeks was conducted. Patients completed a BCKQ at their initial assessment or online when registering and again at their discharge appointment following completion of the PR programme or online at the end of the web programme.

Results Fifty two patients completed the BCKQ questionnaire: 36 conventional PR programme [20 male, MRC 3 (IQR 2–4), age 67 (±8.5) years, BMI 30 (±6.6) kg/m2, FEV1 (% predicted) 53 (±21), pre ISWT 280 m (±163), pre HADS anxiety 6.6 (±4.8). pre PRAISE 45 (±8.4)] and 16 online [14 male, MRC 3 (IQR 2–4), age 67 (±7.4) years, BMI 25 (±5.0) kg/m2, FEV1 (% predicted) 47 (±27), pre ISWT 365 m (±201), pre HADS anxiety 7.5 (±5.1),pre PRAISE 49 (±7.9)]. There were no significant differences in baseline characteristics. A statistically significant difference was seen in knowledge within each group following either the conventional PR programme (change=5 points, p≤0.001) or the web programme (change=11 points, p≤0.001). The change in scores between the groups was also significantly different (p≤0.01) in favour of the web-based programme (Table 1).

Discussion Patients are able to gain improvements in knowledge around their condition using a website programme as an alternative to the traditional spoken sessions in a PR programme.

Reference

  1. Bolton CE, Bevan-Smith EF, Blakey JD, Crave P, Elkin S, Garrod R, et al. BTS guidelines on pulmonary rehabilitation in adults. Thorax 2013;68:ii1–ii30.

  2. Chaplin E, Hewitt S, Apps L, et al. Interactive web-based pulmonary rehabilitation programme: A randomised controlled feasibility trial. BMJopen 2017;7:e013682. doi:10.1136/bmjope-2016-013682

View this table:
Abstract S84 Table 1

Between group changes of the Bristol COPD knowledge questionnaire following either conventional PR or a web-based programme

https://doi.org/10.1136/thoraxjnl-2017-210983.90

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