A Qualitative Exploration of People Living with Idiopathic Pulmonary Fibrosis Experience of a Virtual Pulmonary Rehabilitation Programme

Overview

Journal BMC Pulm Med

Publisher Biomed Central

Specialty Pulmonary Medicine

Date 2022 Nov 29

PMID 36443780

Authors

Orlagh OShea

Grainne Murphy

Luke Forde

Katherine M A OReilly

Affiliations

Soon will be listed here.

Abstract

Background: Pulmonary rehabilitation (PR) is recommended in the treatment of people with idiopathic pulmonary fibrosis (IPF). Little is known about the experiences of people with IPF of PR. Due to Covid-19 there has been a rapid shift of PR services to remote/virtual delivery.

Objective: To explore people living with IPFs experience of a virtual PR (VPR) programme.

Methods: All patients with a diagnosis of IPF in a stable phase of the disease were invited to participate in virtual PR: a 10 week exercise programme delivered twice-weekly for one hour. One-to-one semi- structured interviews were conducted within one week following the programme. All interviews were recorded, transcribed and analysed using Braun and Clarke thematic analysis by two independent assessors.

Results: N=13 participants took part in the semi-structured interviews, mean (standard deviation (SD)) age 69.5(10.4) years; 7M:6F. Mean (SD) FEV 2.6(0.3)L, FVC 2.9(0.4)L. Four key themes were identified: 1) The impact of VPR on health and outlook, (2) The reality of VPR, (3) Being active after VPR and (4) Living with IPF during the COVID-19 Pandemic. Participants reported high levels of enjoyment and engagement with the programme regardless of the health benefits experienced. Most participants expressed a desire for a longer programme. Participants expressed different levels of maintenance with exercise since finishing the programme, specific motivators and strategies for maintenance included lung transplant, the maintenance of benefits from the programme and social support. COVID-19 and the restrictions imposed had some negative impacts on some participants lives, engaging with PR helped overcome some of these.

Conclusion: Despite the progressive nature of IPF, all participants expressed high levels of enjoyment with the programme. Future research should explore strategies for maintenance post PR and the optimum duration of PR for people with IPF.

Citing Articles

Precision Oncology, Artificial Intelligence, and Novel Therapeutic Advancements in the Diagnosis, Prevention, and Treatment of Cancer: Highlights from the 59th Irish Association for Cancer Research (IACR) Annual Conference.

Lynch S, Heeran A, Burke C, Lynam-Lennon N, Eustace A, Dean K Cancers (Basel). 2024; 16(11).

PMID: 38893110 PMC: 11171401. DOI: 10.3390/cancers16111989.

Changes in physical activity in people with idiopathic pulmonary fibrosis before and after virtual pulmonary rehabilitation: a feasibility study.

OShea O, Murphy G, Fox L, OReilly K BMC Pulm Med. 2024; 24(1):215.

PMID: 38698361 PMC: 11064383. DOI: 10.1186/s12890-024-03030-9.

Using Remote Technology to Engage Patients with Interstitial Lung Diseases in a Home Exercise Program: A Pilot Study.

Sarmento A, King K, Sanchez-Ramirez D Life (Basel). 2024; 14(2).

PMID: 38398774 PMC: 10890249. DOI: 10.3390/life14020265.

Remote pulmonary rehabilitation for interstitial lung disease: developing the model using experience-based codesign.

Brighton L, Spain N, Gonzalez-Nieto J, Ingram K, Harvey J, Man W BMJ Open Respir Res. 2024; 11(1).

PMID: 38378779 PMC: 10882322. DOI: 10.1136/bmjresp-2023-002061.

References

Martinu T, Babyak M, OConnell C, Carney R, Trulock E, Davis R . Baseline 6-min walk distance predicts survival in lung transplant candidates. Am J Transplant. 2008; 8(7):1498-505. PMC: 2714545. DOI: 10.1111/j.1600-6143.2008.02264.x. View

de Vries J, Kessels B, Drent M . Quality of life of idiopathic pulmonary fibrosis patients. Eur Respir J. 2001; 17(5):954-61. DOI: 10.1183/09031936.01.17509540. View

Riddell P, Kleinerova J, Eaton D, Healy D, Javadpour H, McCarthy J . Meaningful survival benefit for single lung transplantation in idiopathic pulmonary fibrosis patients over 65 years of age. Eur Respir J. 2020; 56(1). DOI: 10.1183/13993003.02413-2019. View

Amor M, Rosengarten D, Shitenberg D, Pertzov B, Shostak Y, Kramer M . Lung Transplantation in Idiopathic Pulmonary Fibrosis: Risk Factors and Outcome. Isr Med Assoc J. 2020; 22(12):741-746. View

Castleberry A, Englum B, Snyder L, Worni M, Osho A, Gulack B . The utility of preoperative six-minute-walk distance in lung transplantation. Am J Respir Crit Care Med. 2015; 192(7):843-52. PMC: 5447300. DOI: 10.1164/rccm.201409-1698OC. View

Chodzko-Zajko W, Proctor D, Fiatarone Singh M, Minson C, Nigg C, Salem G . American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009; 41(7):1510-30. DOI: 10.1249/MSS.0b013e3181a0c95c. View

Dowman L, Hill C, May A, Holland A . Pulmonary rehabilitation for interstitial lung disease. Cochrane Database Syst Rev. 2021; 2:CD006322. PMC: 8094410. DOI: 10.1002/14651858.CD006322.pub4. View

Holland A, Cox N, Houchen-Wolloff L, Rochester C, Garvey C, ZuWallack R . Defining Modern Pulmonary Rehabilitation. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2021; 18(5):e12-e29. PMC: 8086532. DOI: 10.1513/AnnalsATS.202102-146ST. View

Justine M, Azizan A, Hassan V, Salleh Z, Manaf H . Barriers to participation in physical activity and exercise among middle-aged and elderly individuals. Singapore Med J. 2013; 54(10):581-6. DOI: 10.11622/smedj.2013203. View

10.

Teherani A, Martimianakis T, Stenfors-Hayes T, Wadhwa A, Varpio L . Choosing a Qualitative Research Approach. J Grad Med Educ. 2015; 7(4):669-70. PMC: 4675428. DOI: 10.4300/JGME-D-15-00414.1. View

11.

Troosters T, Blondeel A, Janssens W, Demeyer H . The past, present and future of pulmonary rehabilitation. Respirology. 2019; 24(9):830-837. DOI: 10.1111/resp.13517. View

12.

Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B . Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018; 52(4):1893-1907. PMC: 5993836. DOI: 10.1007/s11135-017-0574-8. View

13.

Bernard S, Vilarinho R, Pinto I, Cantante R, Coxo R, Fonseca R . Enhance Access to Pulmonary Rehabilitation with a Structured and Personalized Home-Based Program-: Protocol for Real-World Setting. Int J Environ Res Public Health. 2021; 18(11). PMC: 8201276. DOI: 10.3390/ijerph18116132. View

14.

de Sousa Pinto J, Martin-Nogueras A, Morano M, Macedo T, Calvo Arenillas J, Troosters T . Chronic obstructive pulmonary disease patients' experience with pulmonary rehabilitation: a systematic review of qualitative research. Chron Respir Dis. 2013; 10(3):141-57. DOI: 10.1177/1479972313493796. View

15.

Holland A, Cox N . Give a Little or Give a Lot?: The Question of Long-term Maintenance After Pulmonary Rehabilitation. Chest. 2021; 159(3):893-894. DOI: 10.1016/j.chest.2020.11.034. View

16.

Glassberg M . Overview of idiopathic pulmonary fibrosis, evidence-based guidelines, and recent developments in the treatment landscape. Am J Manag Care. 2019; 25(11 Suppl):S195-S203. View

17.

Raleigh M, Chang J . Virtual vs. In-Person Pulmonary Rehabilitation for Chronic Lung Disease. Am Fam Physician. 2022; 105(2):135-136. View

18.

Thorpe O, Kumar S, Johnston K . Barriers to and enablers of physical activity in patients with COPD following a hospital admission: a qualitative study. Int J Chron Obstruct Pulmon Dis. 2014; 9:115-28. PMC: 3904833. DOI: 10.2147/COPD.S54457. View

19.

Cerdan-De-Las-Heras J, Balbino F, Lokke A, Catalan-Matamoros D, Hilberg O, Bendstrup E . Tele-Rehabilitation Program in Idiopathic Pulmonary Fibrosis-A Single-Center Randomized Trial. Int J Environ Res Public Health. 2021; 18(19). PMC: 8508000. DOI: 10.3390/ijerph181910016. View

20.

OShea O, Woods C, McDermott L, Buys R, Cornelis N, Claes J . A qualitative exploration of cardiovascular disease patients' views and experiences with an eHealth cardiac rehabilitation intervention: The PATHway Project. PLoS One. 2020; 15(7):e0235274. PMC: 7337342. DOI: 10.1371/journal.pone.0235274. View