Abstract
Background
Pulmonary rehabilitation (PR) plays a vital role in managing chronic obstructive pulmonary disease (COPD) and other chronic respiratory diseases (CRDs). However, implementation of this multidisciplinary approach in resource-poor settings may not be sufficient because of referrers’ uncertainty regarding the effectiveness of PR, inconvenient timing, travel issues, patients’ lack of motivation, and poor family support. The aim was to test the feasibility of a peer-led, professionally-assisted community-based PR programme for CRD patients in a rural, low literacy setting.
Methods
We conducted a single-center, pre-post feasibility study. Participants with a confirmed diagnosis of CRD were recruited and treatment was optimised. After completing baseline assessments, the participants underwent eight weeks of PR training (16 sessions) in six groups at five local facilities led by peers selected by the participants and assisted by professionals. Exercise capacity was assessed with 6-Minute Walk Test (6-MWT). Other outcomes were: International Physical Activity Questionnaire (IPAQ); Hospital Anxiety and Depression Scale (HADS); London Chest Activity of Daily Living (LCADL) scale. Upper and lower limb strength were assessed using a handheld dynamometer and cycle ergometer, respectively. Descriptive analysis was performed, and pre-and post-outcomes were compared using parametric tests.
Results
Thirty participants (20 COPD, 10 asthma; 15 female; median age 57.5 years) completed baseline and endline assessments. 70% completed at least 12/16 sessions. After 8 weeks of training, the 6-MWT had improved from 263.3 (SD72.3) to 319.6 (84.7) metres (p<0.001) with significant improvement in mMRC (p=0.022), LCADL (p<0.001) and dominant handgrip strength (p<0.001) but no significant change in physical activity (p=0.791).
Conclusions
The community-based PR led by peer volunteers and supported by professionals proved to be feasible in our low-resource setting and was associated with improved exercise tolerance and other outcomes.
Pulmonary rehabilitation (PR) plays a vital role in managing chronic obstructive pulmonary disease (COPD) and other chronic respiratory diseases (CRDs). However, implementation of this multidisciplinary approach in resource-poor settings may not be sufficient because of referrers’ uncertainty regarding the effectiveness of PR, inconvenient timing, travel issues, patients’ lack of motivation, and poor family support. The aim was to test the feasibility of a peer-led, professionally-assisted community-based PR programme for CRD patients in a rural, low literacy setting.
Methods
We conducted a single-center, pre-post feasibility study. Participants with a confirmed diagnosis of CRD were recruited and treatment was optimised. After completing baseline assessments, the participants underwent eight weeks of PR training (16 sessions) in six groups at five local facilities led by peers selected by the participants and assisted by professionals. Exercise capacity was assessed with 6-Minute Walk Test (6-MWT). Other outcomes were: International Physical Activity Questionnaire (IPAQ); Hospital Anxiety and Depression Scale (HADS); London Chest Activity of Daily Living (LCADL) scale. Upper and lower limb strength were assessed using a handheld dynamometer and cycle ergometer, respectively. Descriptive analysis was performed, and pre-and post-outcomes were compared using parametric tests.
Results
Thirty participants (20 COPD, 10 asthma; 15 female; median age 57.5 years) completed baseline and endline assessments. 70% completed at least 12/16 sessions. After 8 weeks of training, the 6-MWT had improved from 263.3 (SD72.3) to 319.6 (84.7) metres (p<0.001) with significant improvement in mMRC (p=0.022), LCADL (p<0.001) and dominant handgrip strength (p<0.001) but no significant change in physical activity (p=0.791).
Conclusions
The community-based PR led by peer volunteers and supported by professionals proved to be feasible in our low-resource setting and was associated with improved exercise tolerance and other outcomes.
| Original language | English |
|---|---|
| Article number | 04143 |
| Number of pages | 11 |
| Journal | Journal of Global Health |
| Volume | 15 |
| DOIs | |
| Publication status | Published - 9 May 2025 |