Table 1.
Adaptions made for online delivery of PR
Traditional face to face programme | Online-PR delivery |
Face-to-face patient assessments | Online video-based assessments |
Incremental shuttle walk test exercise capacity outcome | 1 min sit-to-stand exercise capacity outcome |
Progression to 3 min per endurance exercise | Progression to 4 min per endurance exercise |
Clinician led exercise | Exercise instructor led exercise |
Resistance exercises with free weights | Resistance exercises with Theraband |
Group education delivery within sessions | Separate individually accessed education |
No preliminary patient home visit | Patient home visit for equipment delivery and IT platform training as needed |
No prior equipment provided | Theraband, oximeter and sometimes IPad delivered |
Home exercise programme administered on session one (paper based) | Home exercise programme administered once patient confident with online participation (paper based) |
Community hall venues | Patient home venue |
MDT education including: Understanding your lung condition, breathlessness management including input from psychological therapist, cough and sputum, planning for future, nutrition, benefits of exercise, hospital care, medications and inhaler technique | MDT education including: Understanding your lung condition, breathlessness management including input from psychological therapist, cough and sputum, planning for future, nutrition, benefits of exercise, hospital care, medications and inhaler technique. |
Introduction session before preassessment including expert patient experience | Introduction session following pre-assessment led by exercise specialist and clinician |
Paper based Patient-rReported Outcome Measures, missing data entry possible | Digitally completed outcome measures, submission not possible without complete data entry. |
Clinical notes written on System one | Clinical notes written on System one |
PR, pulmonary rehabilitation.