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@article{Bourne:2017:10.1136/bmjopen-2016-014580,
author = {Bourne, S and DeVos, R and North, M and Chauhan, A and Green, B and Brown, T and Cornelius, V and Wilkinson, T},
doi = {10.1136/bmjopen-2016-014580},
journal = {BMJ Open},
title = {Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomised controlled trial.},
url = {http://dx.doi.org/10.1136/bmjopen-2016-014580},
volume = {7},
year = {2017}
}

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TY  - JOUR
AB  - OBJECTIVE: To obtain evidence whether the online pulmonary rehabilitation(PR) programme 'my-PR' is non-inferior to a conventional face-to-face PR in improving physical performance and symptom scores in patients with COPD. DESIGN: A two-arm parallel single-blind, randomised controlled trial. SETTING: The online arm carried out pulmonary rehabilitation in their own homes and the face to face arm in a local rehabilitation facility. PARTICIPANTS: 90 patients with a diagnosis of chronic obstructive pulmonary disease (COPD), modified Medical Research Council score of 2 or greater referred for pulmonary rehabilitation (PR), randomised in a 2:1 ratio to online (n=64) or face-to-face PR (n=26). Participants unable to use an internet-enabled device at home were excluded. MAIN OUTCOME MEASURES: Coprimary outcomes were 6 min walk distance test and the COPD assessment test (CAT) score at completion of the programme. INTERVENTIONS: A 6-week PR programme organised either as group sessions in a local rehabilitation facility, or online PR via log in and access to 'myPR'. RESULTS: The adjusted mean difference for the 6 min walk test (6MWT) between groups for the intention-to-treat (ITT) population was 23.8 m with the lower 95% CI well above the non-inferiority threshold of -40.5 m at -4.5 m with an upper 95% CI of +52.2 m. This result was consistent in the per-protocol (PP) population with a mean adjusted difference of 15 m (-13.7 to 43.8). The CAT score difference in the ITT was -1.0 in favour of the online intervention with the upper 95% CI well below the non-inferiority threshold of 1.8 at 0.86 and the lower 95% CI of -2.9. The PP analysis was consistent with the ITT. CONCLUSION: PR is an evidenced-based and guideline-mandated intervention for patients with COPD with functional limitation. A 6-week programme of online-supported PR was non-inferior to a conventional model delivered in face-to-face sessions in terms of effects on 6MWT distance, and
AU  - Bourne,S
AU  - DeVos,R
AU  - North,M
AU  - Chauhan,A
AU  - Green,B
AU  - Brown,T
AU  - Cornelius,V
AU  - Wilkinson,T
DO  - 10.1136/bmjopen-2016-014580
PY  - 2017///
SN  - 2044-6055
TI  - Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomised controlled trial.
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2016-014580
UR  - https://www.ncbi.nlm.nih.gov/pubmed/28716786
UR  - http://hdl.handle.net/10044/1/51754
VL  - 7
ER  -

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