Feasibility and acceptability of home-based pulmonary rehabilitation for individuals with idiopathic pulmonary fibrosis in Delhi, India.

IF 2.3 3区 医学 Q2 RESPIRATORY SYSTEM
Chronic Respiratory Disease Pub Date : 2025-01-01 Epub Date: 2025-09-03 DOI:10.1177/14799731251375043
Humaira Hanif, Obaidullah Ahmed, James R Manifield, Mohd Shibli, Amy Barradell, Zahira Ahmed, Dominic Malcolm, Andy Barton, Deepak Talwar, Mark W Orme, Sally J Singh
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Abstract

ObjectivesTo determine the feasibility and acceptability of home-based pulmonary rehabilitation (HBPR) for individuals with idiopathic pulmonary fibrosis (IPF).MethodsIn this single-arm feasibility trial, individuals with IPF were recruited from Delhi, India, to a 6-weeks HBPR programme using a paper-based manual. Primary outcomes were feasibility (classified by ≥60% of eligible patients recruited and ≥70% of recruited patients completing the follow-up assessment) and intervention acceptability (semi-structured interviews).ResultsOut of 42 screened, 36 individuals were eligible (86% of screened), and 30 were recruited (83% of eligible, 71% of screened; 60 ± 13 years, 53% female), with 25 completing their follow-up assessment (83% of recruited). HBPR was generally well-accepted, with qualitative themes including: 'facilitators and barriers to HBPR' (family support and flexibility of home environment were facilitators whereas lack of supervision and inability to follow a routine were barriers), 'perceived changes from taking part in HBPR' (improved exercise capacity, breathlessness, and independency), and 'how to improve HBPR in the future' (translating the manual into various languages, and incorporating into a more hybrid approach).ConclusionHBPR using a paper-based manual was feasible and acceptable, potentially suitable for improving the uptake and completion of PR for individuals with IPF in Delhi, India.

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印度德里特发性肺纤维化患者家庭肺康复的可行性和可接受性。
目的探讨家庭肺康复(HBPR)治疗特发性肺纤维化(IPF)的可行性和可接受性。方法在这项单臂可行性试验中,从印度德里招募IPF患者,使用纸质手册进行为期6周的HBPR计划。主要结局是可行性(≥60%的入选患者和≥70%的入选患者完成随访评估)和干预可接受性(半结构化访谈)。结果在42名被筛选者中,36人符合条件(86%的被筛选者),30人被招募(83%的被筛选者,71%的被筛选者;60±13岁,53%的女性),25人完成随访评估(83%的被招募者)。HBPR普遍被广泛接受,定性主题包括:“HBPR的促进因素和障碍”(家庭支持和家庭环境的灵活性是促进因素,而缺乏监督和无法遵循常规是障碍),“参与HBPR的感知变化”(改善运动能力,呼吸困难和独立性),以及“如何在未来改善HBPR”(将手册翻译成各种语言,并纳入更混合的方法)。结论使用纸质手册的hbpr是可行和可接受的,可能适用于改善印度德里IPF患者PR的接受和完成情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Chronic Respiratory Disease
Chronic Respiratory Disease RESPIRATORY SYSTEM-
CiteScore
5.90
自引率
7.30%
发文量
47
审稿时长
11 weeks
期刊介绍: Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.
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