A novel telemedicine-based individualized pulmonary rehabilitation program in COPD: patient perception

<bold>Background:</bold> Pulmonary rehabilitation programs, while effective in reaching important goals in the treatment of Chronic Obstructive Pulmonary Disease (COPD) have been shown to lack accessibility. In an attempt to overcome barriers to participation, a novel pulmonary tele-rehabilitation (PTR) program was co-developed at the COPD Centre, Sahlgrenska University Hospital in Gothenburg, Sweden. In this study, we evaluate patient perception of this intervention. <bold>Methods:</bold> Patients with a verified COPD diagnosis of moderate to high severity completed a 12 week home based, distance monitored PTR program using an innovative device engaging digital technologies such as body- and movement recognition, augmented reality environments and video-based remote consultation. In conjunction with follow up visits, participants were asked to fill out a questionnaire detailing their perception of various aspects of the treatment method. The questionnaire consisted of 19 statements which patients were asked to rate from 0 (strongly disagree) to 5 (strongly agree). <bold>Results:</bold> Thirty participants, comprising 20 females and 10 males with a mean age of 72 years and a mean FEV1 of 47% predicted, completed the 12-week study period. The mean score obtained from the evaluation questionnaire was 91 out of a total possible score of 105. An excerpt from the questionnaire is presented in the figure. <bold>Conclusion:</bold> Participants evaluated the system as motivating and easy to use. No safety concerns were reported. Subjectively, patients noted improvements in exercise capacity and heightened levels of physical activity. All participants expressed a desire to continue using the system and would highly recommend it to other patients.