Multi-disciplinary supervised home based pulmonary tele-rehabilitation (tele-PR) program improves outcomes of patients with chronic respiratory diseases (CRD)

<bold>Introduction:</bold> Incorporating tele-medicine into conventional pulmonary rehabilitation (PR) may overcome the low uptake and completion rate due to transport issues that often hindered its success. <bold>Objectives:</bold> To assess the outcomes and response to a multidisciplinary home-based supervised tele-PR program in Hong Kong. <bold>Methodology:</bold> Our tele-PR program runs for patients with CRD since 2021. All essential components of PR were delivered real-time by tele-conferencing. Their exercise capacity (by 6-minute walk test: 6MWT), muscle strength (quadriceps and handgrip), functional performance (by monitored functional task evaluation: MFTE), and health-related quality of life (by Chronic Respiratory Disease Questionnaire: CRQ, and shortness of breath questionnaire, SOBQ) before and after PR were compared. PR completion rates was defined by attending ≥50% of 14 tele-PRP sessions and post-PR assessment. <bold>Results:</bold> Until December 2023, ten patients were recruited. Only one failed to complete tele-PR due to underlying co-morbidities. Others completed the program with 100% attendance rates. Significant improvement in physical and functional health after tele-PR was observed (Table 1). No adverse event was reported. Main barrier to uptake was no internet access at home. <fig><object-id>erj;64/suppl_68/PA4114/F1</object-id><object-id>F1</object-id><object-id>F1</object-id><graphic></graphic></fig> <bold>Conclusions:</bold> Tele-PR was as effective as conventional PR in Asia, but gives a higher completion and attendance rates.