Delivery of Remote Pulmonary Rehabilitation: COVID-19 Service Evaluation in England

Remote PR was widely used during the social distancing phase of the COVID-19 pandemic in England. Service users' lack of access to the internet was an important barrier to videoconferencing, the form of remote online PR for which evidence of effectiveness is most compelling. The provision of digital equipment and internet training should be considered to enable more equitable access to remote online PR. Despite no guideline recommendations for its utility at present, remote pulmonary rehabilitation via telephone or online videoconferencing appears to be a safe and feasible alternative when in-person pulmonary rehabilitation is unavailable.