Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation
Renae J McNamara,1,2 Zoe J McKeough,3 Laura R Mo,3 Jamie T Dallimore,4 Sarah M Dennis3 1Physiotherapy Department, 2Respiratory and Sleep Medicine Department, Prince of Wales Hospital, Randwick, 3Discipline of Physiotherapy, The University of Sydney, Lidcombe, 4Eastern Sydney Medicare Local, Roseber...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-11-01
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| Series: | International Journal of COPD |
| Subjects: | |
| Online Access: | https://www.dovepress.com/community-based-exercise-training-for-people-with-chronic-respiratory--peer-reviewed-article-COPD |
| _version_ | 1819259366390366208 |
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| author | McNamara RJ McKeough ZJ Mo LR Dallimore JT Dennis SM |
| author_facet | McNamara RJ McKeough ZJ Mo LR Dallimore JT Dennis SM |
| author_sort | McNamara RJ |
| collection | DOAJ |
| description | Renae J McNamara,1,2 Zoe J McKeough,3 Laura R Mo,3 Jamie T Dallimore,4 Sarah M Dennis3 1Physiotherapy Department, 2Respiratory and Sleep Medicine Department, Prince of Wales Hospital, Randwick, 3Discipline of Physiotherapy, The University of Sydney, Lidcombe, 4Eastern Sydney Medicare Local, Rosebery, NSW, Australia Background: Poor uptake and adherence are problematic for hospital-based pulmonary and heart failure rehabilitation programs, often because of access difficulties. The aims of this mixed-methods study were to determine the feasibility of a supervised exercise training program in a community gymnasium in people with chronic respiratory and chronic cardiac disease, to explore the experiences of participants and physiotherapists and to determine if a community venue improved access and adherence to rehabilitation. Methods: Adults with chronic respiratory and/or chronic cardiac disease referred to a hospital-based pulmonary and heart failure rehabilitation program were screened to determine their suitability to exercise in a community venue. Eligible patients were offered the opportunity to attend supervised exercise training for 8 weeks in a community gymnasium. Semi-structured interviews were conducted with participants and physiotherapists at the completion of the program. Results: Thirty-one people with chronic respiratory and chronic cardiac disease (34% males, mean [standard deviation] age 72 [10] years) commenced the community-based exercise training program. Twenty-two (71%) completed the program. All participants who completed the program, and the physiotherapists delivering the program, were highly satisfied, with reports of the community venue being well-equipped, convenient, and easily accessible. Using a community gymnasium promoted a sense of normality and instilled confidence in some to continue exercising at a similar venue post rehabilitation. However, factors such as cost and lack of motivation continue to be barriers. Conclusion: The convenience and accessibility of a community venue for rehabilitation contributed to high levels of satisfaction and a positive experience for people with chronic respiratory and chronic cardiac disease and physiotherapists. Keywords: pulmonary rehabilitation, exercise, qualitative, COPD |
| first_indexed | 2024-12-23T19:08:52Z |
| format | Article |
| id | doaj.art-22759fe3f12744f7b4c2b706be464023 |
| institution | Directory Open Access Journal |
| issn | 1178-2005 |
| language | English |
| last_indexed | 2024-12-23T19:08:52Z |
| publishDate | 2016-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj.art-22759fe3f12744f7b4c2b706be4640232022-12-21T17:34:31ZengDove Medical PressInternational Journal of COPD1178-20052016-11-01Volume 112839285030068Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluationMcNamara RJMcKeough ZJMo LRDallimore JTDennis SMRenae J McNamara,1,2 Zoe J McKeough,3 Laura R Mo,3 Jamie T Dallimore,4 Sarah M Dennis3 1Physiotherapy Department, 2Respiratory and Sleep Medicine Department, Prince of Wales Hospital, Randwick, 3Discipline of Physiotherapy, The University of Sydney, Lidcombe, 4Eastern Sydney Medicare Local, Rosebery, NSW, Australia Background: Poor uptake and adherence are problematic for hospital-based pulmonary and heart failure rehabilitation programs, often because of access difficulties. The aims of this mixed-methods study were to determine the feasibility of a supervised exercise training program in a community gymnasium in people with chronic respiratory and chronic cardiac disease, to explore the experiences of participants and physiotherapists and to determine if a community venue improved access and adherence to rehabilitation. Methods: Adults with chronic respiratory and/or chronic cardiac disease referred to a hospital-based pulmonary and heart failure rehabilitation program were screened to determine their suitability to exercise in a community venue. Eligible patients were offered the opportunity to attend supervised exercise training for 8 weeks in a community gymnasium. Semi-structured interviews were conducted with participants and physiotherapists at the completion of the program. Results: Thirty-one people with chronic respiratory and chronic cardiac disease (34% males, mean [standard deviation] age 72 [10] years) commenced the community-based exercise training program. Twenty-two (71%) completed the program. All participants who completed the program, and the physiotherapists delivering the program, were highly satisfied, with reports of the community venue being well-equipped, convenient, and easily accessible. Using a community gymnasium promoted a sense of normality and instilled confidence in some to continue exercising at a similar venue post rehabilitation. However, factors such as cost and lack of motivation continue to be barriers. Conclusion: The convenience and accessibility of a community venue for rehabilitation contributed to high levels of satisfaction and a positive experience for people with chronic respiratory and chronic cardiac disease and physiotherapists. Keywords: pulmonary rehabilitation, exercise, qualitative, COPDhttps://www.dovepress.com/community-based-exercise-training-for-people-with-chronic-respiratory--peer-reviewed-article-COPDpulmonary rehabilitationexercisequalitativechronic obstructive pulmonary disease |
| spellingShingle | McNamara RJ McKeough ZJ Mo LR Dallimore JT Dennis SM Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation International Journal of COPD pulmonary rehabilitation exercise qualitative chronic obstructive pulmonary disease |
| title | Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation |
| title_full | Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation |
| title_fullStr | Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation |
| title_full_unstemmed | Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation |
| title_short | Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation |
| title_sort | community based exercise training for people with chronic respiratory and chronic cardiac disease a mixed methods evaluation |
| topic | pulmonary rehabilitation exercise qualitative chronic obstructive pulmonary disease |
| url | https://www.dovepress.com/community-based-exercise-training-for-people-with-chronic-respiratory--peer-reviewed-article-COPD |
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