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Clinical effectiveness and components of Home-pulmonary rehabilitation for people with chronic respiratory diseases: a systematic review protocol.
Uzzaman, Md Nazim; Chan, Soo Chin; Shunmugam, Ranita Hisham; Engkasan, Julia Patrick; Agarwal, Dhiraj; Habib, G M Monsur; Hanafi, Nik Sherina; Jackson, Tracy; Jebaraj, Paul; Khoo, Ee Ming; Liew, Su May; Mirza, Fatim Tahirah; Pinnock, Hilary; Rabinovich, Roberto A.
  • Uzzaman MN; NIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, UK.
  • Chan SC; Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
  • Shunmugam RH; Library, University of Malaya, Kuala Lumpur, Malaysia.
  • Engkasan JP; Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
  • Agarwal D; KEM Hospital and Research Centre, Pune, India.
  • Habib GMM; NIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, UK.
  • Hanafi NS; Community Respiratory Centre, Bangladesh Primary Care Respiratory Society, Khulna, Bangladesh.
  • Jackson T; Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
  • Jebaraj P; NIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, UK.
  • Khoo EM; Christian Medical College, Vellore, India.
  • Liew SM; Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
  • Mirza FT; Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
  • Pinnock H; Faculty of Health Sciences, Universiti Teknologi MARA, Selangor, Malaysia.
  • Rabinovich RA; NIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, The University of Edinburgh, Edinburgh, UK.
BMJ Open ; 11(10): e050362, 2021 10 12.
Article in English | MEDLINE | ID: covidwho-1462962
ABSTRACT

INTRODUCTION:

Chronic respiratory diseases (CRDs) are common and disabling conditions that can result in social isolation and economic hardship for patients and their families. Pulmonary rehabilitation (PR) improves functional exercise capacity and health-related quality of life (HRQoL) but practical barriers to attending centre-based sessions or the need for infection control limits accessibility. Home-PR offers a potential solution that may improve access. We aim to systematically review the clinical effectiveness, completion rates and components of Home-PR for people with CRDs compared with Centre-PR or Usual care. METHODS AND

ANALYSIS:

We will search PubMed, CINAHL, Cochrane, EMBASE, PeDRO and PsycInfo from January 1990 to date using a PICOS search strategy (Population adults with CRDs; Intervention Home-PR; Comparator Centre-PR/Usual care;

Outcomes:

functional exercise capacity and HRQoL;

Setting:

any setting). The strategy is to search for 'Chronic Respiratory Disease' AND 'Pulmonary Rehabilitation' AND 'Home-PR', and identify relevant randomised controlled trials and controlled clinical trials. Six reviewers working in pairs will independently screen articles for eligibility and extract data from those fulfilling the inclusion criteria. We will use the Cochrane risk-of-bias tool and Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to rate the quality of evidence. We will perform meta-analysis or narrative synthesis as appropriate to answer our three research questions (1) what is the effectiveness of Home-PR compared with Centre-PR or Usual care? (2) what components are used in effective Home-PR studies? and (3) what is the completion rate of Home-PR compared with Centre-PR? ETHICS AND DISSEMINATION Research ethics approval is not required since the study will review only published data. The findings will be disseminated through publication in a peer-reviewed journal and presentation in conferences. PROSPERO REGISTRATION NUMBER CRD42020220137.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Respiration Disorders / Pulmonary Disease, Chronic Obstructive Subject: Respiration Disorders / Pulmonary Disease, Chronic Obstructive Type of study: Controlled clinical trial / Ethical aspects / Clinical Practice Guide / Patient-preference / Prognostic study Language: English Journal: BMJ Open Clinical aspect: Etiology Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Respiration Disorders / Pulmonary Disease, Chronic Obstructive Subject: Respiration Disorders / Pulmonary Disease, Chronic Obstructive Type of study: Controlled clinical trial / Ethical aspects / Clinical Practice Guide / Patient-preference / Prognostic study Language: English Journal: BMJ Open Clinical aspect: Etiology Year: 2021
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