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Affiliations
1 Manchester Metropolitan University, Business School, Manchester, United Kingdom.
2 Burnett Edgar Medical Centre, Central Drive, Walney, United Kingdom.
Timothy Jung et al. J Med Internet Res. 2020.
Affiliations
1 Manchester Metropolitan University, Business School, Manchester, United Kingdom.
2 Burnett Edgar Medical Centre, Central Drive, Walney, United Kingdom.
Background: The uptake of traditional pulmonary rehabilitation classes by patients with chronic obstructive pulmonary disease (COPD) is poor because of personal factors that prevent accessibility to the venue. Therefore, there is a need for innovative methods of pulmonary rehabilitation, and virtual reality (VR) could be a promising technology for patients with COPD to access services remotely.
Objective: This study aimed to investigate whether VR improves compliance with pulmonary rehabilitation among patients with COPD, a particularly vulnerable patient group (Medical Research Council [MRC] 4 or 5), and whether VR provides a credible alternative to traditional pulmonary rehabilitation programs.
Methods: This was an 8-week patient trial using an innovative VR pulmonary rehabilitation program. A purposive sample of 10 patients with COPD graded MRC 4 or 5 and registered at a selected health care center and a hospital in Cumbria, United Kingdom, were included. Qualitative (focus groups and interviews) data were collected, and to further support the qualitative findings, quantitative data (self-report patient surveys) were gathered before and after the 8-week trial. The 5 self-reported surveys included the Patient Activation Measure, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Short Physical Performance Battery, and the Edmonton Frail Scale.
Results: In a thematic analysis of the qualitative data, 11 themes emerged specific to delivering pulmonary rehabilitation using VR. The quantitative data further support the qualitative findings by revealing significant improvements in all physical measures.
Conclusions: Overall, this study demonstrates how remotely supervised VR-based pulmonary rehabilitation could help to overcome current issues and limitations associated with providing this service to patients with COPD at scale.
Keywords: COPD; rehabilitation; virtual reality.
©Timothy Jung, Natasha Moorhouse, Xin Shi, Muhammad Farhan Amin. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 07.07.2020.
Conflicts of Interest: None declared.
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Maltais F, Bourbeau J, Lacasse Y, Shapiro S, Perrault H, Penrod JR, Baltzan M, Rouleau M, Julien M, Paradis B, Audet R, Hernandez P, Levy RD, Camp P, Lecours R, Picard D, Bernard S. Maltais F, et al. Can Respir J. 2005 May-Jun;12(4):193-8. doi: 10.1155/2005/606378. Can Respir J. 2005. PMID: 16003455 Clinical Trial.
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da Silva TD, de Oliveira PM, Dionizio JB, de Santana AP, Bahadori S, Dias ED, Ribeiro CM, Gomes RA, Ferreira M, Ferreira C, de Moraes ÍAP, Silva DMM, Barnabé V, de Araújo LV, Santana HBR, Monteiro CBM. da Silva TD, et al. Front Psychol. 2021 Feb 24;12:622618. doi: 10.3389/fpsyg.2021.622618. eCollection 2021. Front Psychol. 2021. PMID: 33716889 Free PMC article.
Rutkowski S, Szczegielniak J, Szczepańska-Gieracha J. Rutkowski S, et al. J Clin Med. 2021 Jan 18;10(2):352. doi: 10.3390/jcm10020352. J Clin Med. 2021. PMID: 33477733 Free PMC article.

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