Comparison of home-based, web platform versus centre-based PR: summary of selective studies
Study | Population | Intervention/control | Outcomes |
Chaplin 2017143 | RCT; 103 participants with COPD (UK) | Web-based programme (SPACE for COPD) of exercise and education versus centre-based supervised PR, twice weekly, 2 hourly sessions for 7 weeks (4 weeks supervised; 3 weeks unsupervised). | Web-based PR was safe and well tolerated. Statistically significant improvements within both groups for endurance shuttle walk and dyspnoea meeting MCID. |
Bourne 2017142 | RCT; 90 participants with COPD (UK) | Six-week web-based PR via log in and access to ‘myPR’ versus a supervised centre-based group sessions, twice weekly for 6 weeks. | Web-based PR was safe and well tolerated, and non-inferior to face-to-face centre-based programme in terms of effects on 6MWT distance and symptom scores. 6MWT exceeded MCID for web-based PR. |
ESWT, endurance shuttle walk test; MCID, minimum clinically important difference; 6MWT, 6 min walk test; PR, pulmonary rehabilitation; RCT, randomised controlled trial; SPACE for COPD, self management programme of activity, coping and education for chronic obstructive pulmonary disease.