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Evaluation of patient characteristics in relation to uptake of BOC’s Remote Pulmonary Rehabilitation offer in response to the COVID-19 pandemic (ID 285)

Kensington MJ, Hollier SE

BOC Healthcare

Funding: None

Abstract

Pulmonary Rehabilitation (PR) was forced to stop functioning as usual due to the COVID-19 pandemic. BTS recommended developing ways to work remotely to provide ongoing care and treatment. BOC has 11 PR services nationally and quickly developed an innovative remote programme offer to support their respiratory patients. The service evaluation reviews the characteristics/demographics of patients who either completed, dropped out or were not enrolled into the remote PR programme.
Routine data collected from 1074 patients during remote initial assessments between the 1st April and the 30th September 2020 was evaluated to identify any potential factors that may indicate patient outcome through engagement with BOC’s remote PR offering.
Data collected included: Age, gender, diagnosis, FEV1% classification, number of co-morbidities, MRC dyspnoea score, oxygen use, Clinical Frailty Score, previous PR attendance, living alone, patient reported social support, internet literacy, literacy (reading/writing), hearing/vision status.
Analysis of results found that there was no clear difference between group characteristics in all but 3 of the above areas. Internet literacy was higher in the completer group with those having no access to or unable to use the internet being higher within the non-enrolled or drop out groups despite the offering not being internet based. In the completer group there were more patients who felt socially supported compared to the drop out and not enrolled groups. In the non-enrolled group, there was a higher number of patients who reported hearing or visual problems.
In conclusion, it was found that internet literacy, patient reported social support and presence of hearing/visual problems may have influenced the uptake and successful completion of BOC’s remote PR programme. Overall, this programme appears to be suitable for a wide variety of patients and could be used as part of routine care for those who cannot access gold standard PR care.

Conflicts of interest: Siobhan Hollier - Member of PCRS Education Committee and Respiratory Leaders Programme Board
Michael Kensington - None

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