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A systematic review of the content and delivery of education in pulmonary rehabilitation programmes

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Title: A systematic review of the content and delivery of education in pulmonary rehabilitation programmes
Authors: Roberts, NJ
Kidd, L
Kirkwood, K
Cross, J
Partridge, MR
Item Type: Journal Article
Abstract: Introduction Pulmonary rehabilitation (PR) is a core component of Chronic Obstructive Pulmonary Disease (COPD) management with well recognized benefits. While suggestions for educational content within pulmonary rehabilitation have been detailed in clinical guidance, it is unclear what educational content is delivered as part of pulmonary rehabilitation, who delivers it, and how it is delivered. Methods A systematic review was conducted to identify what educational content is delivered as part of pulmonary rehabilitation, how is this delivered and who delivers it. Databases were searched from 1981 to 2017 using multiple search terms related to “pulmonary rehabilitation” and “education”. Results Fourteen studies were identified. This included 6 survey studies, 5 quasi-experimental studies and 3 RCTs. Five key topics that were consistently included within PR programmes were identified as: 1) Anxiety/depression and stress management. 2) Early recognition of signs of infection. 3) Dyspnea and symptom management. 4) Nutrition. 5) Techniques using inhalers and nebulizers. Broader topics such as welfare/benefits, sexuality, and advance care directives did not frequently feature. Only four studies used tools to measure knowledge or learning pre and post rehabilitation in an attempt to evaluate the effectiveness of the education delivered as part of PR. Conclusions The delivery of education in PR programmes is variable and does not follow suggested educational topics. Education needs to take a patient centered motivational approach to ensure effective delivery. Further research into appropriate educational outcome measures are needed, in order to evaluate the changes in behaviour associated with education.
Issue Date: 1-Dec-2018
Date of Acceptance: 2-Nov-2018
URI: http://hdl.handle.net/10044/1/66777
DOI: https://dx.doi.org/10.1016/j.rmed.2018.11.002
ISSN: 0954-6111
Publisher: Elsevier
Start Page: 161
End Page: 181
Journal / Book Title: Respiratory Medicine
Volume: 145
Copyright Statement: © 2018 Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Keywords: Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Respiratory System
Cardiovascular System & Cardiology
Pulmonary rehabilitation
Education
Patient-centred care
Respiratory disease
Delivery of care
RESPIRATORY SOCIETY STATEMENT
DISEASE
COPD
MANAGEMENT
IMPACT
EXACERBATION
INFORMATION
EFFICACY
SUPPORT
NEEDS
1102 Cardiovascular Medicine And Haematology
1103 Clinical Sciences
Publication Status: Published
Embargo Date: 2019-11-05
Online Publication Date: 2018-11-05
Appears in Collections:National Heart and Lung Institute
Airway Disease
Faculty of Medicine



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