| Description: |
Sheryl Flynn,1 Christopher L Mosher,2,3 Sharon Cornelison,4 Erica Rao,2 Kimberly A Metzler,4 William Pu,1 John Davies,2 Connie Paladenech,4 Daniel Doyle,3 Neil MacIntyre,2 Jill Ohar5 1Blue Marble Health, Altadena, California, USA; 2Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, North Carolina, USA; 3Duke Clinical Research Institute, Durham, North Carolina, United States; 3Cabin Creek Health Systems, Dawes, West Virginia, USA; 4Department of Cardiac and Pulmonary Rehabilitation, J. Paul Sticht Center on Aging and Rehabilitation, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA; 5Wake Forest University School of Medicine, Winston-Salem, North Carolina, USACorrespondence: Sheryl Flynn, Blue Marble Health, 2400 Lincoln Ave, Altadena, CA, 91001, USA, Tel +1 626 296 6400, Email Sheryl@BlueMarbleHealthCo.ComObjective: Fewer than 3% of adults with Chronic Obstructive Pulmonary Disease (COPD) attend in-person, center-based pulmonary rehabilitation (PR) despite demonstrated health benefits and reduction in mortality. This study evaluated the feasibility and usability of a novel home-based, virtual PR (V-PR) intervention compared to center-based PR (C-PR). The virtual PR intervention was supported by remote therapeutic monitoring (V-PR+RTM; Blue Marble Platform, Blue Marble Health, Altadena, CA). Additionally, we collected data on the 6-Minute Walk Test to explore the efficacy of the V-PR compared to C-PR.Patients and Methods: Adults with stable COPD referred for PR were recruited. The participants self-selected C-PR or V-PR and were provided a 6-8-week personalized exercise and COPD self-management educational program. In addition, weekly phone contacts with the V-PR group were made. Feasibility was measured using qualitative analysis of adherence, reasons for withdrawal, and self-reported barriers to using the software at home. Usability was measured with the System Usability Scale (SUS). Efficacy was evaluated with the 6Â minute ... |