Seasonal variation and living alone are related to pulmonary rehabilitation non-completion
File version
Author(s)
McKeough, Zoe
Morris, Norman
Yerkovich, Stephanie T.
Wood, Michelle E.
Paratz, Jennifer D.
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
Size
File type(s)
Location
License
Abstract
AIM: To identify baseline characteristics that independently predict pulmonary rehabilitation non-completion and compare these findings against the participant's reasons for non-completion. METHODS: Participants with chronic obstructive pulmonary disease (COPD) who attended a standardised twice weekly, eight week pulmonary rehabilitation program (located in the sub-tropics, latitude 27ಹ' South) between 2010 and 2012 were recruited. The baseline characteristics of program completers and non-completers were compared in a case-controlled design. Participants who attended < 12/16 sessions were classified as a non-completer. Non-completers (those who missed > 4 sessions of the program) were asked by one independent investigator to participate in a survey about their pulmonary rehabilitation experience. Baseline characteristics were assessed for differences between program completers and non-completers. The baseline characteristics included disease severity, exercise capacity, smoking history, participant's social support and the season when each participant commenced rehabilitation. Non-completers that agreed to participate in the survey were asked to indicate what personal factors or external factors contributed to their program non-completion. Comparisons of completers and non-completers baseline characteristics were performed using cross-tabulations and t-tests, with significant measures analysed in a multivariate binary logistic regression model. Non-completers survey responses were compared to the identified independent predictors using cross-tabulations. RESULTS: Twenty-six participants (23.4%) of the 111 participants with COPD [(mean ᠓D) age was 67.4 ᠹ.2 years and FEV1 54.6% ᠲ2.3%)], were classified as non-completers. Forty-five participants (40.5%) commenced pulmonary rehabilitation during winter. Thirty-six participants (32.4%) were living alone at program commencement. In the multivariate analysis (n = 111), only programs that commenced in winter (Exp B: 0.255, 95%CI: 0.090-0.727, P = 0.011) and participants that lived alone (Exp B: 2.925, 95%CI: 1.039-8.229, P = 0.042) were identified as independent predictors of program non-completion. Twenty participants of the twenty-six non-completers agreed to participate in the survey about their pulmonary rehabilitation experience. The reasons given for non-completion were grouped into: medical reasons (75%), other personal reasons (30%) and external barriers (45%), with ten non-completers reporting more than one reason. No participant reported living alone or that the program commenced during winter as a reason for non-completion. There was no relationship between illness being the participant's reason for non-completion and the programs that commenced in winter (P = 0.135). CONCLUSION: Despite winter commencing programs and participants who lived alone being independent predictors of program non-completion, neither measure was reported by participants as a reason for non-completion.
Journal Title
World Journal of Respirology
Conference Title
Book Title
Edition
Volume
28
Issue
2
Thesis Type
Degree Program
School
Publisher link
DOI
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement
Self-archiving of the author-manuscript version is not yet supported by this journal. Please refer to the journal link for access to the definitive, published version or contact the authors for more information.
Item Access Status
Note
Access the data
Related item(s)
Subject
Physiotherapy