Rapid Access Rehabilitation (RAR) after Exacerbations of COPD: A Qualitative Study
Ana Oliveira is the recipient of the ERS/ELF Travel Grant for Best Abstract in Patient Centred Research 2021.
Rehabilitation after exacerbations of chronic obstructive pulmonary disease is beneficial, but its feasibility is questionable. Feasibility is increased by stakeholder involvement throughout program development. We explored the perspectives of different stakeholders towards a rapid access rehabilitation (RAR) program after exacerbations. Interviews were conducted with 3 patients, 10 healthcare professionals and 3 policymakers. Pre-RAR considerations were clear eligibility criteria and management priorities. It was suggested that RAR should begin immediately after discharge and its frequency/duration depended on the RAR setting. Tailored exercise and education were prioritized. Outcomes included exacerbations, exercise, functionality, knowledge and mental wellbeing. Referral and uptake optimization of the RAR included standardization of the referral process and increasing awareness about RAR programs. Partnership among HP and care settings was deemed essential for the RAR sustainability and the need for a coordinator to manage the communication process was highlighted. COVID adaptations through remote access were mentioned.
Contact: Ana Oliveira (Ana.Oliveira@westpark.org) and Roger Goldstein (Roger.Goldstein@westpark.org)