Long-term telerehabilitation of COPD patients in their homes: interim results from a pilot study in Northern Norway

• Published in: Journal of Telemedicine and Telecare
• Main Authors: Zanaboni, Paolo, Lien, Linda Aarøen, Hjalmarsen, Audhild, Wootton, Richard
• Format: Article in Journal/Newspaper
• Language: English
• Published: SAGE Publications 2013
• Subjects: Norway; Northern Norway
• Online Access: http://dx.doi.org/10.1177/1357633x13506514; http://journals.sagepub.com/doi/pdf/10.1177/1357633X13506514; http://journals.sagepub.com/doi/full-xml/10.1177/1357633X13506514

We investigated the feasibility of a long-term telerehabilitation service for COPD patients comprising exercise training at home, telemonitoring and education/self-management. The service was offered as a 2-year follow-up programme by a physiotherapist. Equipment included a treadmill, a pulse oximeter and a tablet computer. Participants had weekly videoconference sessions with the physiotherapist. A website was used to access a training programme and to fill in a daily diary and a training diary. Ten patients with moderate or severe COPD participated in a pilot study in Northern Norway. After more than one year, all participants were still participating actively and no drop-outs had occurred. On average, there were 2.0 training sessions/week, 3.3 measurements/week registered via the website and 0.5 videoconference contacts/week. There was a reduction of 27% in the COPD-related hospital costs. Feedback from the participants was very positive. Long-term telerehabilitation of COPD patients at home is feasible and interim results suggest that it reduces healthcare utilization.