Factors influencing participation in educational workshops as part of a pulmonary rehabilitation program in patients with chronic obstructive pulmonary disease: a retrospective study

ABSTRACT

Background

Pulmonary rehabilitation (PR) (primarily composed of an exercise training program (ET) and educational workshops) is an effective intervention for patients with chronic obstructive pulmonary disease. Although factors which influence participation in the full PR program have been reported, specific data on the educational component of PR have not been published. We aimed to identify factors which predict refusal to participate in the educational component of PR.

Research design and methods

201 patient charts were retrospectively included in the analysis. Patients were classified according to their acceptance or refusal to participate in the educational workshops.

Results

The location of ET outside the center was independently related to refusal to participate in the educational workshops (OR = 0.01 [95%CI 0.00 to 0.17]). Patients who refused the workshops were less disabled according to the number of prescriptions of noninvasive ventilation, use of medical transport, oxygen consumption and workload achieved during cardiopulmonary exercise testing.

Conclusions

The location of exercise sessions during PR influences patients’ decisions to refuse or accept center-based educational workshops. When center-based PR programs are limited, and the ET is relocated to the patient’s home, the educational workshops should also be relocated.

Trial registration

The trial is registered at ClinicalTrials.gov (NCT04301245).

KEYWORDS:

• Chronic obstructive pulmonary disease
• education
• exercise
• physiotherapy
• pulmonary rehabilitation

Author’s contributions

Conceptualization: T. Bonnevie, P. Smondack, F.E. Gravier. Data curation: P. Smondack, T. Bonnevie Formal analysis: P. Smondack, T. Bonnevie Investigation: P. Smondack Methodology: P. Smondack, T. Bonnevie, F.E. Gravier. Project administration: P. Smondack Resources: J.F. Muir, A. Cuvelier, D. Debeaumont. Software: T. Bonnevie, P. Smondack Supervision: T. Bonnevie, J.F. Muir, A. Cuvelier, D. Debeaumont. Validation: P. Smondack, T. Bonnevie, F.E. Gravier., J.F. Muir, A. Cuvelier, D. Debeaumont. Visualisation: P. Smondack, T. Bonnevie, F.E. Gravier., C. Medrinal, G. Prieur, Y. Combret. Writing-original draft: P. Smondack, T. Bonnevie Writing-review and editing: P. Smondack, T. Bonnevie, F.E. Gravier., C. Medrinal, G. Prieur, Y. Combret., J.F. Muir, A. Cuvelier, D. Debeaumont.

Ethical approval and consent to participate

The protocol was ethically approved by the Comité d’Ethique pour la Recherche sur Données Existantes from Rouen University Hospital (E2020-07), prospectively registered (NCT04301245) and was performed in compliance with the Declaration of Helsinki. According to the French law, formal consent to retrospectively review medical records was not required.

Acknowledgments

This work was support by ADIR Association, Bois-Guillaume, France. The educational program was funded by the Agence Régionale de Santé de Haute-Normandie, France. We thank Johanna Robertson for language assistance and constructive criticism.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-to-profit sectors.