Patient-reported experience measures (PREMs) from WSLHD Pulmonary Rehabilitation Program (PRP) during the COVID-19 pandemic

Ms Elise Harding1, Ms Christine Sausa1, Ms Christiane  Boehm1, Dr Jin-Gun Cho1,2,3, Ms Winnie Leung1, Ms Abby Liu1, Ms Mary Roberts1

1Department of Respiratory and Sleep Medicine, Westmead Hospital, Australia, 2Westmead Clinical School, Faculty of Medicine and Health, , University of Sydney, Australia, 3Ludwig Engel Centre for Respiratory Research, Westmead Institute for Medical Research, Westmead, Australia

Introduction: Pulmonary rehabilitation (PR) is integral in the management of individuals with chronic lung disease. During the COVID-19 pandemic, face-to-face PR was ceased. Respiratory Ambulatory Care (RAC) commenced alternative services for patients including tele-rehabilitation (rehabilitation instructions given over the phone), tele-education (self-management education provided over the phone with supplemental mail handouts) and text-messaging support. However, patient experiences of these services are not known.

Aim: To evaluate patient reported experience measures (PREMs) of the tele-health services offered during the COVID-19 ‘lockdown period’ from 16/03/2020 – 03/07/2020.

Methods: Retrospective study of anonymously completed surveys which examined patients’ experiences of the alternative services, including; frequency and nature of communication; exercise self-efficacy, chronic disease management self-efficacy and informational and emotional support.

Results: 136 surveys were sent out with a response rate of 54% (n= 74). Of the surveys returned, 16% received all three tele-health services, 33% received tele-rehabilitation and tele-education services, 6% received tele-education and text services, 31% received text-messaging support and 12% received tele-education only. For the tele-rehabilitation service, 90% of respondents reported the service increased their motivation to exercise, 92% of respondents reported the service increased their confidence to exercise and all respondents found the phone calls helpful. Regarding the tele-education service, all respondents felt the calls were helpful, relevant and delivered at the correct educational level and length. For the text-message support service, 93% of respondents found them supportive and helpful.

Conclusion: PREMs from patients receiving tele-health services demonstrated an overall positive experience and may be used to improve service delivery.


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