Canadian Pulmonary Rehabilitation Program

Working towards an improved guideline-based approach for Pulmonary Rehabilitation

A group of Clinician-researchers from the University Health Centers of Alberta, Montreal (McGill), Toronto and Sherbrooke have come together to develop a standardized pulmonary rehabilitation program. The goal of this initiative is to develop a Canadian Standardized Pulmonary Rehabilitation program for patients with chronic pulmonary disease that can be used within different settings of practice, including traditional PR centers, satellite sites (i.e., sites that are remote from the major institutions) with the use of telehealth and web-based resources, and primary care medical centers. 
Over the past several months, the program has been developed based on the group’s collective experience, previous resources, as well as through consultation and feedback from the larger respiratory community. The program includes web based comprehensive resources for the patients and the health care professionals (HCP) with reference guides on approaches for:
1) pre-program evaluation / physician consultation
2) exercise program
3) self-management behavior modification intervention
4) post-program evaluation
5) follow-up & maintenance
Importantly, the program has incorporated and adapted Living Well with COPD (LWWCOPD) for the self-management behavior modification intervention component of the PR program. The PR program will use current LWWCOPD educational handouts based on adult education methods, as well as develop/adapt educational presentations that can be delivered to patient(s) in-person by a HCP, or via podcast.
By using LWWCOPD and supporting the HCP in its content and delivery (standardized learning materials for the patients, reference guides that describe how the intervention is to be done by the HCP, clearly defined plan, process and follow-up), patients will now obtain consistent messaging, style and methods of delivery should they receive COPD self-management behavior intervention alone, or attend PR.
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