Published: 9 March 2016
Authors: Levack, W.
Pulmonary rehabilitation for people with chronic obstructive pulmonary disease (COPD): a grounded theory investigation.
Chronic obstructive pulmonary disease (COPD) is a common chronic condition in NZ, and the most significant non-cancer respiratory illness for Māori. Pulmonary rehabilitation (PR) is a multidisciplinary programme comprised of 6-16 weeks of exercise and education provided in hospital or community settings. PR has been shown to improve physical function, improve quality of life, and reduce hospital readmission rates in people with COPD. However, less than 1% of the approximately 275,000 people with COPD in NZ attend PR each year. Furthermore, 30% of people who are offered a place on a PR programme decline to take it up. Thus the majority of people with COPD miss out on the health benefits of this proven intervention. It is not well understood why more people with COPD do not participate in PR programmes and what the problems are that limit access to these services. This qualitative study aims to understand the parameters that influence individuals’ decisions and opportunities around participation in PR programmes for people with COPD, with an emphasis on issues for Māori. This study will inform the providers of these services and assist with the development of strategies to increase participation.