Pre-PR Objective

• Pre-PR objective assessment:

  • Physiological observations: Sp02 (normal range = 95%, disease range = 88% - 92%), HR, BP
  • Height, weight, BMI
  • Core outcomes:
  • Breathlessness
  • Health status (health-related quality of life)
  • Exercise capacity
  • Other outcomes:
  • Muscle strength
  • Education / knowledge
  • Psychological symptoms
• Pre-PR objective assessment - Core outcomes:

  • Breathlessness and health status are measured using questionnaires
  • Breathlessness:
  • Medical Research Council Dyspnoea Scale (measure of respiratory disability)
  • Chronic Respiratory Questionnaire – Dyspnoea domain
  • Dyspnoea-12
  • Multi-dimensional Dyspnoea Profile
  • Health status:
  • COPD Assessment Test (CAT)
  • Chronic Respiratory Questionnaire
• Minimal important difference (how much should improve by the end of PR):

  • Incremental shuttle walk = + 35 metres
  • Endurance shuttle walk = + 186 to 199 seconds
  • 6 Minute walk tests = + 30 metres
• Pre-PR objective assessment: Other outcomes

  • Education:
  • Lung Information Needs Questionnaire
  • Bristol Knowledge COPD Questionnaire
  • No questionnaire for diseases other than COPD
  • Psychological symptoms
  • GAD-7 (anxiety)
  • PHQ-9 (depression)
  • Hospital Anxiety and Depression Scale