{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:49:40Z","timestamp":1793382580835,"version":"4.5.0"},"reference-count":45,"publisher":"European Respiratory Society (ERS)","issue":"4","license":[{"start":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T00:00:00Z","timestamp":1663804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"NorOx"},{"name":"Sant\u00e9lys","id":[{"id":"https:\/\/ror.org\/003f36762","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Sant\u00e9o"},{"name":"France Oxyg\u00e8ne"},{"name":"Homeperf"},{"name":"LVL"},{"name":"M\u00e9dopale"},{"DOI":"10.13039\/501100014160","name":"Agence R\u00e9gionale de Sant\u00e9 Hauts-de-France","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014160","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Bastide"},{"name":"Elivie"},{"DOI":"10.13039\/100020270","name":"SOS Oxyg\u00e8ne","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100020270","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Adair"},{"name":"Sysmed"},{"name":"VentilHome"},{"name":"Aeris Sant\u00e9"},{"name":"VitalAire"}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2022,9,11]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the effects of a home-based pulmonary rehabilitation (PR) programme on anxiety and depressive symptoms, general fatigue and burden in informal caregivers of patients with COPD. We also evaluated the baseline characteristics of both patients and caregivers that contributed to the change in caregiver's outcomes after PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective study, patients with COPD were referred to an 8-week home-based PR programme consisting of a weekly supervised 90-min session. Informal caregivers were invited to participate in PR according to the patient's preference and its availability. Caregivers received educational support, behavioural therapies and self-management strategies using the same methods as for patients. Burden, anxiety and depressive symptoms, and general fatigue of caregivers were assessed at baseline and at the end of PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>241 patients with COPD and 138 (57.3%) caregivers were included. The majority of the caregivers were women (70.5%) and spouses (90.3%) and had at least three comorbidities (57.3%). A large proportion of caregivers showed baseline high burden, anxiety symptoms and abnormal fatigue (40%, 40% and 45%, respectively). Burden, anxiety and depressive symptoms, and general fatigue of informal caregivers were all improved after PR (p&lt;0.05). Long-term oxygen therapy and\/or noninvasive ventilation, coronaropathy and\/or peripheral arterial disease and a higher baseline modified Medical Research Council Dyspnoea scale score in patients with COPD were associated with a decrease in caregiver's burden after PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A large proportion of caregivers of patients with COPD showed anxiety symptoms, fatigue and a high burden. These outcomes were improved by integrating the caregiver into a home-based PR programme.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1183\/23120541.00255-2022","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T10:39:18Z","timestamp":1663843158000},"page":"00255-2022","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":21,"title":["Improving the wellbeing of caregivers of patients with COPD using a home-based pulmonary rehabilitation programme"],"prefix":"10.1183","volume":"8","author":[{"given":"Jean-Marie","family":"Grosbois","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gephine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maeva","family":"Kyheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Le Rouzic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile","family":"Chenivesse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"2024101711422378000_8.4.00255-2022.1","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1164\/rccm.201402-0373ST","volume":"189","author":"Maltais","year":"2014","journal-title":"Am J Respir Crit Care Med"},{"key":"2024101711422378000_8.4.00255-2022.2","doi-asserted-by":"publisher","DOI":"10.1183\/09059180.00007813"},{"key":"2024101711422378000_8.4.00255-2022.3","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200206-583OC"},{"key":"2024101711422378000_8.4.00255-2022.4","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.2147\/COPD.S252033","article-title":"Quality of life and limitations in daily life of stable COPD outpatients in a real-world setting in Austria \u2013 results from the CLARA Project","volume":"15","author":"Horner","year":"2020","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"2024101711422378000_8.4.00255-2022.5","first-page":"141","article-title":"A day at a time: caregiving on the edge in advanced COPD","volume":"5","author":"Simpson","year":"2010","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"2024101711422378000_8.4.00255-2022.6","doi-asserted-by":"crossref","first-page":"662","DOI":"10.3109\/15412555.2016.1151488","article-title":"Burden and unmet needs of caregivers of chronic obstructive pulmonary disease patients: a systematic review of the volume and focus of research output","volume":"13","author":"Mansfield","year":"2016","journal-title":"COPD"},{"key":"2024101711422378000_8.4.00255-2022.7","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-012-9355-8"},{"key":"2024101711422378000_8.4.00255-2022.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03222.x"},{"key":"2024101711422378000_8.4.00255-2022.9","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/j.chest.2016.12.021","article-title":"Activity levels and exercise motivation in COPD patients and their resident loved ones","volume":"151","author":"Mesquita","year":"2017","journal-title":"Chest"},{"key":"2024101711422378000_8.4.00255-2022.10","doi-asserted-by":"crossref","first-page":"347","DOI":"10.2147\/COPD.S76091","article-title":"Caregivers\u2019 burden in patients with COPD","volume":"10","author":"Miravitlles","year":"2015","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"2024101711422378000_8.4.00255-2022.11","first-page":"1","article-title":"Experiences of living and dying with COPD: a systematic review and synthesis of the qualitative empirical literature","volume":"12","author":"Giacomini","year":"2012","journal-title":"Ont Health Technol Assess Ser"},{"key":"2024101711422378000_8.4.00255-2022.12","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.00010114"},{"key":"2024101711422378000_8.4.00255-2022.13","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1177\/1479972317719086","article-title":"Assessing carer needs in chronic obstructive pulmonary disease","volume":"15","author":"Farquhar","year":"2018","journal-title":"Chron Respir Dis"},{"key":"2024101711422378000_8.4.00255-2022.14","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181feb824"},{"key":"2024101711422378000_8.4.00255-2022.15","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2013.837146"},{"key":"2024101711422378000_8.4.00255-2022.16","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201309-1634ST"},{"key":"2024101711422378000_8.4.00255-2022.17","doi-asserted-by":"crossref","first-page":"e12","DOI":"10.1513\/AnnalsATS.202102-146ST","article-title":"Defining modern pulmonary rehabilitation. 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