{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:03:27Z","timestamp":1760234607769,"version":"build-2065373602"},"reference-count":56,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T00:00:00Z","timestamp":1622937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Home-based models represent one of the solutions to respond to the poor accessibility of pulmonary rehabilitation (PR) services in patients with chronic respiratory disease (CRD). The main goal of this protocol is to present the implementation of the first nationwide home-based PR program\u2014reabilitAR\u2014in Portugal and the strategies to assess its benefits in patients with CRD. The program consists of 2 phases: a 12-week intensive phase and a 40-week maintenance phase (total: 52 weeks, 1 year). The intervention in both phases is composed of presential home visits and phone-call follow ups, including exercise training and the self-management educational program Living Well with COPD. Dyspnea, impact of the disease, emotional status, and level of dyspnea during activities of daily living are used as patient-reported outcomes measures. A one-minute sit-to-stand test is used as a functional outcome, and the number of steps as a measure of physical activity. To ensure safety, fall risk and the cognitive function are assessed. Data are collected at baseline, at 12 weeks, at 26 weeks and at 52 weeks. This is the first nationwide protocol on enhancing access to PR, providing appropriate responses to CRD patients\u2019 needs through a structured and personalized home-based program in Portugal.<\/jats:p>","DOI":"10.3390\/ijerph18116132","type":"journal-article","created":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T23:59:55Z","timestamp":1623023995000},"page":"6132","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Enhance Access to Pulmonary Rehabilitation with a Structured and Personalized Home-Based Program\u2014reabilitAR: Protocol for Real-World Setting"],"prefix":"10.3390","volume":"18","author":[{"given":"Sarah","family":"Bernard","sequence":"first","affiliation":[{"name":"Centre de Recherche, Institut Universitaire de Cardiologie et de Pneumologie de Qu\u00e9bec, Universit\u00e9 Laval, Qu\u00e9bec, QC G1V 4G5, Canada"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4422-8440","authenticated-orcid":false,"given":"Rui","family":"Vilarinho","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"}]},{"given":"In\u00eas","family":"Pinto","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"}]},{"given":"Rosa","family":"Cantante","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"}]},{"given":"Ricardo","family":"Coxo","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"}]},{"given":"Rosa","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1207-8724","authenticated-orcid":false,"given":"Sagrario","family":"Mayoralas-Alises","sequence":"additional","affiliation":[{"name":"Healthcare Management Department, Hospital Quir\u00f3n Salud San Jos\u00e9, 28002 Madrid, Spain"}]},{"given":"Salvador","family":"Diaz-Lobato","sequence":"additional","affiliation":[{"name":"Nippon Gases Healthcare, 28020 Madrid, Spain"},{"name":"Service of Pneumology, Hospital Universitario Moncloa, 28008 Madrid, Spain"}]},{"given":"Jo\u00e3o","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"},{"name":"Department of Pulmonology, Centro Hospitalar Universit\u00e1rio Lisboa Norte, Lisbon Academic Medical Center, 1649-028 Lisbon, Portugal"}]},{"given":"C\u00e1tia","family":"Esteves","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3735-8554","authenticated-orcid":false,"given":"C\u00e1tia","family":"Caneiras","sequence":"additional","affiliation":[{"name":"Healthcare Department, Nippon Gases Portugal, 4470-177 Maia, Portugal"},{"name":"Microbiology Research Laboratory on Environmental Health (EnviHealthMicroLab), Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal"},{"name":"Institute for Preventive Medicine and Public Health, Faculty of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,6]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2020, September 21). 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