An increasing number of people globally are living with chronic obstructive pulmonary disease (COPD), particularly within older age groups. A significant proportion (1 in 5) are also living with frailty. This combination of COPD and frailty is associated with poorer outcomes including increased mortality, reduced health and physical activity, and lower completion of exercise-based interventions, including pulmonary rehabilitation. As engagement in exercise can result in improved outcomes for this group, the adaption of pulmonary rehabilitation services to better support people with COPD and frailty is required.
This BreathePlus project is developing an adapted service with the potential to better support people living with COPD and frailty through their pulmonary rehabilitation and improve their health outcomes. It will also contribute to the design of feasible and acceptable methods for a future effectiveness trial.
This work is supported by several public members, including Margaret Ogden and five members of the Harefield Breathing Group. We have also worked together with the Cicely Saunders Institute Public Involvement Group, and the BRC PPI Respiratory research group.
This project is adopted by the Applied Research Collaborative South London.