LungFIT: Pulmonary Rehab Podcast

In this episode, I discuss a paper that was published in the British Columbia Medical Journal, entitled “Climate impact of inhaler therapy in the Fraser Health region, 2016-2021” that estimates the impact of pressured metered-dose inhaler therapy in a region of Canada. The link to the paper is here. I also mention two papers on this topic, one that was published in the Lancet, the link to that is here, and the European Respiratory Journal, the link to that is here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, our graduate students Debora, Sunaina & Justin share their thoughts, feelings & experiences about their fieldwork in Northern BC. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, research assistant Guilherme Grzelkovski shares his experiences of being a new doctor in Brazil during the height of the pandemic to landing here in Vancouver in Dr. Pat Camp's lab.  Guilherme joined our lab in May and brings a big wealth of knowledge to our team. If you are an IMG or want to know more about this program, feel free to contact Guilherme here. This link may also be helpful for anyone looking for additional information: Practice in BC. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.  

In this episode, I share some of my work related to lung health in partnership with Carrier Sekani Family Services and First Nations communities in north central British Columbia. I talk a bit about why I am doing this work, then described some of the activities we did on our recent trip a couple of weeks ago. I mention some of the principles I bring as the researcher to this work, in terms of responsibility, opportunity, flexibility and accountability, and why I'm drawn to the unpredictable nature of research down outside of the hospital or university setting. If you'd like to know more about Carrier Sekani Family Services, their website is www.csfs.org If you'd like to hear me speak about this work in more detail, feel free to email me at pat.camp@hli.ubc.ca If you'd like to read a couple of papers which describe this work, you can find them here: 1. Scoping Review of Telehealth Use by Indigenous Populations in Australia, Canada, New Zealand, and the United States. https://journals.sagepub.com/doi/full/10.1177/1357633X231158835 2. “Bayis Ilh Tus – A Strong Breath: a community-based research project to estimate the prevalence of chronic obstructive pulmonary disease in remote and rural First Nations communities in Canada: research protocol. https://link.springer.com/article/10.1186/s12939-020-01240-1 I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, I revisit the topic of COVID19 and pulmonary rehab, with a focus on rehab for patients with Long COVID. I mention a number of resources and papers, listed below:   1.  Perumal R, Shunmugam L, Naidoo K et al. Long COVID: a review and proposed visualization of the complexity of long COVID. Front Immunol 2023; 14: 1117464. Accessed July 4, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157068/   2.  Journal of Health Economics and Outcomes Research Blog. Economic Effects of Long COVID Even Larger Than We Thought. Published December 13, 2022. Accessed July 4, 2023 at https://jheor.org/post/1746-economic-effects-of-long-covid-even-larger-than-we-thought   3.  Barker-Davies RM, O'Sullivan O, Pumi Prathima Senaratne K, et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med 2020; 949-59. Accessed July 4, 2023 at https://bjsm.bmj.com/content/bjsports/54/16/949.full.pdf   4.  Cochrane Rehabilitation. REH-COVER – Rapid Living Systematic Reviews. Accessed July 4, 2023 at https://rehabilitation.cochrane.org/covid-19/reh-cover-rapid-living-systematic-reviews   5.  Canadian Physiotherapy Association. Rehabilitation for Clients with Post COVID-19 Condition (Long COVID). Guidance for Canadian Rehabilitation and Exercise Professionals. Accessed July 4, 2023 at https://physiotherapy.ca/app/uploads/2022/08/long_covid_en-final-rev2.pdf   6.  World Health Organization. Clinical Management of COVID19: living guideline. V6.0. Accessed July 4, 2023 at https://app.magicapp.org/#/guideline/j1WBYn/section/j7A12z I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

ARE PULSE OXIMETERS RACIST? WHAT I LEARNED ABOUT HEALTH EQUITY AND STRUCTURAL RACISM AT ATS 2023   On this episode I share some of what I learned about health equity and structural racism while at the American Thoracic Society conference in Washington, DC, with a focus on spirometry reference equations and pulse oximetry.  I mention several papers in this episode, here they are with their links. Baugh AD, Shiboski S, Hansel NN, et al. Reconsidering the utility of race-specific lung function prediction equations. Amer J Respir Crit Care Med 2021; 205(7): 819-829. Henry NR, Hanson AC, Schulte PJ, et al. Disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and associations with clinical outcomes. Crit Care Med 2022; 50(2): 204-211.  Fawzy A, Tianshi DW, Wang K et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. JAMA Intern Med 2022; 182(7): 730-738. Jubran A, Tobin MJ. Reliability of pulse oximetry in titrating supplemental oxygen therapy in ventilator-dependent patients. Chest 1990; 97(6): 1420-1425.  

On this episode, I talk about Communities of Practice and how they can be one way to combat professional isolation, and cultivate your professional development. Communities of Practice have emerged as really powerful mechanisms for facilitating knowledge sharing, collaboration, and learning and we are excited to dig into this today! Link to the article about the 7 principles of communities of practice as coined by Jean Lave and Etienne Wenger here.   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Well we missed celebrating our big 5-0 episode a few weeks back and so we will make up for that in the near future! In this episode I am talking about Collaborative Practice in Pulmonary Rehabilitation & how different individuals and disciplines work together to provide rehab programs. The definition of pulmonary rehab includes language about how it's a multidisciplinary intervention, but the reality of many programs is that so often it is just one or two people who are doing everything, but that doesn't mean collaboration doesn't happen or can't happen.  So let's lean in and explore the concepts of collaborative practice in this episode! I talk about this paper in this episode: PR in Canada- A report from CTS And this paper from CIHC  here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this episode I talk about a new paper we recently published on the safety and efficacy of pulmonary rehabilitation for individuals hospitalized with an acute exacerbation of COPD. The paper can be found here. I also mention the Cochrane Review by Milo Puhan. That paper can be found here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this journal club episode, I talk about this paper in-press in the Journal of Physiotherapy, “In adults with advanced lung disease, the 1-minute sit-to-stand test underestimates exertional desaturation compared with the 6-minute walk test: an observational study” by Kathryn Watson. You can find that paper here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, I talk about academic writing. I talk about some of the barriers that people have about their writing, and offer some solutions. I talk about my workshops and retreats – if you would like to hire me for a in-person or virtual workshop or retreat at your institution, contact me at pat.camp@hli.ubc.ca I talk about some books I've read, they can be found on Amazon. I'm not a formal sponsor of these books by the way. I talk about the book “How to Write a Lot” by Paul Silvia. Amazon has this book here: https://a.co/d/4eE7M8q . I mention “smart notes” – an interesting book on this is by Sönke Ahrens and Amazon has this book here: https://a.co/d/iw6PrLD . If you can't visualize a pomodoro timer, Amazon has one here: https://a.co/d/7xTV57L A few of the prompts I use for writing: My paper/project is about… The stage I am at is… What I am interested in finding out is… The things I need help with are… The main purpose of this paper was… The main finding was… This paper was interesting to me because… I would like to learn more about…because… I disagreed with this approach because… To incorporate this paper in my own work I need to clarify…   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

After a refreshing break, we are back & are changing it up around here!  Looking forward to bringing fresh ideas, discussion & new content to LungFIT!  Thank  you for your continued support & we hope you stay along with us as we shift this podcast into a more global discussion around research, education, clinical care & of course lung health! I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode on Shuttle Walk Tests. I'll be back soon with new content, but until then, thank you again for your support. In this episode, I continue the conversation about field walking tests, with an overview of the Incremental Shuttle Walk Test and the Endurance Shuttle Walk Test. You can listen to the first episode on field walking tests, where we talk about the six minute walk test, here (https://lungfit.med.ubc.ca/the-six-minute-walk-test/). I mention the technical standard for field tests in chronic lung disease, put out by the European Respiratory Society and the American Thoracic Society. A link to that paper is here: https://erj.ersjournals.com/content/44/6/1428 I refer to the Leicester Hospital, UK website, where you can order the walk test and access the links to some of the research papers on the test: https://www.leicestershospitals.nhs.uk/aboutus/departments-services/pulmonary-rehabilitation/for-health-professionals/incremental-shuttle-walk/ I mention the Australia Pulmonary Rehabilitation Toolkit, a link to the page where exercise prescription using the Incremental Walk Test is here:  https://pulmonaryrehab.com.au/importance-of-exercise/exercise-prescription-and-training/endurance-lower-limb/intensity/ I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode on the Six Minute Walk test. I'll be back soon with new content, but until then, thank you again for your support. In this episode, I discuss the six minute walk test as an assessment tool, and outcome measure, and a way to create an exercise prescription. I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015, including the use of the 6 minute walk test. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf). I also talk about an international survey on pulmonary rehabilitation, that citation is here: https://erj.ersjournals.com/content/43/5/1326.short I mention the technical standard for field tests in chronic lung disease, put out by the European Respiratory Society and the American Thoracic Society. A link to that paper is here: https://erj.ersjournals.com/content/44/6/1428 I mention the Australia Pulmonary Rehabilitation Toolkit, a link to the page where exercise prescription using the six minute walk distance is here: https://pulmonaryrehab.com.au/importance-of-exercise/case-studies/case-study-one/ I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode on who's missing from pumonary rehabilitation. I'll be back soon with new content, but until then, thank you again for your support. In this talk, I discuss concepts related to who is missing from pulmonary rehabilitation. I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf) I also mention a systematic review on several pulmonary rehabilitation survey studies, the link to that paper is here. https://www.tandfonline.com/doi/abs/10.3109/15412555.2014.922066 The Cochrane review I spoke of can be found here: https://www.cochrane.org/CD003793/AIRWAYS_pulmonary-rehabilitation-for-chronic-obstructive-pulmonary-disease and the associated editorial is found here: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.ED000107/full The link to Dr. Jenny Alison's and Mr. David Meharg's Breathe Easy podcast episode on the American Thoracic Society Pulmonary Rehabilitation Assembly's website can be found here: https://www.thoracic.org/about/ats-podcasts/pulmonary-rehabilitation-for-hard-to-reach-populations-focus-on-indigenous-people.php I also talk a bit about health inequality in pulmonary rehabilitation in a different American Thoracic Society Breathe Easy podcast, which can be found here: https://www.thoracic.org/about/ats-podcasts/health-inequality-in-pulmonary-rehabilitation.php If you want to read a bit more about intersectionality and health care, I found this paper published in the Lancet to be very helpful in explaining this complicated concept: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31431-4/fulltext I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode about some questions related to pulmonary rehabilitation and COVID-19. I'll be back soon with new content, but until then, thank you again for your support. On this episode, I talk about COVID-19 and pulmonary rehabilitation, including questions that health care professionals should ask themselves when they consider admitting patients who have had COVID-19 and ongoing symptoms. I mentioned some papers that I would recommend reading, that discuss some of these questions in more detail, as well as provide guidance to you as you consider caring for patients who have had COVID-19, in your pulmonary rehabilitation programs. Spruit MA, Holland AE, Singh SJ, Tonia T, Wilson KC, Troosters T. COVID-19: Interim guidance on rehabilitation in the hospital and post-hospital phase from a European Respiratory Society and American Thoracic Society-coordinated International Task Force. Eur Respir J 2020; in press (https://doi.org/10.1183/13993003.02197-2020). This paper can be found here.   American Thoracic Society Assembly on Pulmonary Rehabilitation. “Guidance for Re-opening Pulmonary Rehabilitation Programs.” This paper can be found here.   American Physical Therapy Association Webinars on “Physical Therapy Considerations of COVID-19 in the Post-Acute Setting” aired on April 18, 2020 and “COVID-19: Clinical Best Practices in Physical Therapy Management”, aired on March 28, 2020. 

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode about the history of pulmonary rehabilitation. I'll be back soon with new content, but until then, thank you again for your support. In this episode, I provide a brief overview of the history of pulmonary rehabilitation.   I mention several papers in this episode. Several of them are open-access: Celli BR, Goldstein RS. A historical perspective of pulmonary rehabilitation. In: Clini E, Holland AE, Pitta F, Troosters T, eds. Textbook of Pulmonary Rehabilitation. Springer, 2018. Denison C. Exercise and Food for Pulmonary Invalids. Available from Amazon: https://www.amazon.com/Exercise-Pulmonary-Invalids-Classic-Reprint/dp/B008C4AT8E. Petty TL, Nett LM, Finigan MM, Brink GA, Corsello PR. A comprehensive care program for chronic airway obstruction. Annals of Internal Medicine 1969; 70(6):1109-1120. https://pubmed.ncbi.nlm.nih.gov/5789505/ Barach AL. A Treatment Manual for Patients with Pulmonary Emphysema. New York, NY: Grune & Stratton, Inc.; 1969. Hodgkin JE, Balchum OJ, Kass I, Glaser EM, Miller WF, Haas A, Shaw DB, Kimbel P, Petty TL. Chronic obstructive airway diseases. Current concepts in diagnosis and comprehensive care. JAMA 1975; 232:1243–60. https://jamanetwork.com/journals/jama/article-abstract/336862 Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed) 1982; 284:1607–8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1498516/ Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987; 42:773–8. https://thorax.bmj.com/content/thoraxjnl/42/10/773.full.pdf Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire. Am Rev Respir Dis 1992 ;145:1321–7. https://pubmed.ncbi.nlm.nih.gov/1595997/ Singh SJ, Morgan MD, Scott S, Walters D, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax 1992; 47:1019–24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1021093/ Goldstein RS, Gort EH, Stubbing D, Avendano MA, Guyatt GH. Randomised controlled trial of respiratory rehabilitation. Lancet 1994; 344:1394–7. https://pubmed.ncbi.nlm.nih.gov/7968075/ Wijkstra PJ, Van Altena R, Kraan J, Otten V, Postma DS, Koeter GH. Quality of life in patients with chronic obstructive pulmonary disease improves after rehabilitation at home. Eur Respir J 1994; 7:269–73. https://pubmed.ncbi.nlm.nih.gov/8162979/. Ries AL, Kaplan RM, Limberg TM, Prewitt LM. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med 1995; 122:823–32. https://pubmed.ncbi.nlm.nih.gov/7741366/. Maltais F, LeBlanc P, Simard C, Jobin J, Berube C, Bruneau J, Carrier L, Belleau R. Skeletal muscle adaptation to endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1996; 154:442–7. https://pubmed.ncbi.nlm.nih.gov/8756820/ Lacasse Y, Goldstein R, Lasserson TJ, Martin S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2006; Oct 18;(4):CD003793. https://pubmed.ncbi.nlm.nih.gov/17054186/ McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2015; 2:CD003793. https://pubmed.ncbi.nlm.nih.gov/25705944/   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode about building your own referral base. I'll be back soon with new content, but until then, thank you again for your support. On this episode, I talk about different strategies to increase the referrals to your pulmonary rehabilitation program, including how to increase your exposure in the clinical community, and how to identify different patient populations who could benefit. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this episode, I talk about discharge letters. I mention a paper that summarizes the minimal clinically important difference for many outcomes. That paper can be found here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this episode, I talk about including disaster preparedness as a topic in your pulmonary rehabilitation education curriculum. I mention a research study that I was involved in, led by Maddy Laberge. Her publication and the questionnaire can be found in this paper. I also mention some online resources. They can be found here: The American Lung Association. Canadian Lung Association.

This episode presents a recorded conversation between students in my research lab at the University of British Columbia, discussing the article, “A home‑based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation”, published in 2021 in the BMC Medical Informatics and Decision Making journal with Ning Deng as the first author. The link to the article is here. The students' previously did a journal club discussion similar to this episode on a different article. The link to that episode is here. A previous episode of the podcast talked about setting up your own journal club. The link to that episode is here. Students who took part in this conversation include: Débora Petry-Moecke, PhD student in Rehabilitation Sciences, Ivan Kamurasi, a recent graduate in MSc in Experimental Medicine, Justin Turner, PhD student in Rehabilitation Sciences, Maryke Peter, MSc student in Experimental Medicine, Dr. Stacy Maddocks, Postdoctoral Researcher, and Sunaina Chopra, MSc student in Rehabilitation Sciences. The full list of my students and other lab members can be found here. The papers that Débora mentioned in the episode can be found here and here. The paper that Justin mentioned in the episode can be found here. The papers that Stacy mentioned in the episode can be found here and here.

On this episode, I give suggestions on how busy pulmonary rehab professionals can read more research, including ideas on what to read, where to find articles, and what you might do with information once you've read the paper. Some suggestions for journals are below. I've indicated which are considered 100% open access and which are not. Some of the one's I've listed as ‘not' often have some open access content though.   Not open access European Respiratory Journal Lancet Respiratory Medicine American Journal of Respiratory and Critical Care Medicine Annals of the American Thoracic Society (some content is open-access) Chest (some content is open-access, labelled ‘free') Thorax Respiratory Medicine   Open access European Respiratory Journal – Open Research International Journal of COPD Chronic Respiratory Disease BMC Pulmonary Medicine COPD BMJ Open Respiratory Research   I also mention ResearchRabbit, the link for that resource is here. I mention a previous episode where I talk about how to start a journal club – that episode is found here.

On this episode, I interview Dr. Marcy Antonio from the University of Michigan in Ann Arbor, Michigan about her doctoral work exploring how people with COPD use digital technology. I refer to Dr. Antonio's websites, which can be found at digitalhealthequity.ca and copdtech.uvic.ca.

In this episode, I talk about quality improvement projects and how health care professionals can do small projects to evaluate their programs. I comment on the previous episode where I talk about research teams, that episode can be found here. I also talk about previous episodes on quality indicators, those episodes are: Quality Indicators Part 1, Part 2, and Part 3.

In this episode, I talk about a paper that we recently published from our laboratory, entitled “Photovoice exploration of physical activity norms and values among rural and remote pulmonary rehabilitation participants in British Columbia, Canada” published here in the journal “Disability and Rehabilitation. The first author of the paper is Justin Turner, and I (Pat Camp) am the senior author. I also talk about the research process that we went through, as a way to describe how any research project is really due to the efforts of many people.

On this episode, I talk about pulmonary tele-rehabilitation. I mention some papers published in this area from my lab. The first one is by Jess Inskip, which is here, one by Christen Chan, which is here, and one with me as first author, here. I talk briefly about the history of pulmonary rehabilitation, and mention a previous episode on this topic, which can be found here. I mention that there are research papers which report how few people with chronic lung disease have access to rehab. One of those papers I was involved with, addressed the Canadian situation and can be found here. Martijn Spruit published another, which was an international analysis, and can be found here. I comment on some early rehab studies which looked at the effect of home-based pulmonary rehabilitation programs on exercise and symptom outcomes. The paper by Maltais and colleagues can be found here, and the paper by Anne Holland and colleagues is here. I mention the Cochrane review by Narelle Cox which can be found here. I also mention some papers in that review. The paper by Barberan-Garcia is here, the paper by Chaplin & Barnes is here, and the paper by Bernocchi is here. The American Thoracic Society Workshop paper on “Defining Pulmonary Rehabilitation” can be found here. More about the monitoring company Agartee can be found here.

On today's episode, I continue with more suggestions on how to enhance the patient education sessions in pulmonary rehabilitation. If you haven't listened to Part One of this topic, please have a listen here. I refer to the following book: Dynamic Lecturing, written by Christine Harrington and Todd Zakrajsek, which is published by Stylus Publishing in 2017.

On today's episode, I talk about ways to enhance the patient education sessions in pulmonary rehabilitation. I give an overview about why these sessions are important, then cover some strategies to improve how patient education is delivered. I refer to the following book: Dynamic Lecturing, written by Christine Harrington and Todd Zakrajsek, which is published by Stylus Publishing in 2017.

On this episode, I talk about our new pulmonary rehabilitation course. It's called: “Creating an Evidence-Based Pulmonary Rehabilitation Program” and it's an online, self-paced course designed to provide you what you need to plan your pulmonary rehabilitation program. If you'd like to register for the course, here is the link.  The course will start March 7 and run until April 7, although the course site will stay open for a couple of months after that in case it takes you a bit longer to get through the material. I hope you'll consider registering for this course! So far we have registrants from North America and the Middle East! I'm really excited to meet everyone and create more community related to pulmonary rehabilitation.

In this episode, I discuss a paper published in 2021 in the European Respiratory Journal Open Research, entitled “Impact of fan therapy during exercise on breathless and recovery time in patients with COPD: a pilot randomized controlled crossover trial”. The first author of the paper is Alex Long from the King's College Hospital in London, England. This is an open-access paper which can be found here.

On this episode, I talk about 5 great apps for use in pulmonary rehab. These apps are available from the Apple App Store and the Google Play Store. This isn't a sponsored episode; these are just my opinions and impressions about the usefulness of these apps in pulmonary rehab. The apps, in order, are: Read by QxMD Twitter iWalkAssess Calculate by QxMD Zoom   QxMD has a website; it can be found here. The Twitter accounts I mention are @PR_Assembly, and my account which is @UBCPulmRehabRes. I also talk about AECOPD-Mob. The tool can be found here and the app can be found on Calculate by QxMD. iWalkAssess also has a webpage which has more detail about the app. It can be found here.

On this episode, I talk about research and knowledge translation, and how it has changed since the COVID-19 pandemic was declared. I mention the Portney & Watkins textbook entitled Foundations of Clinical Research: Applications to Evidence-Based Practice. This is a great textbook for clinicians who want to learn more about research. The publisher of the textbook is F.A. Davis and the 4th Edition was just published in 2020. I also mention Trish Greenhalgh. Follow her on Twitter @trishgreenhalgh. You can read her paper paper entitled: "COVID-19 be evidence-based medicine's nemesis?" which can be downloaded at https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003266.  

On this episode, I interview Dr. Clarice Tang from the University of Western Australia in Sydney, Australia about culturally- and linguistically-diverse populations and pulmonary rehabilitation. Dr. Tang's website is here – you can find links to her publications there. She mentions the BOLD study by Sonia Buist. That paper can be found here. We also had two previous episodes that touched on aspects of diversity in pulmonary rehabilitation. The are: “Who's Missing From Pulmonary Rehabilitation” and “A Review of 4 Important PR Papers from 2020-2021”.

On this episode, rehabilitation assistant Ashley Winter discusses the valuable role of support staff, such as rehab assistants, in pulmonary rehabilitation. The resources mentioned in this episode are: 1) The Canadian Physiotherapy Alliance Description of physiotherapy assistants found here. 2) The British Columbia College of Occupational Therapists Managing support staff practice guidelines found here. I welcome your feedback about the show or idasfor future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.  

On this episode, I interview Dr. Gail Dechman, who is a faculty member & researcher at Dalhousie University in Halifax, Canada.  Dr. Dechman talks about the Indirect 1 Repetition Maximum test, a feasible and valid test for assessing muscle strength in pulmonary rehabilitation. The resources mentioned on this episode are: 1. The study which surveyed Canadian pulmonary rehabilitation programs can be found here. 2. Dr. Dechman mentions a project which addressed validity and reliability of a strength assessment technique.  Information on that project can be found here and here.  3. She also mentions a review article which summarizes different testing modalities , that article is found here.  (This article is not open access).  4. The paper on quality indicators in pulmonary rehabilitation is here, and we also had LungFIT episodes devoted to that topic, which are here and here.  5. Dr. Dechman mentioned guidelines for COVID management for people with COPD, that paper is here. 6. Dr. Dechman has made a video available for our listeners to view, to learn more about how to conduct the test.  The video on Youtube is available here. 7. She mentioned that she has a great review article with prediction formulas, which you can use to interpret the test. That article is here.  8. The American College of Sports Medicine (ACSM) website is here. 9. Dr. Dechman's faculty website, which provides an overview of her research and teaching, is here.   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this episode, I talk about several papers which I talked about at the ATS Clinical Year in Review. I refer to a previous episode on Who's Missing from Pulmonary Rehabilitation, which aired on March 17, 2021. The link to that episode is here. Here are the papers I discuss: Lindenauer PK, Stefan MS, Pekow PS, Mazor KM, Priya A, Spitzer KA, Lagu TC, Pack QR, Pinto-Plata VM, ZuWallack R. Association between initiation of pulmonary rehabilitation after hospitalization for COPD and 1-year survival among Medicare beneficiaries. JAMA 2020; 323(18):1813-1823. Patel S, Palmer MD, Nolan CM, Barker RE, Walsh JA, Wynne SC, Jones SE, Shannon H, Hopkinson NS, Swee Chin Kon, S, Gao W, Maddocks M, Man WDC. Supervised pulmonary rehabilitation using minimal or specialist equipment in COPD: a propensity-matched analysis. Thorax 2021; 76:264-271. Barker RE, Kon SS, Clarke SF, Wenneberg J, Nolan CM, Patel S, Walsh JA, Polgar O, Maddocks M, Farquhar M, Hopkinson NS, Bell D, Wedzicha JA, Man WD. COPD discharge bundle and pulmonary rehabilitation referral and uptake following hospitalisation for acute exacerbation of COPD. Thorax 2021 Mar 2. doi: 10.1136/thoraxjnl-2020-215464. Ladds E, Rushforth A, Wieringa S, Taylor S, Rayner C, Husain L, Greenhalgh T. Persistent symptoms after Covid-19: qualitative study of 114 “long Covid” patients and draft quality principles for services. BMC Health Services Research 2020; 20: 1144.

On this episode, I describe the implementation of the AECOPD-Mob clinical decision-making tool. The tool can be found here.   This episode follows the previous episode, Part 1. The link to that episode is here.   I mention the AECOPD-Mob app. The app can be found by first downloading the QxMD Calculate App, wherever you usually access your apps, such as the Apple App Store. In the QxMD Calculate App, you'll find numerous different clinical tools. Go to the category “Physiotherapy” and you'll see the app for AECOPD-Mob.   We published a couple of papers on the tool, they can be found here and here.  

On this episode, I describe the development of the AECOPD-Mob clinical decision-making tool. The tool can be found here. I also mention the SAFEMOB tool, which is here, and the PT Knowledge Broker, Alison Hoens. You can learn more about Alison's work as the Knowledge Broker role here. We published a couple of papers on the tool, they can be found here and here.   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

This episode presents a recorded conversation between students in my research lab at the University of British Columbia, discussing the article, “Associations between housing factors and respiratory symptoms in two Saskatchewan First Nations communities”, published this year in the International Journal of Environmental Research and Public Health with Naiela Anwar as the first author. The link to the article is here. A previous episode of the podcast talked about setting up your own journal club. The link to that episode is here. Students who took part in this conversation include: Ivan Kamurasi, MSc. student in Experimental Medicine, Polina Petlitsyna, BSc. student and Summer Research Assistant, Débora Petry-Moecke, PhD student in Rehabilitation Sciences, & Justin Turner, PhD student in Rehabilitation Sciences The full list of my students and other lab members can be found here. A NOTE ON METHODS: The students talk about self-reported data, and the limitations of that approach. It's important to acknowledge that self-reported data may be inaccurate for many reasons. Although it is possible that people deliberately report inaccurate information, it is also very typical to simply forget, or under- or over-estimate symptoms and exposures due to not remembering the exact details, not knowing the requested information, or having the question not worded in a way that is understood by participants. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.    

In our first interview episode, Dr. Kristin Campbell and I chat about the important things pulmonary rehabilitation professionals need to know about cancer rehabilitation. Dr. Campbell recommended several papers, and I have included the links to these papers below. If you are interested in visiting her laboratory website and learning more about her research, please click on this link: https://cepl.rehab.med.ubc.ca I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

A Deep Dive Into Shuttle Walk Tests   In this episode, I continue the conversation about field walking tests, with an overview of the Incremental Shuttle Walk Test and the Endurance Shuttle Walk Test. You can listen to the first episode on field walking tests, where we talk about the six minute walk test, here (https://lungfit.med.ubc.ca/the-six-minute-walk-test/).   I mention the technical standard for field tests in chronic lung disease, put out by the European Respiratory Society and the American Thoracic Society. A link to that paper is here: https://erj.ersjournals.com/content/44/6/1428   I refer to the Leicester Hospital, UK website, where you can order the walk test and access the links to some of the research papers on the test: https://www.leicestershospitals.nhs.uk/aboutus/departments-services/pulmonary-rehabilitation/for-health-professionals/incremental-shuttle-walk/ I mention the Australia Pulmonary Rehabilitation Toolkit, a link to the page where exercise prescription using the Incremental Walk Test is here:  https://pulmonaryrehab.com.au/importance-of-exercise/exercise-prescription-and-training/endurance-lower-limb/intensity/    

In this episode, I provide a few comments about the interesting research I'm seeing at the American Thoracic Society Scientific Conference. Registration for the conference can be found here.   I mention that I'm also leading Twitter chats related to the posters which are being presented. Follow those chats on the ATS Pulmonary Rehab Assembly which is @PR_assembly and search for the following hashtags: #ATS2021TP101 #ATS2021TP102 #ATS2021TP103 #ATS2021TP104   I mentioned a dynamic graph on rehab and COVID19 which can be found here.    I mention a paper published in the British Medical Journal after COVID19, that paper can be found here.  

In this episode, I talk about a paper published this year in Thorax entitled: “Validity and responsiveness of the Daily- and Clinical visit-PROactive Physical Activity in COPD (D-PPAC and C-PPAC) instruments” with Dr. Judith Garcia-Aymerich as the first author. The link to the paper is here.    If you're interested in the other work done by Dr. Garcia-Aymerich, the link to her page as ISGlobal is here. Another paper that describes the work of the PROactive Consortium can be found here.

In this episode, I discuss the six minute walk test as an assessment tool, and outcome measure, and a way to create an exercise prescription. I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015, including the use of the 6 minute walk test. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf). I also talk about an international survey on pulmonary rehabilitation, that citation is here: https://erj.ersjournals.com/content/43/5/1326.short I mention the technical standard for field tests in chronic lung disease, put out by the European Respiratory Society and the American Thoracic Society. A link to that paper is here: https://erj.ersjournals.com/content/44/6/1428 I mention the Australia Pulmonary Rehabilitation Toolkit, a link to the page where exercise prescription using the six minute walk distance is here:  https://pulmonaryrehab.com.au/importance-of-exercise/case-studies/case-study-one/   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.  

In this talk, I discuss concepts related to who is missing from pulmonary rehabilitation. I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf)   I also mention a systematic review on several pulmonary rehabilitation survey studies, the link to that paper is here. https://www.tandfonline.com/doi/abs/10.3109/15412555.2014.922066     The Cochrane review I spoke of can be found here: https://www.cochrane.org/CD003793/AIRWAYS_pulmonary-rehabilitation-for-chronic-obstructive-pulmonary-disease and the associated editorial is found here: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.ED000107/full   The link to Dr. Jenny Alison's and Mr. David Meharg's Breathe Easy podcast episode on the American Thoracic Society Pulmonary Rehabilitation Assembly's website can be found here: https://www.thoracic.org/about/ats-podcasts/pulmonary-rehabilitation-for-hard-to-reach-populations-focus-on-indigenous-people.php   I also talk a bit about health inequality in pulmonary rehabilitation in a different American Thoracic Society Breathe Easy podcast, which can be found here: https://www.thoracic.org/about/ats-podcasts/health-inequality-in-pulmonary-rehabilitation.php   If you want to read a bit more about intersectionality and health care, I found this paper published in the Lancet to be very helpful in explaining this complicated concept: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31431-4/fulltext I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode I discuss a paper published in 2017 in BMJ Open, entitled “Sing Your Lungs Out—a community singing group for chronic obstructive pulmonary disease: a 1-year pilot study”. The first author of the paper is Dr. Amanda McNaughton from the Medical Research Institute of New Zealand. Please see https://lungfit.med.ubc.ca to get copies of the open access papers.  As always, I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show.

Learning on the job: Creating a plan for your professional development in pulmonary rehabilitation   In this episode, I talk about planning your professional development.   I mention Table of Contents alerts for journals. Some suggestions are:  European Respiratory Journal ToC sign-up https://erj.ersjournals.com/alerts Annals of the American Thoracic Society ToC sign-up. [select: ‘eToC Alerts'] https://www.atsjournals.org/toc/annalsats/current Physical Therapy ToC sign-up. [select ‘Email Alerts'] https://academic.oup.com/ptj Journal of Cardiopulmonary Rehabilitation and Prevention ToC sign-up. [select: ‘get new issue alerts'] https://journals.lww.com/jcrjournal/pages/default.aspx Thorax ToC sign-up. [select ‘Email alerts'] https://thorax.bmj.com/   I mention podcasts in this episode. Some suggestions are: Katie Linder has a podcast series dedicated to people in academia. You can learn more about them here: https://www.drkatielinder.com/podcasts/ The Physical Therapy journal used to have the Craikcast, which I enjoyed but can't easily find it online. They do have the PTJ Podcast which can be found here. https://academic.oup.com/ptj/pages/podcasts The American Thoracic Society has several podcasts, which can be found here. https://www.thoracic.org/professionals/all-ats-podcasts.php The ‘White Coat, Black Art' podcast can be found here. https://www.cbc.ca/listen/live-radio/1-75-white-coat-black-art   I mention the American Thoracic Society Pulmonary Rehabilitation Assembly, the link to the Assembly can be found here: https://www.thoracic.org/members/assemblies/assemblies/pr/   I mention the previous LungFIT episode on starting a journal club. The link to that episode is here.

In this episode, I discuss Patient-Reported Experience Measures, or PREMs. This is a continuation of the previous episode, in which I talk about Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs).  The previous episode on PROs and PREMs can be found here: https://lungfit.med.ubc.ca/pros-proms-what-are-they-the-dyspnea-example/ In this episode, I talk about the Canadian Institute of Health Information and their work with PREMs. More on this can be found here: https://www.cihi.ca/en/patient-experience/about-the-canadian-patient-experiences-survey-on-inpatient-care

In this episode, I talk about Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PREMs), using the symptom of dyspnea as my example.   I mention several dyspnea measurement tools in this episode. More information on them can be found here:   the modified MRC Dyspnea Scale, which can be found in this paper (Table 3): https://www.thoracic.org/statements/resources/copd/copd-research-st.pdf the Borg Scale of Breathlessness, which can be found here: https://pulmonaryrehab.com.au/~resources/02_Patient_assessment/04_modified_borg_dyspnoea_scale.pdf the Baseline and Transition Dyspnea Index, of which more information can be found here: https://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/bdi-tdi.php the University of California San Diego Breathlessness Questionnaire, of which more information can be found here: https://www.thoracic.org/members/assemblies/assemblies/srn/questionaires/sobq.php The American Thoracic Society has links and details for a number of different patient-reported outcomes. Go to their website listed below and you'll will see many different patient-reported outcomes and links on how to access them. https://www.thoracic.org/members/assemblies/assemblies/bshsr/patient-outcome/  

In this episode, I provide a brief overview of the history of pulmonary rehabilitation.   I mention several papers in this episode. Several of them are open-access:   Celli BR, Goldstein RS. A historical perspective of pulmonary rehabilitation. In: Clini E, Holland AE, Pitta F, Troosters T, eds. Textbook of Pulmonary Rehabilitation. Springer, 2018. Denison C. Exercise and Food for Pulmonary Invalids. Available from Amazon: https://www.amazon.com/Exercise-Pulmonary-Invalids-Classic-Reprint/dp/B008C4AT8E. Petty TL, Nett LM, Finigan MM, Brink GA, Corsello PR. A comprehensive care program for chronic airway obstruction. Annals of Internal Medicine 1969; 70(6):1109-1120. https://pubmed.ncbi.nlm.nih.gov/5789505/ Barach AL. A Treatment Manual for Patients with Pulmonary Emphysema. New York, NY: Grune & Stratton, Inc.; 1969. Hodgkin JE, Balchum OJ, Kass I, Glaser EM, Miller WF, Haas A, Shaw DB, Kimbel P, Petty TL. Chronic obstructive airway diseases. Current concepts in diagnosis and comprehensive care. JAMA 1975; 232:1243–60. https://jamanetwork.com/journals/jama/article-abstract/336862 Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed) 1982; 284:1607–8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1498516/ Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987; 42:773–8. https://thorax.bmj.com/content/thoraxjnl/42/10/773.full.pdf Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire. Am Rev Respir Dis 1992 ;145:1321–7. https://pubmed.ncbi.nlm.nih.gov/1595997/ Singh SJ, Morgan MD, Scott S, Walters D, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax 1992; 47:1019–24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1021093/ Goldstein RS, Gort EH, Stubbing D, Avendano MA, Guyatt GH. Randomised controlled trial of respiratory rehabilitation. Lancet 1994; 344:1394–7. https://pubmed.ncbi.nlm.nih.gov/7968075/ Wijkstra PJ, Van Altena R, Kraan J, Otten V, Postma DS, Koeter GH. Quality of life in patients with chronic obstructive pulmonary disease improves after rehabilitation at home. Eur Respir J 1994; 7:269–73. https://pubmed.ncbi.nlm.nih.gov/8162979/. Ries AL, Kaplan RM, Limberg TM, Prewitt LM. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med 1995; 122:823–32. https://pubmed.ncbi.nlm.nih.gov/7741366/. Maltais F, LeBlanc P, Simard C, Jobin J, Berube C, Bruneau J, Carrier L, Belleau R. Skeletal muscle adaptation to endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1996; 154:442–7. https://pubmed.ncbi.nlm.nih.gov/8756820/ Lacasse Y, Goldstein R, Lasserson TJ, Martin S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2006; Oct 18;(4):CD003793. https://pubmed.ncbi.nlm.nih.gov/17054186/ McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2015; 2:CD003793. https://pubmed.ncbi.nlm.nih.gov/25705944/     I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, I discuss how, and why, to start a journal club for your pulmonary rehabilitation team. I mention two journal club episodes from LungFIT: https://lungfit.med.ubc.ca/episode-2/ https://lungfit.med.ubc.ca/journal-club-marino/   I talk about guides that are available to help you with your journal club. Here are two: A open-access paper from BMJ on traditional and novel journal club formats: https://ep.bmj.com/content/105/4/236 A web-based guide written by an occupational therapist on starting a journal club, which can be found here: https://www.foxrehab.org/clinical-literature-journal-club-guide/ I also talk about selecting articles from reputable journals. Some of these journals may not be available to you, but many have articles that are open-access. This is not a complete list.   American Journal of Respiratory and Critical Care Medicine Annals of the American Thoracic Society Archives of Physical Medicine and Rehabilitation BMC Pulmonary Medicine Chest European Respiratory Journal Physical Therapy Respirology Respiratory Medicine Thorax