Population and methods
The study population consisted of patients with a diagnosis of clinically stable chronic lung disease, including COPD, post-TB lung disease, chronic asthma, interstitial lung disease, bronchiectasis, and pulmonary hypertension. Suitable patients received symptom screening, a range of tests, and a baseline assessment to determine eligibility. PR consisted of a programme of exercises and health education based on existing materials from the UK and Uganda, adapted to local circumstances. Each programme comprised six weeks of biweekly sessions.
All three countries have shown overall clinically important improvements in the Incremental Shuttle Walking Test (ISWT) and reduced totals in the Clinical COPD Questionnaire (CCQ). Qualitative data, such as interviews with patients, have shown significant symptom reduction, improved disease management, the opportunity for socialising which enhanced participation, and no major barriers to accessing the programme.