Abstract

Introduction: Exercise training is now recommended as an adjunct to medical therapy for stable pulmonary hypertension (PH) patients. To date, most PH exercise training studies have utilized an in-hospital based model which limits accessibility and availability. A home-based exercise program (HBEP) offer an alternative mode of delivery with the potential to reach more patients.

Aim: The aim of this study was to explore the acceptability and utility a remotely delivered HBEP from PH patients? perspectives.

Methods: Nineteen participants undertook a 10-wk HBEP with induction training, support materials, telecommunication support, health coaching, exercise training and fitness assessments all remotely delivered. Semi-structured, exit interview were conducted. All interviews were audio recorded, transcribed verbatim and analysed with Braun and Clarke?s thematic analysis.

Results: Thirteen exit interviews lasting 30-55 min were conducted (85% F, mean(SD) age 49.9±15.9 yr). Results identified four main themes; i) convenience and accessibility of the exercise program, ii) development of self-regulation skills, iii) support and accountability and iv) improvements in physical fitness. Participants reported a high level of satisfaction and enthusiasm towards the HBEP. The HBEP allowed patients to engage in exercise in a familiar setting, at a time that was convenient for them and removed the travel burden associated with facility-based programs.

Conclusion: There was a high level of acceptability among PH patients for a 100% remotely delivered HBEP. It was deemed to be beneficial, practical, accessible and, appropriate to their condition.