4.4 Article

Access to pulmonary rehabilitation for people from culturally and linguistically diverse communities: A cohort study

Journal

HEALTH & SOCIAL CARE IN THE COMMUNITY
Volume 30, Issue 6, Pages E4133-E4143

Publisher

WILEY-HINDAWI
DOI: 10.1111/hsc.13807

Keywords

attendance; completion; COPD; ethnic diversity; patient engagement; pulmonary rehabilitation; referrals

Funding

  1. Western Health Foundation Allied Health Grant

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Little is known about the extent of cultural and linguistic diversity among people with COPD in Australia and if ethno-cultural factors influence engagement in PR. This study found that participants from CALD communities had less awareness of PR compared to the English Australian group. However, there were no significant differences in referrals, attendance, and completions of PR between the two groups. Age and being from a CALD community were independent factors influencing awareness of PR, while English proficiency impacted referrals to PR. Overall, only a small percentage of participants completed PR.
Little is known about the extent of cultural and linguistic diversity among people with chronic obstructive pulmonary disease (COPD) in Australia and if ethno-cultural factors influence engagement in pulmonary rehabilitation (PR). We conducted a prospective cohort study to evaluate the extent of cultural and linguistic diversity among people with COPD and identify variables that influence engagement in PR. Patients with COPD attending the respiratory outpatient clinic at a metropolitan health service completed a study-specific questionnaire with results descriptively analysed. Access issues of awareness, referrals, attendance and completion of PR were examined. A multiple regression analysis was conducted to identify variables that influenced engagement in PR. Ninety-seven participants were recruited, of whom 36 (37%) self-identified a culturally and linguistically diverse (CALD) community. While participants from CALD communities had less awareness of PR as compared with the English Australian group (chi(2)(df) = 5.3 (1), p = 0.02), there were no significant between-group differences in number of observed referrals (p = 0.30), attendance (p = 0.50) and completions of PR (p = 0.90). Only 11 (11%) out of 97 participants completed PR. Age (p = 0.006) and being from a CALD community (p = 0.03) were independent factors impacting on the awareness of PR while English proficiency (p = 0.04) was an independent factor impacting on referrals to PR. While older age and being from a CALD community were associated with having less awareness in PR, referrals to, attendance and completion rates of PR were similar regardless of ethnicity.

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