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Participation in a pulmonary rehabilitation (PR) programme confers improvements in exercise capacity, health related quality
of life (HRQoL) and breathlessness in people with chronic obstructive pulmonary disease (COPD). However, uptake to
PR is poor and home-based exercise programmes may be one method of overcoming some of the barriers to participation in
out-patient PR. There is, however, limited evidence regarding the effectiveness of home-based PR (HB PR). We conducted
a systematic review and meta-analysis to examine the effects of HB PR on HRQoL in people with COPD compared with
usual care or an education programme. Nine studies met the inclusion criteria for the meta-analysis. Meta-analyses showed
significant improvements in HRQoL with a standardized mean difference of -0.64 (95% CI: -0.99, -0.30) in favour of HBPR.
Sub group analysis of people with severe COPD showed a SMD of -0.62 (95% CI: -1.06, -0.18) in favour of HBPR. These results
were not maintained in the long-term. Supervised or unsupervised HBPR is effective in improving HRQoL for people with
COPD in the short-term. Offering HBPR may alleviate some of the barriers to accessing PR in a healthcare setting. Further
research to explore the maintenance of these benefits in the long-term as well as the optimum method of delivery is required.