This PEDro World-Wide Journal Club is about telerehabilitation for chronic respiratory disease. This trial was one of the PEDro Top 25 Trials added to the list in 2024.
You can further the discussions from this journal club by creating your own:
1. invite your colleagues to be involved
2. read the article Cox NS, McDonald CF, Mahal A, et al Telerehabilitation for chronic respiratory disease: a randomised controlled equivalence trialThorax 2022;77:643-651.
3. watch the video summarising Telerehabilitation for chronic respiratory disease (3 minutes).
4. watch the video of the panel discussing Telerehabilitation for chronic respiratory disease (59 minutes).
5. Meet with your colleagues to have your own discussion.
Discussions in journal clubs should focus on the implications of the results, including exploring possible barriers and facilitators to implementation. Devising strategies to implement the evidence into practice in your clinical environment is a critical component (e.g. making plans for audit and feedback to quantify current and future practice).
PEDro acknowledges Dr Tiffany Dwyer, A/Prof Narelle Cox, Dr Renae McNamara, and Brenda (Community Advisor and participant) for their involvement in this journal club.
Additional resources
Articles discussed during the journal club:
- Cox NS, et al. Rapid real-world implementation of pulmonary telerehabilitation: good fortune of COVID-19 good luck? ERJ Open Research. 2024. 10: 00820-2023.
- Barriers and facilitators to implementation of telerehab: Cox NS, et al. Supporting delivery of remote pulmonary rehabilitation across different healthcare contexts: A multi-national study. Chronic Respiratory Disease. 2024: 21.
- Economic analysis of the main trial: Burge AT, et al. Telerehabilitation compared with center-based pulmonary rehabilitation for people with chronic respiratory disease: Economic analysis of a randomized controlled clinical trial. Annals of the American Thoracic Society. 2025. 22:47-53.
Related reading and resources:
- Telerehab for pulmonary rehabilitation (prTelerehab)
- Pulmonary rehab toolkit
- Cox NS, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database of Systematic Reviews. 2021. CD013040.pub2.
- Cox NS, et al. Comparison of clinically meaningful improvements after center-based and home-based telerehabilitation in people with COPD. Chest. 2025. 167(4):1003-1011.
- Holland AE, et al. Defining Modern Pulmonary Rehabilitation. An Official American Thoracic Society Workshop Report. Annals of the American Thoracic Society. 2021. 18(5):e12-e29.


