Clinical ReviewMoving Pulmonary Rehabilitation Into the Home A CLINICAL REVIEWGarvey, Chris FNP, MSN, MPA; Singer, Jonathan P. MD; Bruun, Allan Murphy HDA; Soong, Allison MPH; Rigler, Julia BA; Hays, Steven MDAuthor Information University of California San Francisco. Correspondence: Chris Garvey, FNP, MSN, MPA, University of California San Francisco, 2330 Post St, Ste 420, San Francisco, CA 94115 ([email protected]). Mr Murphy Bruun developed a home exercise application and software that is used in Denmark and the United States. All authors are participating in a clinical trial of home exercise supported by a wireless technology company. Journal of Cardiopulmonary Rehabilitation and Prevention: January 2018 - Volume 38 - Issue 1 - p 8-16 doi: 10.1097/HCR.0000000000000287 Buy Metrics AbstractIn Brief Pulmonary rehabilitation (PR) is the standard of care for persons with chronic, symptomatic lung disease. The availability of PR is limited, particularly in rural areas. In addition, barriers to PR include the lack of transportation, patient inconvenience, inadequate insurance coverage, and cost. Technology has the potential to overcome several barriers to PR by enhancing the availability and uptake of PR principles through the development of technology-supported, home-based PR programs. For technology-supported, home-based PR, or telehealth PR, to be effective, key components of traditional PR must be present including appropriate individualized exercise prescription, self-management education, outcome measurements, and patient support. This clinical review summarizes the current practice of PR, describes limitations to the availability of PR, describes key principles that technology should feature to ensure best practices are met, and proposes current and future technology options as an emerging strategy for home delivery of PR and its components. Pulmonary rehabilitation (PR) availability is limited by barriers of availability, cost, and convenience. Technology has the potential to overcome several of these barriers. For home-based PR to be effective, it must include appropriate individualized exercise prescription, self-management education, outcome measurement, and patient support. © 2018 Wolters Kluwer Health, Inc. All rights reserved.