The Pulmonary Rehabilitation Maintenance Framework provides practical guidance to support the safe and effective delivery of exercise programs following pulmonary rehabilitation (PR). Developed by Lung Foundation Australia, this resource builds on more than 16 years of experience delivering the Lungs in Action program and responds to the ongoing need for structured, evidence-informed pulmonary rehabilitation maintenance programs (PRMPs) that help people live well with chronic lung disease.
The framework emphasises the role of ongoing exercise in maintaining the benefits achieved during pulmonary rehabilitation. By supporting continued participation in safe, community-based programs, PRMPs can help people to live well with lung disease.
This framework is designed for health professionals and exercise providers who are establishing or continuing community-based PRMPs. It outlines key considerations across governance, participant eligibility, program design, and workforce training, supporting consistent, high-quality care outside of PR programs.
The resource offers clear, practical recommendations to promote participant safety and optimise long-term outcomes. It includes guidance on screening and referral processes, supervision requirements, and risk management, along with strategies to deliver engaging, individualised exercise programs tailored to people living with chronic lung conditions.
This resource also highlights recommended training pathways and core competencies for exercise professionals, helping to build capability and confidence across the workforce. While not a clinical standard, it provides a flexible, practical approach that can be adapted to local contexts.
Together, these recommendations aim to ensure continuity of care beyond rehabilitation, empowering providers to deliver sustainable programs that support long-term lung health outcomes for all Australians.
Acknowledgements
Lung Foundation Australia gratefully acknowledges the contributions of:
- A/Prof Andrew Williams
- Mrs Corrine French
- Mr David Lawson
- Mrs Emma Cobcroft
- Prof Jennifer Alison
- Ms Jamie Chan
- Dr Julie Adsett
- A/Prof Julie Cooke
- Prof Lissa Spencer
- Ms Mary Roberts
- A/Prof Narelle Cox
- Ms Rebecca Hannon
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