Pulmonary rehabilitation programs contribute to physical and psychological well-being and improved quality of life. Pulmonary rehabilitation reduces fear and depression, and increases self-esteem; it improves feelings of well-being and lowers levels of mood disturbance, but does not seem to change lung function and perfusion. Patients with chronic conditions are reported to have problems complying with rehabilitation programs, especially when these programs require lifestyle modification. Community-based programs are therefore attractive for reasons such as addressing the specific needs of the population, cost-benefit and flexibility in delivery.