Please use this identifier to cite or link to this item:
https://ahro.austin.org.au/austinjspui/handle/1/17823
Title: | Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: protocol for a randomised controlled trial. | Austin Authors: | Cox, Narelle S ;McDonald, Christine F ;Alison, Jennifer A;Mahal, Ajay;Wootton, Richard;Hill, Catherine J ;Bondarenko, Janet;Macdonald, Heather;O'Halloran, Paul;Zanaboni, Paolo;Clarke, Ken;Rennick, Deidre;Borgelt, Kaye;Burge, Angela T ;Lahham, Aroub;Wageck, Bruna;Crute, Hayley;Czupryn, Pawel;Nichols, Amanda;Holland, Anne E | Affiliation: | Discipline of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia Respiratory and Sleep Medicine Institute for Breathing and Sleep Austin Health Discipline of Physiotherapy, University of Sydney, Lidcombe, NSW, Australia Sydney Local Health District, University of Sydney, Lidcombe, NSW, Australia The Nossal Institute for Global Health, The University of Melbourne, Melbourne, Victoria, Australia Norwegian Center for E-health Research, University Hospital of North Norway, Tromsø, Norway Physiotherapy Physiotherapy Department, Alfred Health, Prahran, Victoria, Australia School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia Melbourne Networked Society Institute, University of Melbourne, Melbourne, Victoria, Australia Wimmera Health Care Group, Horsham, Victoria, Australia West Wimmera Health Service, Nhill, Victoria, Australia Monash Health, Clayton, Victoria, Australia |
Issue Date: | 15-May-2018 | Date: | 2018-05-15 | Publication information: | BMC Pulmonary Medicine 2018; 18(1): 71 | Abstract: | Pulmonary rehabilitation is an effective therapeutic intervention for people with chronic respiratory disease. However, fewer than 5% of eligible individuals receive pulmonary rehabilitation on an annual basis, largely due to limited availability of services and difficulties associated with travel and transport. The Rehabilitation Exercise At Home (REAcH) study is an assessor-blinded, multi-centre, randomised controlled equivalence trial designed to compare the efficacy of home-based telerehabilitation and traditional centre-based pulmonary rehabilitation in people with chronic respiratory disease. Participants will undertake an 8-week group-based pulmonary rehabilitation program of twice-weekly supervised exercise training, either in-person at a centre-based pulmonary rehabilitation program or remotely from their home via the Internet. Supervised exercise training sessions will include 30 min of aerobic exercise (cycle and/or walking training). Individualised education and self-management training will be delivered. All participants will be prescribed a home exercise program of walking and strengthening activities. Outcomes will be assessed by a blinded assessor at baseline, after completion of the intervention, and 12-months post intervention. The primary outcome is change in dyspnea score as measured by the Chronic Respiratory Questionnaire - dyspnea domain (CRQ-D). Secondary outcomes will evaluate the efficacy of telerehabilitation on 6-min walk distance, endurance cycle time during a constant work rate test, physical activity and quality of life. Adherence to pulmonary rehabilitation between the two models will be compared. A full economic analysis from a societal perspective will be undertaken to determine the cost-effectiveness of telerehabilitation compared to centre-based pulmonary rehabilitation. Alternative models of pulmonary rehabilitation are required to improve both equity of access and patient-related outcomes. This trial will establish whether telerehabilitation can achieve equivalent improvement in outcomes compared to traditional centre-based pulmonary rehabilitation. If efficacious and cost-effective, the proposed telerehabilitation model is designed to be rapidly deployed into clinical practice. Clinical trial registered with the Australian and New Zealand Clinical Trials Register at ( ACTRN12616000360415 ). Registered 21 March 2016. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/17823 | DOI: | 10.1186/s12890-018-0646-0 | ORCID: | 0000-0002-6977-1028 0000-0001-6481-3391 0000-0003-2061-845X |
Journal: | BMC Pulmonary Medicine | PubMed URL: | 29764393 | Type: | Journal Article | Subjects: | Asthma Bronchiectasis Chronic obstructive pulmonary disease Exercise Interstitial lung disease Pulmonary rehabilitation Respiratory disease Telehealth Telerehabilitation |
Appears in Collections: | Journal articles |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Cox et al 2018.pdf | 688.67 kB | Adobe PDF | View/Open |
Page view(s)
44
checked on Dec 25, 2024
Download(s)
24
checked on Dec 25, 2024
Google ScholarTM
Check
Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.