Cox, NS and McDonald, CF and Alison, JA and Mahal, A and Wootton, R and Hill, CJ and Bondarenko, J and Macdonald, H and O'Halloran, P and Zanaboni, P and Clarke, K and Rennick, D and Borgelt, K and Burge, AT and Lahham, A and Wageck, B and Crute, H and Czupryn, P and Nichols, A and Holland, AE, Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: protocol for a randomised controlled trial, BMC Pulmonary Medicine, 18, (1) Article 71. ISSN 1471-2466 (2018) [Refereed Article]
|PDF (Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: Protocol for a randomised controlled trial. BMC Pulmonary Medicine. Accepted 05 May 2018.)|
© 2018 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/
Methods: 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.
Discussion: 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.
|Item Type:||Refereed Article|
|Keywords:||asthma, bronchiectasis, chronic obstructive pulmonary disease, exercise, interstitial lung disease, pulmonary rehabilitation, respiratory disease, telehealth, telerehabilitation|
|Research Division:||Medical and Health Sciences|
|Research Group:||Cardiorespiratory Medicine and Haematology|
|Research Field:||Respiratory Diseases|
|Objective Division:||Expanding Knowledge|
|Objective Group:||Expanding Knowledge|
|Objective Field:||Expanding Knowledge in the Medical and Health Sciences|
|Author:||Lahham, A (Dr Aroub Lahham)|
|Deposited By:||Menzies Institute for Medical Research|
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