Smartphone application-based rehabilitation in patients with chronic respiratory and cardiovascular diseases: a randomised controlled trial study protocol

被引:0
作者
Chung, Chiwook [1 ,2 ]
Kim, Ah-Ram [3 ]
Jang, Il-Young [4 ]
Jo, Min-Woo [5 ]
Lee, Seongho [1 ]
Kim, Dongbum [6 ]
Kwon, Hee [6 ]
Kang, Do-Yoon [3 ]
Lee, Sei Won [1 ]
机构
[1] Univ Ulsan, Dept Pulm & Crit Care Med, Asan Med Ctr, Coll Med, Seoul, South Korea
[2] Univ Ulsan, Coll Med, Gangneung Asan Hosp, Dept Pulm Allergy & Crit Care Med, Kangnung, South Korea
[3] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Cardiol, Seoul, South Korea
[4] Univ Ulsan, Dept Internal Med, Coll Med, Div Geriatr,Asan Med Ctr, Seoul, South Korea
[5] Univ Ulsan, Coll Med, Dept Prevent Med, Asan Med Ctr, Seoul, South Korea
[6] LifeSemantics Corp, Seoul, South Korea
关键词
respiratory medicine (see thoracic medicine); cardiology; rehabilitation medicine; HOME-BASED REHABILITATION; PULMONARY REHABILITATION; CARDIAC REHABILITATION; EXERCISE CAPACITY; MORTALITY; GUIDELINE; BARRIERS; VALIDITY;
D O I
10.1136/bmjopen-2023-072698
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
IntroductionRehabilitation is well known to improve clinical symptoms and decrease the risk of mortality in patients with chronic respiratory or cardiovascular diseases. We will evaluate the efficacy of smartphone application-based rehabilitation programmes in patients with chronic respiratory or cardiovascular diseases.Methods and analysisThis single-centre single-blind randomised controlled trial will recruit a total of 162 participants from Asan Medical Center (81 patients each for pulmonary and cardiac rehabilitation, respectively). Participants will be assigned to the pulmonary or cardiac rehabilitation groups based on their underlying disease. Participants will be allocated randomly into the intervention or control groups at the ratio of 2:1 (54 and 27 patients). The intervention group will be provided with a smartphone application and undergo smartphone application-based rehabilitation for 12 weeks. The control group will receive the usual outpatient medical treatment without rehabilitation. Participants will be evaluated at baseline and at the end of the rehabilitation. The primary outcomes will be exercise capacity, such as maximal oxygen consumption on cardiopulmonary exercise test for both groups, chronic obstructive pulmonary disease assessment test for the pulmonary rehabilitation group, and Health-related Quality of Life Instrument with 8 Items questionnaires for the cardiac rehabilitation group. The secondary outcomes will include quality of life questionnaires, symptom scores, pulmonary function test and limb muscle test.Ethics and disseminationThe study protocol was approved by the Institutional Review Board of Asan Medical Center. Written informed consent will be obtained from all participants prior to inclusion. The findings from this study will be disseminated through peer-reviewed scientific journals and conferences.Trial registration numberNCT05610358.
引用
收藏
页数:8
相关论文
共 46 条
[1]  
Anderson L, 2016, COCHRANE DB SYST REV, DOI [10.1016/j.jacc.2015.10.044, 10.1002/14651858.CD001800.pub3]
[2]  
Heidenreich Paul A, 2022, Circulation, V145, pe895, DOI [10.1161/CIR.0000000000001073, 10.1161/CIR.0000000000001063]
[4]   Barriers to pulmonary rehabilitation - A narrative review and perspectives from a few stakeholders [J].
Augustine, Anulucia ;
Bhat, Anup ;
Vaishali, K. ;
Magazine, Rahul .
LUNG INDIA, 2021, 38 (01) :59-63
[5]   Commentary: the British Thoracic Society guideline on pulmonary rehabilitation in adults [J].
Bolton, Charlotte E. ;
Singh, Sally J. ;
Walker, Paul P. .
THORAX, 2013, 68 (09) :887-888
[6]   ATS statement: Guidelines for the six-minute walk test [J].
Crapo, RO ;
Casaburi, R ;
Coates, AL ;
Enright, PL ;
MacIntyre, NR ;
McKay, RT ;
Johnson, D ;
Wanger, JS ;
Zeballos, RJ ;
Bittner, V ;
Mottram, C .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 166 (01) :111-117
[7]   Barriers to participation in cardiac rehabilitation [J].
Dunlay, Shannon M. ;
Witt, Brandi J. ;
Allison, Thomas G. ;
Hayes, Sharonne N. ;
Weston, Susan A. ;
Koepsell, Ellen ;
Roger, Veronique L. .
AMERICAN HEART JOURNAL, 2009, 158 (05) :852-859
[8]   A review of health utilities using the EQ-5D in studies of cardiovascular disease [J].
Dyer, Matthew T. D. ;
Goldsmith, Kimberley A. ;
Sharples, Linda S. ;
Buxton, Martin J. .
HEALTH AND QUALITY OF LIFE OUTCOMES, 2010, 8
[9]   Defining Modern Pulmonary Rehabilitation An Official American Thoracic Society Workshop Report [J].
Holland, Anne E. ;
Cox, Narelle S. ;
Houchen-Wolloff, Linzy ;
Rochester, Carolyn L. ;
Garvey, Chris ;
ZuWallack, Richard ;
Nici, Linda ;
Limberg, Trina ;
Lareau, Suzanne C. ;
Yawn, Barbara P. ;
Galwicki, Mary ;
Troosters, Thierry ;
Steiner, Michael ;
Casaburi, Richard ;
Clini, Enrico ;
Goldstein, Roger S. ;
Singh, Sally J. .
ANNALS OF THE AMERICAN THORACIC SOCIETY, 2021, 18 (05) :E12-E29
[10]   Home-based rehabilitation for COPD using minimal resources: a randomised, controlled equivalence trial [J].
Holland, Anne E. ;
Mahal, Ajay ;
Hill, Catherine J. ;
Lee, Annemarie L. ;
Burge, Angela T. ;
Cox, Narelle S. ;
Moore, Rosemary ;
Nicolson, Caroline ;
O'Halloran, Paul ;
Lahham, Aroub ;
Gillies, Rebecca ;
McDonald, Christine F. .
THORAX, 2017, 72 (01) :57-65