Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: protocol for a randomised controlled trial

被引：48

作者：

Cox, Narelle S. ^{[1
,2
]}

McDonald, Christine F. ^{[3
,4
,5
]}

Alison, Jennifer A. ^{[6
,7
]}

Mahal, Ajay ^{[8
]}

Wootton, Richard ^{[9
]}

Hill, Catherine J. ^{[10
,11
]}

Bondarenko, Janet ^{[12
]}

Macdonald, Heather ^{[13
]}

O'Halloran, Paul ^{[14
]}

Zanaboni, Paolo ^{[9
]}

Clarke, Ken ^{[15
]}

Rennick, Deidre ^{[13
]}

Borgelt, Kaye ^{[16
]}

Burge, Angela T. ^{[1
,2
,17
]}

Lahham, Aroub ^{[1
,2
]}

Wageck, Bruna ^{[1
]}

Crute, Hayley ^{[13
]}

Czupryn, Pawel ^{[16
]}

Nichols, Amanda ^{[18
]}

Holland, Anne E. ^{[1
,2
,17
]}

机构：

[1] La Trobe Univ, Discipline Physiotherapy, Melbourne, Vic, Australia

[2] La Trobe Univ, Inst Breathing & Sleep, Melbourne, Vic, Australia

[3] Austin Hlth, Dept Resp Med, Heidelberg, Vic, Australia

[4] Inst Breathing & Sleep, Heidelberg, Vic, Australia

[5] Univ Melbourne, Austin Hlth, Heidelberg, Vic, Australia

[6] Univ Sydney, Discipline Physiotherapy, Lidcombe, NSW, Australia

[7] Univ Sydney, Sydney Local Hlth Dist, Lidcombe, NSW, Australia

[8] Univ Melbourne, Nossal Inst Global Hlth, Melbourne, Vic, Australia

[9] Univ Hosp North Norway, Noiwegian Ctr E Hlth Res, Tromso, Norway

[10] Austin Hlth, Physiotherapy Dept, Heidelberg, Vic, Australia

[11] Austin Hlth, Inst Breathing & Sleep, Heidelberg, Vic, Australia

[12] Alfred Hlth, Physiotherapy Dept, Prahran, Vic, Australia

[13] Wimmera Hlth Care Grp, Horsham, Vic, Australia

[14] La Trobe Univ, Sch Psychol & Publ Hlth, Melbourne, Vic, Australia

[15] Univ Melbourne, Melbourne Networked Soc Inst, Melbourne, Vic, Australia

[16] West Wimmera Hlth Serv, Nhill, Vic, Australia

[17] Alfred Hlth, Dept Physiotherapy, Melbourne, Vic, Australia

[18] Monash Hlth, Clayton, Vic, Australia

来源：

BMC PULMONARY MEDICINE | 2018年 / 18卷

基金：

澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;

关键词：

Chronic obstructive pulmonary disease; Pulmonary rehabilitation; Telerehabilitation; Telehealth; Exercise; Respiratory disease; Interstitial lung disease; Bronchiectasis; Asthma; QUALITY-OF-LIFE; COPD; HOME; TELEHEALTH; RECOMMENDATIONS; QUESTIONNAIRE; INDIVIDUALS; PROGRAMS; OUTCOMES; COSTS;

D O I：

10.1186/s12890-018-0646-0

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Background: 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. 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.

引用

页数：9

共 63 条

[1] Australian and New Zealand Pulmonary Rehabilitation Guidelines [J].

Alison, Jennifer A. ;

McKeough, Zoe J. ;

Johnston, Kylie ;

McNamara, Renae J. ;

Spencer, Lissa M. ;

Jenkins, Sue C. ;

Hill, Catherine J. ;

McDonald, Vanessa M. ;

Frith, Peter ;

Cafarella, Paul ;

Brooke, Michelle ;

Cameron-Tucker, Helen L. ;

Candy, Sarah ;

Cecins, Nola ;

Chan, Andrew S. L. ;

Dale, Marita T. ;

Dowman, Leona M. ;

Granger, Catherine ;

Halloran, Simon ;

Jung, Peter ;

Lee, Annemarie L. ;

Leung, Regina ;

Matulick, Tamara ;

Osadnik, Christian ;

Roberts, Mary ;

Walsh, James ;

Wootton, Sally ;

Holland, Anne E. .

RESPIROLOGY, 2017, 22 (04) :800-819

[2]

[Anonymous], THORAX

[3]

[Anonymous], J CARDIOPULM REHABIL

[4]

[Anonymous], GLOB IMP RESP DIS

[5]

[Anonymous], BETT LIV CHRON OBSTR

[6] Endurance Time Is the Most Responsive Exercise Measurement in Idiopathic Pulmonary Fibrosis [J].

Arizono, Shinichi ;

Taniguchi, Hiroyuki ;

Sakamoto, Koji ;

Kondoh, Yasuhiro ;

Kimura, Tomoki ;

Kataoka, Kensuke ;

Ogawa, Tomoya ;

Watanabe, Fumiko ;

Nishiyama, Osamu ;

Nishimura, Koichi ;

Kozu, Ryo ;

Tabira, Kazuyuki .

RESPIRATORY CARE, 2014, 59 (07) :1108-1115

[7] Effects and barriers to deployment of telehealth wellness programs for chronic patients across 3 European countries [J].

Barberan-Garcia, A. ;

Vogiatzis, I. ;

Solberg, H. S. ;

Vilaro, J. ;

Rodriguez, D. A. ;

Garasen, H. M. ;

Troosters, T. ;

Garcia-Aymerich, J. ;

Roca, J. .

RESPIRATORY MEDICINE, 2014, 108 (04) :628-637

[8] Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH behavior change consortium [J].

Bellg, AJ ;

Borrelli, B ;

Resnick, B ;

Hecht, J ;

Minicucci, DS ;

Ory, M ;

Ogedegbe, G ;

Orwig, D ;

Ernst, D ;

Czajkowski, S .

HEALTH PSYCHOLOGY, 2004, 23 (05) :443-451

[9] Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease [J].

Bestall, JC ;

Paul, EA ;

Garrod, R ;

Garnham, R ;

Jones, PW ;

Wedzicha, JA .

THORAX, 1999, 54 (07) :581-586

[10] Psychometric properties of The Hospital Anxiety and Depression Scale and The General Health Questionnaire-20 in COPD inpatients [J].

Bratas, Ola ;

Gronning, Kjersti ;

Forbord, Toril .

SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2014, 28 (02) :413-420

← 1 2 3 4 5 6 7 →