Home‐based telerehabilitation via real‐time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study
ABSTRACT Background and objective Telerehabilitation has the potential to increase access to pulmonary rehabilitation (PR) for patients with COPD who have difficulty accessing centre‐based PR due to poor mobility, lack of transport and cost of travel. We aimed to determine the effect of supervised,...
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| Veröffentlicht in: | Respirology (Carlton, Vic.) Vic.), 2017-05, Vol.22 (4), p.699-707 |
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| creator | Tsai, Ling Ling Y. McNamara, Renae J. Moddel, Chloe Alison, Jennifer A. McKenzie, David K. McKeough, Zoe J. |
| description | ABSTRACT
Background and objective
Telerehabilitation has the potential to increase access to pulmonary rehabilitation (PR) for patients with COPD who have difficulty accessing centre‐based PR due to poor mobility, lack of transport and cost of travel. We aimed to determine the effect of supervised, home‐based, real‐time videoconferencing telerehabilitation on exercise capacity, self‐efficacy, health‐related quality of life (HRQoL) and physical activity in patients with COPD compared with usual care without exercise training.
Methods
Patients with COPD were randomized to either a supervised home‐based telerehabilitation group (TG) that received exercise training three times a week for 8 weeks or a control group (CG) that received usual care without exercise training. Outcomes were measured at baseline and following the intervention.
Results
Thirty‐six out of 37 participants (mean ± SD age = 74 ± 8 years, forced expiratory volume in 1 s (FEV1
) = 64 ± 21% predicted) completed the study. Compared with the CG, the TG showed a statistically significant increase in endurance shuttle walk test time (mean difference = 340 s (95% CI: 153–526, P |
| doi_str_mv | 10.1111/resp.12966 |
| format | Article |
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Background and objective
Telerehabilitation has the potential to increase access to pulmonary rehabilitation (PR) for patients with COPD who have difficulty accessing centre‐based PR due to poor mobility, lack of transport and cost of travel. We aimed to determine the effect of supervised, home‐based, real‐time videoconferencing telerehabilitation on exercise capacity, self‐efficacy, health‐related quality of life (HRQoL) and physical activity in patients with COPD compared with usual care without exercise training.
Methods
Patients with COPD were randomized to either a supervised home‐based telerehabilitation group (TG) that received exercise training three times a week for 8 weeks or a control group (CG) that received usual care without exercise training. Outcomes were measured at baseline and following the intervention.
Results
Thirty‐six out of 37 participants (mean ± SD age = 74 ± 8 years, forced expiratory volume in 1 s (FEV1
) = 64 ± 21% predicted) completed the study. Compared with the CG, the TG showed a statistically significant increase in endurance shuttle walk test time (mean difference = 340 s (95% CI: 153–526, P < 0.001)), an increase in self‐efficacy (mean difference = 8 points (95% CI: 2–14, P < 0.007)), a trend towards a statistically significant increase in the Chronic Respiratory Disease Questionnaire total score (mean difference = 8 points (95% CI: −1 to 16, P = 0.07)) and no difference in physical activity (mean difference = 475 steps per day (95% CI: −200 to 1151, P = 0.16)).
Conclusion
This study showed that telerehabilitation improved endurance exercise capacity and self‐efficacy in patients with COPD when compared with usual care.
An 8‐week home‐based telerehabilitation exercise programme using real‐time videoconferencing software showed a statistically significant increase in endurance shuttle walk test time and self‐efficacy when compared with usual care with no exercise training in patients with COPD.
See article, page 626</description><identifier>ISSN: 1323-7799</identifier><identifier>EISSN: 1440-1843</identifier><identifier>DOI: 10.1111/resp.12966</identifier><identifier>PMID: 27992099</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Aged ; Chronic obstructive pulmonary disease ; Exercise ; Exercise Therapy - methods ; Exercise Tolerance - physiology ; Female ; Fitness training programs ; Forced Expiratory Volume ; Humans ; Male ; Physical activity ; Physical fitness ; Physical training ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Pulmonary Disease, Chronic Obstructive - rehabilitation ; pulmonary rehabilitation ; Quality of Life ; Rehabilitation ; Respiratory diseases ; Single-Blind Method ; Statistical analysis ; telerehabilitation ; Telerehabilitation - methods ; Video teleconferencing ; Videoconferencing</subject><ispartof>Respirology (Carlton, Vic.), 2017-05, Vol.22 (4), p.699-707</ispartof><rights>2016 Asian Pacific Society of Respirology</rights><rights>2016 Asian Pacific Society of Respirology.</rights><rights>2017 Asian Pacific Society of Respirology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4266-4f9ff0309b5d4a84ef6b443406222292784260770d13fd7862505ad06b7281ff3</citedby><cites>FETCH-LOGICAL-c4266-4f9ff0309b5d4a84ef6b443406222292784260770d13fd7862505ad06b7281ff3</cites><orcidid>0000-0001-5468-7176</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fresp.12966$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fresp.12966$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27992099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsai, Ling Ling Y.</creatorcontrib><creatorcontrib>McNamara, Renae J.</creatorcontrib><creatorcontrib>Moddel, Chloe</creatorcontrib><creatorcontrib>Alison, Jennifer A.</creatorcontrib><creatorcontrib>McKenzie, David K.</creatorcontrib><creatorcontrib>McKeough, Zoe J.</creatorcontrib><title>Home‐based telerehabilitation via real‐time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study</title><title>Respirology (Carlton, Vic.)</title><addtitle>Respirology</addtitle><description>ABSTRACT
Background and objective
Telerehabilitation has the potential to increase access to pulmonary rehabilitation (PR) for patients with COPD who have difficulty accessing centre‐based PR due to poor mobility, lack of transport and cost of travel. We aimed to determine the effect of supervised, home‐based, real‐time videoconferencing telerehabilitation on exercise capacity, self‐efficacy, health‐related quality of life (HRQoL) and physical activity in patients with COPD compared with usual care without exercise training.
Methods
Patients with COPD were randomized to either a supervised home‐based telerehabilitation group (TG) that received exercise training three times a week for 8 weeks or a control group (CG) that received usual care without exercise training. Outcomes were measured at baseline and following the intervention.
Results
Thirty‐six out of 37 participants (mean ± SD age = 74 ± 8 years, forced expiratory volume in 1 s (FEV1
) = 64 ± 21% predicted) completed the study. Compared with the CG, the TG showed a statistically significant increase in endurance shuttle walk test time (mean difference = 340 s (95% CI: 153–526, P < 0.001)), an increase in self‐efficacy (mean difference = 8 points (95% CI: 2–14, P < 0.007)), a trend towards a statistically significant increase in the Chronic Respiratory Disease Questionnaire total score (mean difference = 8 points (95% CI: −1 to 16, P = 0.07)) and no difference in physical activity (mean difference = 475 steps per day (95% CI: −200 to 1151, P = 0.16)).
Conclusion
This study showed that telerehabilitation improved endurance exercise capacity and self‐efficacy in patients with COPD when compared with usual care.
An 8‐week home‐based telerehabilitation exercise programme using real‐time videoconferencing software showed a statistically significant increase in endurance shuttle walk test time and self‐efficacy when compared with usual care with no exercise training in patients with COPD.
See article, page 626</description><subject>Aged</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Exercise Tolerance - physiology</subject><subject>Female</subject><subject>Fitness training programs</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Male</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Prospective Studies</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>Pulmonary Disease, Chronic Obstructive - rehabilitation</subject><subject>pulmonary rehabilitation</subject><subject>Quality of Life</subject><subject>Rehabilitation</subject><subject>Respiratory diseases</subject><subject>Single-Blind Method</subject><subject>Statistical analysis</subject><subject>telerehabilitation</subject><subject>Telerehabilitation - methods</subject><subject>Video teleconferencing</subject><subject>Videoconferencing</subject><issn>1323-7799</issn><issn>1440-1843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtu1TAUhiMEoqUwYQHIEhOElOJXnIRZdSkUqVKr9jKOnPiY6yqxg-20XEYsgT2wM1bCKbcwYIA4Ez_0-bOP_6J4yughw3oVIc2HjLdK3Sv2mZS0ZI0U93EuuCjrum33ikcpXVFKRUWrh8Uexz1O23a_-H4SJvjx9VuvExiSYYQIG9270WWdXfDk2mkSQY_IZDcBrg2EIXiLoB-c_0jcNMdwDYmAN0vUfgACnyEOLgEZ9KwHl7fEeTKjEHxO5MblDVmdnb95TdYbIHjEhMl9wfvRm2MYR5yu8SkX5DIvZvu4eGD1mODJ3XhQfHh7vF6dlKdn796vjk7LQXKlSmlba6mgbV8ZqRsJVvVSCkkVx2p53SBG65oaJqypG8XxM7Shqq95w6wVB8WLnRf7-bRAyt3k0gDjqD2EJXWsaVnTKCHFf6AV44irGtHnf6FXYYkeG-kYhlDJRtQUqZc7aoghpQi2m6ObdNx2jHa3KXe3KXe_Ukb42Z1y6Scwf9DfsSLAdsCNG2H7D1V3cXx5vpP-BLyStaU</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Tsai, Ling Ling Y.</creator><creator>McNamara, Renae J.</creator><creator>Moddel, Chloe</creator><creator>Alison, Jennifer A.</creator><creator>McKenzie, David K.</creator><creator>McKeough, Zoe J.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5468-7176</orcidid></search><sort><creationdate>201705</creationdate><title>Home‐based telerehabilitation via real‐time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study</title><author>Tsai, Ling Ling Y. ; McNamara, Renae J. ; Moddel, Chloe ; Alison, Jennifer A. ; McKenzie, David K. ; McKeough, Zoe J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4266-4f9ff0309b5d4a84ef6b443406222292784260770d13fd7862505ad06b7281ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Exercise Tolerance - physiology</topic><topic>Female</topic><topic>Fitness training programs</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Male</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Prospective Studies</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>Pulmonary Disease, Chronic Obstructive - rehabilitation</topic><topic>pulmonary rehabilitation</topic><topic>Quality of Life</topic><topic>Rehabilitation</topic><topic>Respiratory diseases</topic><topic>Single-Blind Method</topic><topic>Statistical analysis</topic><topic>telerehabilitation</topic><topic>Telerehabilitation - methods</topic><topic>Video teleconferencing</topic><topic>Videoconferencing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsai, Ling Ling Y.</creatorcontrib><creatorcontrib>McNamara, Renae J.</creatorcontrib><creatorcontrib>Moddel, Chloe</creatorcontrib><creatorcontrib>Alison, Jennifer A.</creatorcontrib><creatorcontrib>McKenzie, David K.</creatorcontrib><creatorcontrib>McKeough, Zoe J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Respirology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsai, Ling Ling Y.</au><au>McNamara, Renae J.</au><au>Moddel, Chloe</au><au>Alison, Jennifer A.</au><au>McKenzie, David K.</au><au>McKeough, Zoe J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Home‐based telerehabilitation via real‐time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study</atitle><jtitle>Respirology (Carlton, Vic.)</jtitle><addtitle>Respirology</addtitle><date>2017-05</date><risdate>2017</risdate><volume>22</volume><issue>4</issue><spage>699</spage><epage>707</epage><pages>699-707</pages><issn>1323-7799</issn><eissn>1440-1843</eissn><abstract>ABSTRACT
Background and objective
Telerehabilitation has the potential to increase access to pulmonary rehabilitation (PR) for patients with COPD who have difficulty accessing centre‐based PR due to poor mobility, lack of transport and cost of travel. We aimed to determine the effect of supervised, home‐based, real‐time videoconferencing telerehabilitation on exercise capacity, self‐efficacy, health‐related quality of life (HRQoL) and physical activity in patients with COPD compared with usual care without exercise training.
Methods
Patients with COPD were randomized to either a supervised home‐based telerehabilitation group (TG) that received exercise training three times a week for 8 weeks or a control group (CG) that received usual care without exercise training. Outcomes were measured at baseline and following the intervention.
Results
Thirty‐six out of 37 participants (mean ± SD age = 74 ± 8 years, forced expiratory volume in 1 s (FEV1
) = 64 ± 21% predicted) completed the study. Compared with the CG, the TG showed a statistically significant increase in endurance shuttle walk test time (mean difference = 340 s (95% CI: 153–526, P < 0.001)), an increase in self‐efficacy (mean difference = 8 points (95% CI: 2–14, P < 0.007)), a trend towards a statistically significant increase in the Chronic Respiratory Disease Questionnaire total score (mean difference = 8 points (95% CI: −1 to 16, P = 0.07)) and no difference in physical activity (mean difference = 475 steps per day (95% CI: −200 to 1151, P = 0.16)).
Conclusion
This study showed that telerehabilitation improved endurance exercise capacity and self‐efficacy in patients with COPD when compared with usual care.
An 8‐week home‐based telerehabilitation exercise programme using real‐time videoconferencing software showed a statistically significant increase in endurance shuttle walk test time and self‐efficacy when compared with usual care with no exercise training in patients with COPD.
See article, page 626</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>27992099</pmid><doi>10.1111/resp.12966</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5468-7176</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1323-7799 |
| ispartof | Respirology (Carlton, Vic.), 2017-05, Vol.22 (4), p.699-707 |
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| source | MEDLINE; Wiley Online Library |
| subjects | Aged Chronic obstructive pulmonary disease Exercise Exercise Therapy - methods Exercise Tolerance - physiology Female Fitness training programs Forced Expiratory Volume Humans Male Physical activity Physical fitness Physical training Prospective Studies Pulmonary Disease, Chronic Obstructive - physiopathology Pulmonary Disease, Chronic Obstructive - rehabilitation pulmonary rehabilitation Quality of Life Rehabilitation Respiratory diseases Single-Blind Method Statistical analysis telerehabilitation Telerehabilitation - methods Video teleconferencing Videoconferencing |
| title | Home‐based telerehabilitation via real‐time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study |
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