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

Cox, Narelle S; McDonald, Christine F; Alison, Jennifer A.; Mahal, Ajay; Wootton, Richard; Hill, Catherine J.; Bondarenko, Janet; Macdonald, Heather M.; 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

doi:10.1186/s12890-018-0646-0

Cited by 56 publications

(51 citation statements)

References 65 publications

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“…Of these, 7894 records were excluded at the title and abstract screening stage, and 97 full text records were assessed for eligibility ( Figure 1 ). A total of 84 of the 97 full text records were excluded for the following reasons: 26 did not measure smoking, nutrition, alcohol consumption, physical activity, and obesity outcomes; 23 did not use any form of video counseling intervention; 19 involved group video counseling and not individual video counseling [ 37 - 54 ]; 3 were protocol papers [ 55 - 57 ]; 8 were not randomized studies [ 58 - 65 ]; 2 studies were ongoing [ 32 , 66 ]; 1 was a conference abstract [ 67 ]; and 2 studies described a multicomponent intervention, and it was not possible to isolate the effect of real-time video counseling [ 68 , 69 ]. The remaining 13 eligible studies were included in the review.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Byaruhanga¹,

Atorkey²,

Mclaughlin³

et al. 2020

J Med Internet Res

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Background Real-time video communication technology allows virtual face-to-face interactions between the provider and the user, and can be used to modify risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. No systematic reviews have examined the effectiveness of individual real-time video counseling for addressing each of the risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Objective This systematic review aims to examine the effectiveness of individually delivered real-time video counseling on risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Methods The MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica Database), PsycINFO, Cochrane Register of Controlled Trials, and Scopus databases were searched for eligible studies published up to November 21, 2019. Eligible studies were randomized or cluster randomized trials that tested the effectiveness of individual real-time video communication interventions on smoking, nutrition, alcohol, physical activity, and obesity in any population or setting; the comparator was a no-intervention control group or any other mode of support (eg, telephone); and an English-language publication. Results A total of 13 studies were eligible. Four studies targeted smoking, 3 alcohol, 3 physical activity, and 3 obesity. In 2 of the physical activity studies, real-time video counseling was found to significantly increase physical activity when compared with usual care at week 9 and after 5 years. Two obesity studies found a significant change in BMI between a video counseling and a documents group, with significantly greater weight loss in the video counseling group than the in-person as well as the control groups. One study found that those in the video counseling group were significantly more likely than those in the telephone counseling group to achieve smoking cessation. The remaining studies found no significant differences between video counseling and telephone counseling or face-to-face counseling for smoking cessation, video counseling and face-to-face treatment on alcohol consumption, video counseling and no counseling for physical activity, and video counseling and face-to-face treatment on BMI. The global methodological quality rating was moderate in 1 physical activity study, whereas 12 studies had a weak global rating. Conclusions Video counseling is potentially more effective than a control group or other modes of support in addressing physical inactivity and obesity and is not less effective in modifying smoking and alcohol consumption. Further research is required to determine the relative benefits of video counseling in terms of other policy and practice decision-making factors such as costs and feasibility.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Byaruhanga¹,

Atorkey²,

Mclaughlin³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…The group who received the intervention showed greater PA immediately after the intervention than the usual care group, and the effect was still present 3 months after the intervention [ 36 ]. Another study about telerehabilitation in patients with pulmonary disease has been announced [ 37 ]. In this study, participants will undertake an 8-week group-based pulmonary rehabilitation program, either in-person in a center-based pulmonary rehabilitation program, or remotely from their homes via the internet [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another study about telerehabilitation in patients with pulmonary disease has been announced [ 37 ]. In this study, participants will undertake an 8-week group-based pulmonary rehabilitation program, either in-person in a center-based pulmonary rehabilitation program, or remotely from their homes via the internet [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Benefit of Wearing an Activity Tracker in Sarcoidosis

Drent

Elfferich

Breedveld

et al. 2020

JPM

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Sarcoidosis causes many disabling symptoms, including fatigue and exercise limitations, which have been shown to improve by physical activity programs. The aim of this study was to estimate the effect of continuous activity monitoring using an electronic activity tracker (AT) on exercise performance and fatigue of sarcoidosis patients, compared to controls (cohort study), and the effect of additional personal coaching (randomized trial) over a period of 3 months. Fifty-four sarcoidosis patients received an AT (Group Ia: 27 with coaching and Group Ib: 27 without). A historical group of sarcoidosis patients (Group II; n = 41) who did not follow a physical activity program served as controls. Exercise performance of patients wearing an AT (Group I) improved compared with controls (Group II), including the 6MWD, % predicted (∆4.4 ± 9.1 versus ∆0.7 ± 5.0, respectively), and fatigue levels decreased (∆−3.9 ± 5.7 versus ∆−1.8 ± 5.3). Patients with coaching (Group Ia) showed greater improvement of exercise capacity over time than patients without coaching (Group Ib) as shown by the Steep Ramp Test results (watts: ∆20.2 ± 33.8 versus ∆5.7 ± 26.4; and SRT, VO2max, % predicted: ∆1.6 ± 2.6 versus ∆0.7 ± 2.3). Sarcoidosis patients wearing an AT achieved improvement of exercise performance and reduction of fatigue. We therefore recommend encouraging sarcoidosis patients to wear an AT to stimulate physical activity and reduce fatigue. The additional benefit of coaching needs to be explored in future studies.

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“…Finally, the potential for spread of infectious respiratory pathogens from patient to patient is a concern in this population although there is currently no evidence that cross infection occurs in the group setting . More study is needed on home‐based PR and tele‐rehabilitation programmes . Finally, access to rehabilitation programmes is a problem worldwide and ways to maintain benefit must also be further evaluated.…”

Section: Pr In Bronchiectasismentioning

confidence: 99%

“…9 More study is needed on home-based PR 76 and tele-rehabilitation programmes. 77 Finally, access to rehabilitation programmes is a problem worldwide and ways to maintain benefit must also be further evaluated.…”

Section: Pr In Bronchiectasismentioning

confidence: 99%

Airway clearance, mucoactive therapies and pulmonary rehabilitation in bronchiectasis

2019

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This paper aims to provide physiological rationale for airway clearance, mucoactive therapy and pulmonary rehabilitation (PR) (or exercise interventions) in bronchiectasis. There is increasing emphasis on the role of airway clearance techniques (ACT) in the management of bronchiectasis. No single ACT has currently shown superior effect over another. Given the large range of different techniques available, consideration of the physiological effects underpinning a technique including expiratory flow, ventilation and oscillation, is essential to effectively personalize ACT. Key clinical trials of mucoactives in bronchiectasis are underway and will provide clarity on the role of these agents in the management of patients with bronchiectasis. Prescription of mucoactive therapies should be done in conjunction with ACT and therefore the mechanism of action of mucoactive drugs and their timing with ACT should be taken into consideration. PR and/or exercise training are recommended in all current bronchiectasis guidelines. There is a clear physiological rationale that muscle weakness and physical inactivity may play a role in disease progression as well as impacting health‐related quality of life, frequency of pulmonary exacerbations and ability to mobilize sputum. However, there are residual unanswered questions surrounding the delivery and accessibility to PR. This review summarizes the physiological principles and supporting evidence for airway clearance, mucoactive medication and PR, which are key components in the management of bronchiectasis.

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

Cited by 56 publications

References 65 publications

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Benefit of Wearing an Activity Tracker in Sarcoidosis

Airway clearance, mucoactive therapies and pulmonary rehabilitation in bronchiectasis

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