Long-term integrated telerehabilitation of COPD Patients: a multicentre randomised controlled trial (iTrain)

BMC Pulmonary Medicine

Study Protocol

Birthe Dinesen¹  Audhild Hjalmarsen²  Cristino Carneiro Oliveira³  Anne E. Holland⁴  Paolo Zanaboni⁵  Hanne Hoaas⁶  Richard Wootton⁶ 

[1] Department of Health Science and Technology, Laboratory of Assistive Technologies - Telehealth & Telerehabilitation, SMI, Aalborg University, Aalborg, Denmark;Heart and Lung Clinic, University Hospital of North Norway, Tromsø, Norway;Department of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway;La Trobe University, Melbourne, Australia;La Trobe University, Melbourne, Australia;Alfred Health, Melbourne, Australia;Institute for Breathing and Sleep, Melbourne, Australia;Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway;Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway;Department of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway;

关键词: COPD;    Pulmonary rehabilitation;    Telemedicine;    Exercise;    Home monitoring;    Telerehabilitation;   

DOI  :  10.1186/s12890-016-0288-z

 received in 2016-05-05, accepted in 2016-08-16,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPulmonary rehabilitation (PR) is an effective intervention for the management of people with chronic obstructive pulmonary disease (COPD). However, available resources are often limited, and many patients bear with poor availability of programmes. Sustaining PR benefits and regular exercise over the long term is difficult without any exercise maintenance strategy. In contrast to traditional centre-based PR programmes, telerehabilitation may promote more effective integration of exercise routines into daily life over the longer term and broaden its applicability and availability. A few studies showed promising results for telerehabilitation, but mostly with short-term interventions. The aim of this study is to compare long-term telerehabilitation with unsupervised exercise training at home and with standard care.Methods/DesignAn international multicentre randomised controlled trial conducted across sites in three countries will recruit 120 patients with COPD. Participants will be randomly assigned to telerehabilitation, treadmill and control, and followed up for 2 years. The telerehabilitation intervention consists of individualised exercise training at home on a treadmill, telemonitoring by a physiotherapist via videoconferencing using a tablet computer, and self-management via a customised website. Patients in the treadmill arm are provided with a treadmill only to perform unsupervised exercise training at home. Patients in the control arm are offered standard care. The primary outcome is the combined number of hospitalisations and emergency department presentations. Secondary outcomes include changes in health status, quality of life, anxiety and depression, self-efficacy, subjective impression of change, physical performance, level of physical activity, and personal experiences in telerehabilitation.DiscussionThis trial will provide evidence on whether long-term telerehabilitation represents a cost-effective strategy for the follow-up of patients with COPD. The delivery of telerehabilitation services will also broaden the availability of PR and maintenance strategies, especially to those living in remote areas and with no access to centre-based exercise programmes.Trial registrationClinicalTrials.gov: NCT02258646.

【 授权许可】

CC BY   
© The Author(s). 2016