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Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial

OBJECTIVES: The aim of this study was to determine if an interactive web-based pulmonary rehabilitation (PR) programme is a feasible alternative to conventional PR. DESIGN: Randomised controlled feasibility trial. SETTING: Participants with a diagnosis of chronic obstructive pulmonary disease were r...

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Autores principales: Chaplin, Emma, Hewitt, Stacey, Apps, Lindsay, Bankart, John, Pulikottil-Jacob, Ruth, Boyce, Sally, Morgan, Mike, Williams, Johanna, Singh, Sally
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387978/
https://www.ncbi.nlm.nih.gov/pubmed/28363923
http://dx.doi.org/10.1136/bmjopen-2016-013682
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author Chaplin, Emma
Hewitt, Stacey
Apps, Lindsay
Bankart, John
Pulikottil-Jacob, Ruth
Boyce, Sally
Morgan, Mike
Williams, Johanna
Singh, Sally
author_facet Chaplin, Emma
Hewitt, Stacey
Apps, Lindsay
Bankart, John
Pulikottil-Jacob, Ruth
Boyce, Sally
Morgan, Mike
Williams, Johanna
Singh, Sally
author_sort Chaplin, Emma
collection PubMed
description OBJECTIVES: The aim of this study was to determine if an interactive web-based pulmonary rehabilitation (PR) programme is a feasible alternative to conventional PR. DESIGN: Randomised controlled feasibility trial. SETTING: Participants with a diagnosis of chronic obstructive pulmonary disease were recruited from PR assessments, primary care and community rehabilitation programmes. Patients randomised to conventional rehabilitation started the programme according to the standard care at their referred site on the next available date. PARTICIPANTS: 103 patients were recruited to the study and randomised: 52 to conventional rehabilitation (mean (±SD) age 66 (±8) years, Medical Research Council (MRC) 3 (IQR2–4)); 51 to the web arm (mean (±SD) age 66 (±10) years, MRC 3 (IQR2–4)). Participants had to be willing to participate in either arm of the trial, have internet access and be web literate. INTERVENTIONS: Patients randomised to the web-based programme worked through the website, exercising and recording their progress as well as reading educational material. Conventional PR consisted of twice weekly, 2 hourly sessions (an hour for exercise training and an hour for education). OUTCOME MEASURES: Recruitment rates, eligibility, patient preference and dropout and completion rates for both programmes were collected. Standard outcomes for a PR assessment including measures of exercise capacity and quality of life questionnaires were also evaluated. RESULTS: A statistically significant improvement (p≤0.01) was observed within each group in the endurance shuttle walk test (WEB: mean change 189±211.1; PR classes: mean change 184.5±247.4 s) and Chronic Respiratory disease Questionnaire-Dyspnoea (CRQ-D; WEB: mean change 0.7±1.2; PR classes: mean change 0.8±1.0). However, there were no significant differences between the groups in any outcome. Dropout rates were higher in the web-based programme (57% vs 23%). CONCLUSIONS: An interactive web-based PR programme is feasible and acceptable when compared with conventional PR. Future trials maybe around choice-based PR programmes for select patients enabling stratification of patient care. TRIAL REGISTRATION NUMBER: ISRCTN03142263; Results.
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spelling pubmed-53879782017-05-03 Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial Chaplin, Emma Hewitt, Stacey Apps, Lindsay Bankart, John Pulikottil-Jacob, Ruth Boyce, Sally Morgan, Mike Williams, Johanna Singh, Sally BMJ Open Rehabilitation Medicine OBJECTIVES: The aim of this study was to determine if an interactive web-based pulmonary rehabilitation (PR) programme is a feasible alternative to conventional PR. DESIGN: Randomised controlled feasibility trial. SETTING: Participants with a diagnosis of chronic obstructive pulmonary disease were recruited from PR assessments, primary care and community rehabilitation programmes. Patients randomised to conventional rehabilitation started the programme according to the standard care at their referred site on the next available date. PARTICIPANTS: 103 patients were recruited to the study and randomised: 52 to conventional rehabilitation (mean (±SD) age 66 (±8) years, Medical Research Council (MRC) 3 (IQR2–4)); 51 to the web arm (mean (±SD) age 66 (±10) years, MRC 3 (IQR2–4)). Participants had to be willing to participate in either arm of the trial, have internet access and be web literate. INTERVENTIONS: Patients randomised to the web-based programme worked through the website, exercising and recording their progress as well as reading educational material. Conventional PR consisted of twice weekly, 2 hourly sessions (an hour for exercise training and an hour for education). OUTCOME MEASURES: Recruitment rates, eligibility, patient preference and dropout and completion rates for both programmes were collected. Standard outcomes for a PR assessment including measures of exercise capacity and quality of life questionnaires were also evaluated. RESULTS: A statistically significant improvement (p≤0.01) was observed within each group in the endurance shuttle walk test (WEB: mean change 189±211.1; PR classes: mean change 184.5±247.4 s) and Chronic Respiratory disease Questionnaire-Dyspnoea (CRQ-D; WEB: mean change 0.7±1.2; PR classes: mean change 0.8±1.0). However, there were no significant differences between the groups in any outcome. Dropout rates were higher in the web-based programme (57% vs 23%). CONCLUSIONS: An interactive web-based PR programme is feasible and acceptable when compared with conventional PR. Future trials maybe around choice-based PR programmes for select patients enabling stratification of patient care. TRIAL REGISTRATION NUMBER: ISRCTN03142263; Results. BMJ Publishing Group 2017-03-31 /pmc/articles/PMC5387978/ /pubmed/28363923 http://dx.doi.org/10.1136/bmjopen-2016-013682 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Rehabilitation Medicine
Chaplin, Emma
Hewitt, Stacey
Apps, Lindsay
Bankart, John
Pulikottil-Jacob, Ruth
Boyce, Sally
Morgan, Mike
Williams, Johanna
Singh, Sally
Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial
title Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial
title_full Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial
title_fullStr Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial
title_full_unstemmed Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial
title_short Interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial
title_sort interactive web-based pulmonary rehabilitation programme: a randomised controlled feasibility trial
topic Rehabilitation Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387978/
https://www.ncbi.nlm.nih.gov/pubmed/28363923
http://dx.doi.org/10.1136/bmjopen-2016-013682
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