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Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality

OBJECTIVES: To identify the components, and assess the reporting quality, of exercise training interventions for people living with pulmonary hypertension. DESIGN: Systematic review with analysis of intervention reporting quality using the Consensus on Exercise Reporting Template (CERT). DATA SOURCE...

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Autores principales: McGregor, Gordon, Powell, Richard, Finnegan, Susanne, Nichols, Simon, Underwood, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196941/
https://www.ncbi.nlm.nih.gov/pubmed/30364456
http://dx.doi.org/10.1136/bmjsem-2018-000400
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author McGregor, Gordon
Powell, Richard
Finnegan, Susanne
Nichols, Simon
Underwood, Martin
author_facet McGregor, Gordon
Powell, Richard
Finnegan, Susanne
Nichols, Simon
Underwood, Martin
author_sort McGregor, Gordon
collection PubMed
description OBJECTIVES: To identify the components, and assess the reporting quality, of exercise training interventions for people living with pulmonary hypertension. DESIGN: Systematic review with analysis of intervention reporting quality using the Consensus on Exercise Reporting Template (CERT). DATA SOURCES: Eligible studies in the Cochrane Systematic Review of exercise-based rehabilitation for pulmonary hypertension, updated with a new search of relevant databases from 1 August 2016 to 15 January 2018. ELIGIBILITY CRITERIA: Peer-reviewed journal articles of randomised and non-randomised controlled trials, and non-controlled prospective observational studies, investigating dynamic exercise training interventions in adult humans with diagnosed pulmonary hypertension, reporting on at least one physiological and/or psychosocial outcome. RESULTS: Interventions typically involved cycle ergometry and walking. They were delivered as 3-week inpatient, or outpatient and/or home-based programmes, lasting for 4–15 weeks. Components relating specifically to exercise prescription were described satisfactorily and in more detail than motivational/behavioural change strategies, adherence and fidelity. Mean CERT score was 13.1 (range 8–17) out of a possible maximum score of 19. No studies fully reported every aspect of an exercise intervention to the standard recommended by CERT. SUMMARY/CONCLUSION: Considerable variability was evident in the components and reporting quality of interventions for exercise rehabilitation studies in pulmonary hypertension. Interventional studies using exercise training should pay greater attention to describing motivational/behavioural change strategies, adherence and fidelity. Detailed description of these parameters is essential for the safe and effective replication of exercise rehabilitation interventions for pulmonary hypertension in clinical practice. TRIAL REGISTRATION NUMBER: CRD42018085558.
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spelling pubmed-61969412018-10-25 Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality McGregor, Gordon Powell, Richard Finnegan, Susanne Nichols, Simon Underwood, Martin BMJ Open Sport Exerc Med Review OBJECTIVES: To identify the components, and assess the reporting quality, of exercise training interventions for people living with pulmonary hypertension. DESIGN: Systematic review with analysis of intervention reporting quality using the Consensus on Exercise Reporting Template (CERT). DATA SOURCES: Eligible studies in the Cochrane Systematic Review of exercise-based rehabilitation for pulmonary hypertension, updated with a new search of relevant databases from 1 August 2016 to 15 January 2018. ELIGIBILITY CRITERIA: Peer-reviewed journal articles of randomised and non-randomised controlled trials, and non-controlled prospective observational studies, investigating dynamic exercise training interventions in adult humans with diagnosed pulmonary hypertension, reporting on at least one physiological and/or psychosocial outcome. RESULTS: Interventions typically involved cycle ergometry and walking. They were delivered as 3-week inpatient, or outpatient and/or home-based programmes, lasting for 4–15 weeks. Components relating specifically to exercise prescription were described satisfactorily and in more detail than motivational/behavioural change strategies, adherence and fidelity. Mean CERT score was 13.1 (range 8–17) out of a possible maximum score of 19. No studies fully reported every aspect of an exercise intervention to the standard recommended by CERT. SUMMARY/CONCLUSION: Considerable variability was evident in the components and reporting quality of interventions for exercise rehabilitation studies in pulmonary hypertension. Interventional studies using exercise training should pay greater attention to describing motivational/behavioural change strategies, adherence and fidelity. Detailed description of these parameters is essential for the safe and effective replication of exercise rehabilitation interventions for pulmonary hypertension in clinical practice. TRIAL REGISTRATION NUMBER: CRD42018085558. BMJ Publishing Group 2018-10-16 /pmc/articles/PMC6196941/ /pubmed/30364456 http://dx.doi.org/10.1136/bmjsem-2018-000400 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Review
McGregor, Gordon
Powell, Richard
Finnegan, Susanne
Nichols, Simon
Underwood, Martin
Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality
title Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality
title_full Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality
title_fullStr Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality
title_full_unstemmed Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality
title_short Exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality
title_sort exercise rehabilitation programmes for pulmonary hypertension: a systematic review of intervention components and reporting quality
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196941/
https://www.ncbi.nlm.nih.gov/pubmed/30364456
http://dx.doi.org/10.1136/bmjsem-2018-000400
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