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Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy

BACKGROUND: Breast cancer is the leading cancer affecting women in Singapore. Its survivors commonly experience decline in physical function and quality of life post-mastectomy, due to their upper limb morbidity and wound issues. Rehabilitation can address the aforementioned issues. When rehabilitat...

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Autores principales: Asano, Miho, Koh, Gerald Choon-Huat, Madhukumar, Preetha, Teng, Gladys Yu Hui, Liew, Petrina Li Ling, Nagalingam, Saraswathi, Tan, May Leng Mabel, Ng, Yee Sien, Tan, Benita Kiat Tee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849141/
https://www.ncbi.nlm.nih.gov/pubmed/33522962
http://dx.doi.org/10.1186/s40814-021-00776-5
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author Asano, Miho
Koh, Gerald Choon-Huat
Madhukumar, Preetha
Teng, Gladys Yu Hui
Liew, Petrina Li Ling
Nagalingam, Saraswathi
Tan, May Leng Mabel
Ng, Yee Sien
Tan, Benita Kiat Tee
author_facet Asano, Miho
Koh, Gerald Choon-Huat
Madhukumar, Preetha
Teng, Gladys Yu Hui
Liew, Petrina Li Ling
Nagalingam, Saraswathi
Tan, May Leng Mabel
Ng, Yee Sien
Tan, Benita Kiat Tee
author_sort Asano, Miho
collection PubMed
description BACKGROUND: Breast cancer is the leading cancer affecting women in Singapore. Its survivors commonly experience decline in physical function and quality of life post-mastectomy, due to their upper limb morbidity and wound issues. Rehabilitation can address the aforementioned issues. When rehabilitation is accessible and easy to adhere, it can optimize recovery. Home-based tele-rehabilitation guided by healthcare professionals and self-managed by patients can potentially optimize the patients’ adherence to rehabilitation and recovery. With that in mind, a team of breast cancer specialists (oncologists, nurses, and therapists) in Singapore has developed one of the first tele-rehabilitation systems for local women undergoing a unilateral mastectomy. To our knowledge, no such systems have been evaluated or proven effective as a treatment option among local breast cancer patients with acute disabilities. METHODS: This is a pilot quasi-experimental trial that aims to evaluate the feasibility of tele-rehabilitation and tele-drain care compared to usual care. Up to 40 patients (20 per group) will be recruited for this trial. They will be assigned to an intervention group that receives rehabilitation via a tele-rehabilitation system or a control group that receives rehabilitation in person at their clinic. The primary outcome of this trial is rehabilitation participation (i.e., the time spent on rehabilitation). The secondary outcomes are upper extremity functioning, perceived health, and quality of life. DISCUSSION: As part of this pilot trial, patients who opt in for the tele-rehabilitation will be asked to share their experience with and thoughts on the tele-rehabilitation system. With the evidence obtained from the tele-rehabilitation patients of this trial, we will be able to improve the current system for our future trial. Further, our additional data on rehabilitation participation, physical function, and quality of life will help us design a sufficiently powered future main trial. TRIAL REGISTRATION: The trial was approved by the National Healthcare Group’s Domain Specific Review Board (#2019/00283) and registered with www.ClinicalTrials.gov (#NCT04269967) in February 2020.
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spelling pubmed-78491412021-02-03 Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy Asano, Miho Koh, Gerald Choon-Huat Madhukumar, Preetha Teng, Gladys Yu Hui Liew, Petrina Li Ling Nagalingam, Saraswathi Tan, May Leng Mabel Ng, Yee Sien Tan, Benita Kiat Tee Pilot Feasibility Stud Study Protocol BACKGROUND: Breast cancer is the leading cancer affecting women in Singapore. Its survivors commonly experience decline in physical function and quality of life post-mastectomy, due to their upper limb morbidity and wound issues. Rehabilitation can address the aforementioned issues. When rehabilitation is accessible and easy to adhere, it can optimize recovery. Home-based tele-rehabilitation guided by healthcare professionals and self-managed by patients can potentially optimize the patients’ adherence to rehabilitation and recovery. With that in mind, a team of breast cancer specialists (oncologists, nurses, and therapists) in Singapore has developed one of the first tele-rehabilitation systems for local women undergoing a unilateral mastectomy. To our knowledge, no such systems have been evaluated or proven effective as a treatment option among local breast cancer patients with acute disabilities. METHODS: This is a pilot quasi-experimental trial that aims to evaluate the feasibility of tele-rehabilitation and tele-drain care compared to usual care. Up to 40 patients (20 per group) will be recruited for this trial. They will be assigned to an intervention group that receives rehabilitation via a tele-rehabilitation system or a control group that receives rehabilitation in person at their clinic. The primary outcome of this trial is rehabilitation participation (i.e., the time spent on rehabilitation). The secondary outcomes are upper extremity functioning, perceived health, and quality of life. DISCUSSION: As part of this pilot trial, patients who opt in for the tele-rehabilitation will be asked to share their experience with and thoughts on the tele-rehabilitation system. With the evidence obtained from the tele-rehabilitation patients of this trial, we will be able to improve the current system for our future trial. Further, our additional data on rehabilitation participation, physical function, and quality of life will help us design a sufficiently powered future main trial. TRIAL REGISTRATION: The trial was approved by the National Healthcare Group’s Domain Specific Review Board (#2019/00283) and registered with www.ClinicalTrials.gov (#NCT04269967) in February 2020. BioMed Central 2021-02-01 /pmc/articles/PMC7849141/ /pubmed/33522962 http://dx.doi.org/10.1186/s40814-021-00776-5 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Asano, Miho
Koh, Gerald Choon-Huat
Madhukumar, Preetha
Teng, Gladys Yu Hui
Liew, Petrina Li Ling
Nagalingam, Saraswathi
Tan, May Leng Mabel
Ng, Yee Sien
Tan, Benita Kiat Tee
Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy
title Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy
title_full Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy
title_fullStr Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy
title_full_unstemmed Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy
title_short Study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy
title_sort study protocol: a pilot quasi-experimental trial of tele-rehabilitation and tele-drain care post-mastectomy
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849141/
https://www.ncbi.nlm.nih.gov/pubmed/33522962
http://dx.doi.org/10.1186/s40814-021-00776-5
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