J 2024

Effects of home-based exercise with telehealth guidance in lymphoma cancer survivors entering cardio-oncology rehabilitation: rationale and design of the tele@home study

CHAMRADOVA, Katerina; Ladislav BAŤALÍK; Petr WINNIGE; Filip DOSBABA; Martin HARTMAN et al.

Základní údaje

Originální název

Effects of home-based exercise with telehealth guidance in lymphoma cancer survivors entering cardio-oncology rehabilitation: rationale and design of the tele@home study

Autoři

CHAMRADOVA, Katerina; Ladislav BAŤALÍK ORCID; Petr WINNIGE ORCID; Filip DOSBABA; Martin HARTMAN; Katerina BATALIKOVA; Andrea JANÍKOVÁ; Svatopluk NEHYBA; Marián FELŠŐCI ORCID; Garyfallia PEPERA a Jing Jing SU

Vydání

CARDIO-ONCOLOGY, LONDON, BMC, 2024, 2057-3804

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 3.200

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/24:00136784

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

Cardio-oncology rehabilitation; Home-based exercise; Cancer survivors; Telehealth; Telemonitoring

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 15. 8. 2024 08:35, Mgr. Tereza Miškechová

Anotace

V originále

BackgroundParticipation in cardio-oncological rehabilitation is low, and the effects incline to decrease after the initial rehabilitation term. Home-based exercise has the potential to enhance involvement in cardio-oncology rehabilitation and was demonstrated to be feasible, safe, and helpful in increasing short-term cardiorespiratory fitness. The lasting effects on cardiorespiratory fitness and physical activity are uncertain. Hence, a novel approach via telehealth management based on objectively measured exercise at home was proposed.ObjectivesTo improve self-monitoring, such as self-confidence, behavioral change, and goal setting for individual exercise, and afterward, increase long-term effects concerning cardiorespiratory fitness.DesignThis randomized controlled trial compares a 12-week guided home exercise telehealth intervention with a center-based exercise intervention of the same duration and intensity of exercise in lymphoma cancer survivors entering cardio-oncology rehabilitation after treatment. Participants will be instructed to exercise gradually at 60-85% of their maximum heart rate for 30-50 min 3 times a week. Participants will receive individual remote guidance (feedback about frequency, duration, and exercise intensity) by preferred contact (phone call, text message) once a week based on shared exercise data through the web platform. The primary outcome is a change in cardiorespiratory fitness expressed as maximal oxygen uptake assessed through cardiopulmonary exercise test at baseline, 12 weeks, and 1 year. Secondary objectives are quality of life, muscle strength, body composition, incidence of adverse events, and exercise adherence.SummaryThis study will determine whether a telehealth model is effective and safe compared to a center-based model in cancer survivors and whether exercise prescriptions are followed by participants. Additionally, an overview of the long-term effectiveness of telehealth cardio-oncology rehabilitation will be provided. This approach aligns with the trend of moving non-complex healthcare services into the patients' home environment.Trial registrationClinicalTrials.Gov Identifier: NCT05779605