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 (203 Česká republika), Ladislav BAŤALÍK (203 Česká republika, domácí), Petr WINNIGE (203 Česká republika, domácí), Filip DOSBABA (203 Česká republika, domácí), Martin HARTMAN (203 Česká republika), Katerina BATALIKOVA (203 Česká republika), Andrea JANÍKOVÁ (203 Česká republika), Svatopluk NEHYBA, Marián FELŠŐCI (703 Slovensko), 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: 3.300 v roce 2022

Organizační jednotka

Lékařská fakulta

UT WoS

001280915400001

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