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.

Basic information

Original name

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

Authors

CHAMRADOVA, Katerina (203 Czech Republic), Ladislav BAŤALÍK (203 Czech Republic, belonging to the institution), Petr WINNIGE (203 Czech Republic, belonging to the institution), Filip DOSBABA (203 Czech Republic, belonging to the institution), Martin HARTMAN (203 Czech Republic), Katerina BATALIKOVA (203 Czech Republic), Andrea JANÍKOVÁ (203 Czech Republic), Svatopluk NEHYBA, Marián FELŠŐCI (703 Slovakia), Garyfallia PEPERA and Jing Jing SU

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.300 in 2022

Organization unit

Faculty of Medicine

UT WoS

001280915400001

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 15/8/2024 08:35, Mgr. Tereza Miškechová

Abstract

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