Chaplin Emma, Hewitt Stacey, Apps Lindsay, Edwards Kelly, Brough Chris, Glab Aga, Bankart John, Jacobs Ruth, Boyce Sally, Williams Johanna, Singh Sally
Leicester Respiratory Biomedical Research Unit, Department of Respiratory Medicine, Centre for Exercise and Rehabilitation Science, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK.
Department of Primary Care and Health Sciences, Keele University, Keele, UK.
BMJ Open. 2015 Aug 25;5(8):e008055. doi: 10.1136/bmjopen-2015-008055.
INTRODUCTION: Pulmonary Rehabilitation (PR) is an evidence-based intervention that has been recommended in guidelines to be available to those who may benefit. However, not all patients with chronic obstructive pulmonary disease (COPD) have access to this service. Healthcare services have shown the need for the provision of PR in other forms to enable patient choice and service capacity. There is an increase in evidence for the use of the internet in the management of long-term conditions to provide education and promote self-management. The aim of this study is to see if an interactive web-based PR programme is a feasible alternative compared with conventional PR. METHODS AND ANALYSIS: This is a feasibility study designed to evaluate the efficacy of providing a web-based PR programme to improve patients exercise capacity, quality of life and promote self-management in patients with moderate to severe COPD compared with conventional PR programmes. Eligible patients will be randomly allocated to receive either the web-based programme or conventional rehabilitation programme for 7 weeks using an internet-based randomisation system. Participants will be recruited from PR assessments, primary care and community rehabilitation programmes. Those randomised to the web-based programme work through the website which contains all the information that the patients receive in the PR classes. They receive weekly phone calls by a professional to help progress through the course on line. The outcome measures will be recruitment rates and eligibility as well as that standard for a PR assessment including measures of exercise capacity, quality of life questionnaires and physical activity. ETHICS AND DISSEMINATION: The research ethics committee for Northampton has provided ethical approval for the conduct of the study. The results of the study will be disseminated through appropriate conference presentations and peer reviewed journals. TRIAL REGISTRATION NUMBER: ISRCTN03142263.
引言:肺康复(PR)是一种循证干预措施,指南推荐将其提供给可能受益的人群。然而,并非所有慢性阻塞性肺疾病(COPD)患者都能获得这项服务。医疗服务表明需要以其他形式提供肺康复,以实现患者选择并提高服务能力。越来越多的证据表明,利用互联网管理长期疾病以提供教育并促进自我管理是可行的。本研究的目的是探讨与传统肺康复相比,基于网络的交互式肺康复计划是否是一种可行的替代方案。 方法与分析:这是一项可行性研究,旨在评估与传统肺康复计划相比,提供基于网络的肺康复计划对改善中度至重度COPD患者运动能力、生活质量和促进自我管理的效果。符合条件的患者将使用基于互联网的随机系统随机分配,接受为期7周的网络计划或传统康复计划。参与者将从肺康复评估、初级保健和社区康复计划中招募。随机分配到网络计划的参与者通过包含患者在肺康复课程中所获得的所有信息的网站进行学习。他们每周会接到专业人员的电话,以帮助他们在网上推进课程。结果指标将包括招募率和符合条件情况,以及肺康复评估的标准指标,包括运动能力测量、生活质量问卷和身体活动情况。 伦理与传播:北安普敦研究伦理委员会已批准本研究的开展。研究结果将通过适当的会议报告和同行评审期刊进行传播。 试验注册号:ISRCTN03142263。
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