在线多模式康复计划对新冠长期症状患者的有效性:一项随机临床试验。

Effectiveness of an online multimodal rehabilitation program in long COVID patients: a randomized clinical trial.

作者信息

León-Herrera Sandra, Oliván-Blázquez Bárbara, Sánchez-Recio Raquel, Méndez-López Fátima, Magallón-Botaya Rosa, Sánchez-Arizcuren Rafael

机构信息

Institute for Health Research Aragón (IIS Aragón), Zaragoza, 50009, Spain.

Department of Psychology and Sociology, University of Zaragoza, Zaragoza, 50009, Spain.

出版信息

Arch Public Health. 2024 Sep 18;82(1):159. doi: 10.1186/s13690-024-01354-w.

Abstract

BACKGROUND

Digital interventions are expected to facilitate the treatment of patients suffering from Long COVID. This trial assesses the effectiveness of a multimodal rehabilitation program -comprising both online and synchronous components- in managing the characteristic symptoms of Long COVID and, consequently, in improving quality of life. It also aims to identify which changes in measured variables from baseline (T0) to post-intervention (T1) predict an improvement in quality of life.

METHODS

A blind randomized controlled trial was conducted with two parallel groups: (1) the control group, which received usual treatment from the primary care physician and (2) the intervention group, which received usual treatment in addition to an online multimodal rehabilitation program. The data were collected at two time points: prior to the start of the intervention and three months after it. The main outcome variable was quality of life, encompassing both mental health and physical health-related quality of life. Sociodemographic and clinical variables were collected as secondary variables.

RESULTS

A total of 134 participants (age 48.97 ± 7.64; 84.33% female) were included and randomized into the control group (67 participants) and the intervention group (67 participants). Comparative analyses conducted before and after the intervention showed a significant improvement in the mental health-related quality of life of the participants who received the intervention, with a mean increase of 1.98 points (p < 0.05). Linear regression analyses revealed that both received the intervention (b = 3.193; p < 0.05) and an increased self-efficacy (b = 0.298; p < 0.05) were predictors of greater improvement in mental health-related quality of life.

摘要

背景

数字干预有望促进长新冠患者的治疗。本试验评估了一个多模式康复计划(包括在线和同步组成部分)在管理长新冠特征症状以及改善生活质量方面的有效性。它还旨在确定从基线(T0)到干预后(T1)测量变量的哪些变化可预测生活质量的改善。

方法

进行了一项双盲随机对照试验,分为两个平行组:(1)对照组,接受初级保健医生的常规治疗;(2)干预组,除接受常规治疗外,还接受在线多模式康复计划。在两个时间点收集数据:干预开始前和干预后三个月。主要结局变量是生活质量,包括心理健康和与身体健康相关的生活质量。收集社会人口统计学和临床变量作为次要变量。

结果

共纳入134名参与者(年龄48.97±7.64;84.33%为女性),并随机分为对照组(67名参与者)和干预组(67名参与者)。干预前后进行的比较分析显示,接受干预的参与者在心理健康相关生活质量方面有显著改善,平均提高1.98分(p<0.05)。线性回归分析显示,接受干预(b=3.193;p<0.05)和自我效能感提高(b=0.298;p<0.05)都是心理健康相关生活质量改善更大的预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0654/11409807/edb2a67369fb/13690_2024_1354_Fig1_HTML.jpg

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