scholarly journals The feasibility of online video calling to engage patients with cystic fibrosis in exercise training

2019 ◽  
Vol 26 (6) ◽  
pp. 356-364 ◽  
Author(s):  
Owen W Tomlinson ◽  
James Shelley ◽  
Jayne Trott ◽  
Ben Bowhay ◽  
Rohan Chauhan ◽  
...  

Introduction Physical activity, including structured exercise, is an essential component in the management of cystic fibrosis. The use of telehealth such as video-calling may be a useful method for the delivery of exercise and physical activity interventions, though the feasibility of this remains unknown. Methods Nine patients with cystic fibrosis (three female, six male, 30.9 ± 8.7 years) volunteered to participate. Participants completed an eight-week exercise training intervention conducted via Skype, using personalised exercises, with all sessions supervised by an exercise therapist. Feasibility was assessed by demand, implementation, practicality and acceptability. Changes in anthropometric, pulmonary, physical activity and quality of life variables were also assessed. Results Two male participants withdrew from the study, citing lack of available time. The remaining participants found use of Skype useful, with a mean satisfaction rating of 9/10, and three participants requesting to continue the sessions beyond the duration of the study. Mean compliance with sessions was 68%, with mean duration of sessions being 20 min. A total of 25% of calls suffered from technical issues such as video or audio lags. Anthropometric, pulmonary, physical activity and quality of life variables remained unchanged over the course of the study period. Discussion The use of Skype to deliver an exercise intervention to patients withcystic fibrosis was found to be technologically feasible, and acceptable among participants. Findings have implications for clinical practice and could allow care teams to engage patients remotely in exercise. Further research is required to assess the efficacy of this modality on increasing physical activity and associated health outcomes.

Author(s):  
Anne Swisher ◽  
Kathryn Moffett

Purpose: Physical activity is well known to improve or maintain exercise capacity and overall health in patients with cystic fibrosis (CF). However, many patients do not meet recommended guidelines for physical activity. The purpose of this study was to determine if individualized, targeted coaching could improve the levels of physical activity and quality of life in children and adolescents with CF. Subjects: Twelve children with CF, ages 7 to 17, participated in this study.Method: Each participant completed a physical activity questionnaire (PAQ) and a disease-specific quality of life questionnaire (CFQ) at baseline and three months later. The participants were given pedometers and a 10,000 step per day target. Participants also participated in discussions regarding ways to increase physical activity appropriate for their interest, abilities and age. Weekly follow-up phone calls were made to obtain pedometer counts and discuss physical activities performed. Results: Physical activity scores (PAQ) improved in 6 of 12 participants. Quality of life improved in many dimensions of the CFQ, particularly in vitality (3 of 5 improved); emotional (8 of 12 improved) and respiratory (7 of 12 improved). Conclusions: The results of this small pilot study suggest that an individualized coaching approach to physical activity in children and adolescents with CF may improve physical activity levels and improve important aspects of quality of life in some children with CF.


2018 ◽  
Vol 1 ◽  
pp. AB017-AB017
Author(s):  
Jorge Lizandra ◽  
Alexandra Valencia-Peris ◽  
Amparo Escribano ◽  
Silvia Castillo ◽  
Elena Lopez-Cañada ◽  
...  

2020 ◽  
Author(s):  
Grace McKeon ◽  
Zachary Steel ◽  
Ruth Wells ◽  
Jill Newby ◽  
Dusan Hadzi-Pavlovic ◽  
...  

UNSTRUCTURED First-responders (e.g. police, firefighters, paramedics) are at high risk of experiencing poor mental health. Physical activity interventions can help reduce symptoms and improve mental health in this group. More research is however needed to evaluate accessible, low cost ways of delivering programs. Social media may be a potential platform for delivering group-based physical activity interventions. We co-designed a 10-week online physical activity program delivered via a private Facebook group. We provided education and motivation around different weekly topics (e.g. goal setting and reducing sedentary behaviour) and provided participants with a Fitbit. We aimed to examine the feasibility and acceptability of the program for first-responders and a nominated informal caregiver to participate with them. We also explored the impact on mental health symptoms, sleep quality, quality of life and physical activity levels. A multiple time series design was applied to assess levels of psychological distress, with participants acting as their own control prior to the intervention. Twenty-four participants (n=12 first responders and n=12 nominated support partners) were recruited and 88% (n=21) completed the post assessment questionnaires. High acceptability was observed in the qualitative interviews. Exploratory analyses found significant reductions in psychological distress across the intervention. Pre and post analysis showed significant improvements in quality of life (Cohen’s d=0.603), total depression, anxiety and stress scores (d=0.354) and minutes of walking (d=0.549). Changes in perceived social support to exercise and sleep quality were not significant. The results provide preliminary support for the use of social media and a multiple-time series design to deliver mental health informed physical activity interventions for first-responders and their informal caregivers.


2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 97-97
Author(s):  
Grainne Sheill ◽  
Lauren Brady ◽  
Emer M. Guinan ◽  
Juliette M. Hussey ◽  
Brian Hayes ◽  
...  

97 Background: All patients living with cancer, including those with metastatic cancer, are encouraged to be physically active. This paper examines the feasibility of an aerobic exercise intervention for men with metastatic prostate cancer. Methods: ExPeCT (Exercise, Prostate Cancer and Circulating Tumour Cells), was a multi-centre randomised control trial for men living with metastatic prostate cancer. Participants were randomized to either control or exercise arms. Participants in the exercise arm completed six- months of prescribed aerobic exercise. Quality of life assessments were completed at baseline, at 3 months and at 6 months using a standardised questionnaire derived from the Harvard Health Professionals Follow-up study. Physical activity was measured using a self-administered physical activity questionnaire. Exercise adherence data was collected via Polar heart rate monitors, worn by the patient for every exercise session undertaken. Results: A total of 61 patients were included (69.4±7.3 yr, Body Mass Index 29.2±5.8 kg/m2). The median time since diagnosis was 34 months (IQR 7-54). A total of 35 (55%) of participants had >1 region affected by metastatic disease. A total of 54 (81%) of participants completed the 3 month assessment and 52 (78%) of the participants completed the 6 month assessment. Adherence to the supervised sessions was 83% (329 out of 396 sessions attended). Participants were adherent to both the intensity (82%) and duration (83%) of the prescribed exercise programme during class sessions. No adverse events were reported by participants enrolled in this study. There was no significant difference in physical activity levels, sedentary time or quality of life between either group at baseline, 3 months or 6 months. Systolic blood pressure was significantly lower in the exercise group when compared to the control group at 3 months (p=.008) and 6 months (p=.011). Conclusions: The exercise intervention was tolerated well by a group of patients with a high burden of metastatic prostate cancer however did not lead to change in physical activity levels or quality of life. This trial provides proof of principle evidence for future exercise studies involving this patient group. Clinical trial information: NCT02453139.


2008 ◽  
Author(s):  
Cindy Carter ◽  
Kathleen Cartmell ◽  
Georgiana Onicescu ◽  
Jim Tomsic ◽  
Erica Dunmeyer ◽  
...  

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