None listed
Conditions
Brief summary
Patients will be assessed for suitability for this study and then invited to participate. All participants will then undergo an initial face-to-face session by the investigators on matters related to methodology and technical requirements on conducting home-based internet programmes on exercise and stress management techniques. Following this initial session, supervised home based training sessions will be conducted over 4-6 weeks. This will be followed by assessment at end of the training period and then at 3, 6, and 12 months after the training sessions. .
Interventions
Supervised home based training sessions on exercise and stress management techniques will be conducted over 4-6 weeks by a trained physiotherapist and psychologist using the internet. The exact number of sessions will be determined by ongoing individual needs.
The Proposed exercise intervention will be supervised home based training for aerobic and resistance exercises with stretching and resistance/strength training. The programme includes a goal attainment scale (GAS) to aid adherence and as
Supervised home based training sessions on exercise and stress management techniques will be conducted over 4-6 weeks by a trained physiotherapist and psychologist using the internet. The exact number of sessions will be determined by ongoing individual needs. The Proposed exercise intervention will be supervised home based training for aerobic and resistance exercises with stretching and resistance/strength training. The programme includes a goal attainment scale (GAS) to aid adherence and as an objective end point measurement. Patients will be given recommendations for daily practice. The initial consultation includes 6 minute walk test. Following the initial consultation, 3-4 reinforcement sessions will be conducted over 4-6 weeks, duration of each session maybe between 15 -30 mins. This will be followed by assessment at end of the training period and then at 3, 6, and 12 months after the training sessions. All participants will undergo an initial 1 hour face-to-face assessment session conducted by a Clinical Psychologist to screen for psychosocial risk factors and levels of anxiety and depression. All patients will complete a 1.5 hour psycho-education session with a psychologist that will include a discussion and training in general stress management techniques as well as provision of written materials on stress management strategies and audio recordings of the relaxation technique . All sessions will be one on one, and face to face using the internet. Participants will undergo live training over the internet using Skype with the physiotherapist and psychologist. The recommended Australian immunisation guidelines following HSCT will be used to check participants' medical records for evidence of post-transplant vaccination. Vaccination status will also be assessed using serology (on blood tests) to specified pathogens at baseline. Any deficiencies in vaccination will be addressed with re-immunisation.
Sponsors
St Vincent's Hospital, Sydney
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Allogeneic HSCT patients, > 6 months post-transplant with no severe GVHD or other medical issues that requires regular clinic visits, no physical or mental impediments to carry out the programmes or assessment tasks,
Exclusion criteria
has cardiac disease including arrhythmia,living alone and not approved by the patient’s haematologist.
Outcome results
None listed