None listed
Conditions
Brief summary
Physical activity is an effective intervention for managing many chronic diseases. The majority of the general population are not sufficiently active to meet physical activity guidelines and physical inactivity is more prevalent in people living with chronic disease. People with chronic disease require guidance from healthcare professionals to make lifestyle changes to manage their condition and improve health outcomes, however, there is a lack of healthcare professionals and services available people living in regional and remote NSW. PhyzX 2U is a new mobile service that uses a combination of face to face consultation, mobile exercise tracking and a health coaching service via telehealth to provide exercise programs to people living with chronic disease in remote rural communities of NSW’s Central West. Objectives: To evaluate the delivery of the PhyzX2U service in its pilot phase. The specific aims are to determine the (i) feasibility, uptake and impact of the PhyzX 2U program in improving health and quality of life for people with chronic disease living in rural and remote communities; and (ii) acceptability of the PhyzX 2U program, including facilitators and barriers to implementation, from the perspectives of the providers and recipients. Study plan: An observational mixed methods study will be used. Health and goal outcomes from recipients of the PhyzX 2U program will be compared between program initiation and following completion of the 12-week program. Client adherence to the 12-week exercise intervention and PhyzX resources to run the program will also be determined. Semi-structured interviews will be conducted with a subsample of program recipients and program providers to determine the acceptability of the program, and to identify facilitators and barriers to program implementation. Data will be collected between September 2017 and 30 June 2018.
Interventions
Participants will take part in a new 12 week mobile health service that uses a combination of face to face consultation, mobile exercise tracking and a health coaching service via telehealth to provide personalised exercise programs to people living with chronic disease in remote rural communities of NSW’s Central West. This health service will be conducted by qualified exercise physiologists and physiotherapists as well as existing undergraduate students on clinical placement. Mobile clinics wi
Participants will take part in a new 12 week mobile health service that uses a combination of face to face consultation, mobile exercise tracking and a health coaching service via telehealth to provide personalised exercise programs to people living with chronic disease in remote rural communities of NSW’s Central West. This health service will be conducted by qualified exercise physiologists and physiotherapists as well as existing undergraduate students on clinical placement. Mobile clinics will be conducted in a range of rural towns at which participants will undergo an initial assessment, duration 1 hour. Telehelath (online video calls) will be used to conduct the health coaching for follow up sessions, duration 30 minutes. Telehealth sessions will be conducted by exercise physiology and physiotherapy students under the supervision of their onsite clinical educator. Frequency of telehealth health coaching sessions will be fortnightly. Track Active, an online exercise prescription platform, utilised by PhyzX 2U which enables program participants to access their exercises via a web browser or an app, and to communicate with PhyzX 2U staff to seek remote support and ask questions will be used. Adherence to the program will be collected from Track Active data. For those participants without internet access, a record of phone calls between recipients and PhyzX 2U staff will be kept and this data will be used to measure their adherence.
Sponsors
University of Sydney
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1) Enrolled PhyzX 2U program recipients: a. With one or more chronic diseases (diabetes, osteoarthritis, obesity, cardiovascular disease, musculoskeletal pain) for 6+ months b. Are eligible for a general practitioner (GP) management plan and team care arrangement (TCA).
Exclusion criteria
1) Individuals contraindicated to undertake exercise (eg, acutely unwell or deteriorating medical condition such as late stage cancer) 2) Individuals unable to communicate remotely with PhyzX 2U, ie, they do not have a telephone contact number or email/internet access 3) Individuals with a diagnosis of dementia.
Outcome results
None listed