None listed
Conditions
Brief summary
Following completion of the pulmonary rehabilitation programme, benefits in exercise capacity, quality of life, and respiratory symptoms begin to decline unless people with chronic lung conditions continue to exercise. Adherence to supervised maintenance programmes is reported to be as low as 50% at 12 months following pulmonary rehabilitation and has been attributed to barriers such as exacerbations, anxiety, lack of social support, and difficulty accessing community exercise programmes. Unsupervised maintenance exercise may be more accessible and less costly than supervised maintenance exercise to promote continued exercise in the home and community. Online exercise videos using minimal equipment may be a promising strategy for improving adherence to self-efficacy for exercise during the maintenance phase of pulmonary rehabilitation, but have not yet been tested in people with chronic lung conditions. The research questions are: In the maintenance phase following completion of pulmonary rehabilitation, does an online exercise video increase physical activity and self-efficacy for exercise with unsupervised home exercise in people with chronic lung conditions? In the maintenance phase following completion of pulmonary rehabilitation, does an online exercise video maintain exercise capacity and quality of life in people with chronic lung conditions? in people with chronic lung conditions, what are their perspectives of using an online exercise video to pulmonary rehabilitation promote unsupervised home exercise in the maintenance phase following completion of pulmonary rehabilitation? Do perspectives vary with patient levels of self-efficacy for exercise and type of delivery of pulmonary rehabilitation?
Interventions
An online exercise video demonstrating a typical session of pulmonary rehabilitation. The video consists of a warm-up, aerobic lower limb exercise using minimal equipment (eg, marching on the spot), aerobic upper limb exercise using minimal equipment (eg, unsupported upper limb exercises with free weights), lower and upper limb resistance exercises using minimal equipment (eg, sit to stand from a chair, bicep curls using elastic resistance bands), and a cool down. The video is approximately 40 m
An online exercise video demonstrating a typical session of pulmonary rehabilitation. The video consists of a warm-up, aerobic lower limb exercise using minimal equipment (eg, marching on the spot), aerobic upper limb exercise using minimal equipment (eg, unsupported upper limb exercises with free weights), lower and upper limb resistance exercises using minimal equipment (eg, sit to stand from a chair, bicep curls using elastic resistance bands), and a cool down. The video is approximately 40 minutes in duration. Participants will be encouraged to exercise at home using the video at least 3-5 times/week in the 6-month maintenance phase after completion of a pulmonary rehabilitation program. Participants will use an online survey form to record whether they have completed any exercise sessions during the week, how many exercise sessions, for how many sessions they used the online exercise video, and any reasons for not engaging with exercise (e.g., unwell, travelling, not able to access the online exercise video).
Sponsors
NSW Health, Sydney Local Health District
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 No maximum
Healthy volunteers
No
Inclusion criteria
Adults with a chronic lung condition who are in their final two weeks of a pulmonary rehabilitation program; Clinically stable and appropriate for discharge from a pulmonary rehabilitation program at time of initial data collection (i.e., including no change in respiratory medications or worsening of respiratory symptoms in last 2 weeks); Signed informed consent.
Exclusion criteria
Unable to perform unsupervised and independent moderate intensity exercise (e.g., severe cognitive impairment, high falls risk, other comorbidities that would make remote exercise unsafe); No internet access in their home (either via phone or computer), so unable to watch the online exercise video.
Outcome results
None listed