Teletechnology-assisted Home-based Exercise Program for Severe COVID-19
- Conditions
- TelerehabilitationCOVID-19
- Interventions
- Behavioral: Teletechnology-assisted home-based pulmonary rehabilitation
- Registration Number
- NCT05778344
- Lead Sponsor
- National Taiwan University Hospital
- Brief Summary
The aim of this study is to investigate the efficacy of a home-based pulmonary rehabilitation program with the support of teletechnology in COVID-19 survivors. The main questions it aims to answer are:
* The change of six-minute walk distance
* The change of time of one-minute sit-to-stand test
* The change of maximal strength of upper-limb, lower-limb and respiratory muscle
* The change of quality of life Participants in the home-based pulmonary rehabilitation group will receive teletechnology-assisted consultations (either by videotelephony or telephone calls) for every 1-2 weeks during the intervention period, and participants in the usual care group will not receive teletechnology-assisted consultations during the intervention period.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Patients are 20 years or more with severe (severe pneumonia) to critical (acute respiratory distress syndrome, sepsis, or septic shock) COVID-19 during hospitalization after deisolation.
- Patients are 65 years or more, or ever receiving oral antiviral treatment after deisolation.
- Patient have the ability to ambulate on level surface without direct contact of another person, have telecommunication device(s), and provide consent to receive teletechnology-assisted rehabilitation.
- Patients are pregnant or planning for pregnancy.
- Patients have cognitive dysfunction, learning disability, uncontrolled arrhythmia or hypertension, or any medical diagnosis other than COVID-19 that would prominently influence their ability to follow instructions and perform exercise.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Home-based pulmonary rehabilitation group Teletechnology-assisted home-based pulmonary rehabilitation The home-based pulmonary rehabilitation group will receive breathing exercise instructions using online learning materials soon after randomization. The participants will receive a home-based exercise plan, which comprises aerobic exercise and resistance exercise with instruction sheets. The participants will also be given a smart watch (to record heart rate, step count and distance in daily life) and a portable pulse oximeter (to monitor heart pulse and oxygen saturation during exercise) for 12 weeks. Teletechnology will be incorporated into home-based pulmonary rehabilitation via videotelephony (or telephone calls if indicated). Time points for these teletechnology-assisted consultations will be at day 7, day 14 after randomization and every 2 weeks after that until the completion of the study (week 12). Usual care group Teletechnology-assisted home-based pulmonary rehabilitation The usual care group will receive breathing exercise instructions using online learning materials soon after randomization. The participants will also receive general exercise education and exercise safety principles but not any consultation about their physical activity/exercise during the study period.
- Primary Outcome Measures
Name Time Method Six-minute walk distance Week 24 The distance of six-minute walk test
- Secondary Outcome Measures
Name Time Method Maximal respiratory muscle strength Week 24 Inspiratory and expiratory pressure of respiratory muscle
Maximal upper limb strength Week 24 Hand grip strength
Maximal lower limb strength Week 24 Leg press strength
Quality of life score Week 24 Quality of life assessed by Short-form 12 questionnaire
Trial Locations
- Locations (1)
National Taiwan University Hospital
🇨🇳Taipei City, Taiwan