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dc.contributor.authorHwang, Rita
dc.contributor.authorBruning, Jared
dc.contributor.authorMorris, Norman R
dc.contributor.authorMandrusiak, Allison
dc.contributor.authorRussell, Trevor
dc.date.accessioned2017-07-06T05:55:53Z
dc.date.available2017-07-06T05:55:53Z
dc.date.issued2017
dc.identifier.issn1836-9553
dc.identifier.doi10.1016/j.jphys.2017.02.017
dc.identifier.urihttp://hdl.handle.net/10072/341552
dc.description.abstractQuestion: Is a 12-week, home-based telerehabilitation program conducted in small groups non-inferior to a traditional centre-based program in terms of the change in 6-minute walk distance? Is the telerehabilitation program also non-inferior to a centre-based program in terms of functional capacity, muscle strength, quality of life, urinary incontinence, patient satisfaction, attendance rates, and adverse events? Design: Randomised, parallel, non-inferiority trial with concealed allocation, intention-to-treat analysis and assessor blinding. Participants: Patients with stable chronic heart failure (including heart failure with reduced or preserved ejection fraction) were recruited from two tertiary hospitals in Brisbane, Australia. Intervention: The experimental group received a 12-week, real-time exercise and education intervention delivered into the participant’s home twice weekly, using online videoconferencing software. The control group received a traditional hospital outpatient-based program of the same duration and frequency. Both groups received similar exercise prescription. Outcome measures: Participants were assessed by independent assessors at baseline (Week 0), at the end of the intervention (Week 12) and at follow-up (Week 24). The primary outcome was a between-group comparison of the change in 6-minute walk distance, with a non-inferiority margin of 28 m. Secondary outcomes included other functional measures, quality of life, patient satisfaction, program attendance rates and adverse events. Results: In 53 participants (mean age 67 years, 75% males), there were no significant betweengroup differences on 6-minute walk distance gains, with a mean difference of 15 m (95% CI –28 to 59) at Week 12. The confidence intervals were within the predetermined non-inferiority range. The secondary outcomes indicated that the experimental intervention was at least as effective as traditional rehabilitation. Significantly higher attendance rates were observed in the telerehabilitation group. Conclusion: Telerehabilitation was not inferior to a hospital outpatient-based rehabilitation program in patients with chronic heart failure. Telerehabilitation appears to be an appropriate alternative because it promotes greater attendance at the rehabilitation sessions. T
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom101
dc.relation.ispartofpageto107
dc.relation.ispartofissue2
dc.relation.ispartofjournalJournal of Physiotherapy
dc.relation.ispartofvolume63
dc.subject.fieldofresearchClinical Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchHuman Movement and Sports Sciences
dc.subject.fieldofresearchcode110399
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1106
dc.titleHome-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/bync-nd/4.0/
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2017 Published by Elsevier B.V. on behalf of Australian Physiotherapy Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorMorris, Norman


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