Evidence map›Paper›PMID 29764393›Full record

ArticleBMC pulmonary medicine2018

Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: protocol for a randomised controlled trial.

Narelle S Cox, Christine F McDonald, Jennifer A Alison, Ajay Mahal, Richard Wootton, Catherine J Hill, Janet Bondarenko, Heather Macdonald, Paul O'Halloran, Paolo Zanaboni and 10 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pulmonary medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  3. Telerehabilitation for chronic respiratory disease.The Cochrane database of systematic reviews · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 7 institutions in 2 countries.

Narelle S CoxDiscipline of Physiotherapy, La Trobe University and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC, Australia. n.cox@latrobe.edu.au.ORCID http://orcid.org/0000-0002-6977-1028
Christine F McDonaldDepartment of Respiratory Medicine Austin Health; Institute for Breathing and Sleep and University of Melbourne, Austin Health, Heidelberg, VIC, Australia.
Jennifer A AlisonDiscipline of Physiotherapy, University of Sydney and Sydney Local Health District, University of Sydney, Lidcombe, NSW, Australia.
Ajay MahalThe Nossal Institute for Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Richard WoottonNorwegian Center for E-health Research, University Hospital of North Norway, Tromsø, Norway.
Catherine J HillPhysiotherapy Department Austin Health and Institute for Breathing and Sleep, Austin Health, Heidelberg, VIC, Australia.
Janet BondarenkoPhysiotherapy Department, Alfred Health, Prahran, VIC, Australia.
Heather MacdonaldWimmera Health Care Group, Horsham, VIC, Australia.
Paul O'HalloranSchool of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia.
Paolo ZanaboniNorwegian Center for E-health Research, University Hospital of North Norway, Tromsø, Norway.
Ken ClarkeMelbourne Networked Society Institute, University of Melbourne, Melbourne, VIC, Australia.
Deidre RennickWimmera Health Care Group, Horsham, VIC, Australia.
Kaye BorgeltWest Wimmera Health Service, Nhill, VIC, Australia.
Angela T BurgeDiscipline of Physiotherapy, La Trobe University; Department of Physiotherapy, Alfred Health and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC, Australia.
Aroub LahhamDiscipline of Physiotherapy, La Trobe University and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC, Australia.
Bruna WageckDiscipline of Physiotherapy, La Trobe University, Melbourne, VIC, Australia.
Hayley CruteWimmera Health Care Group, Horsham, VIC, Australia.
Pawel CzuprynWest Wimmera Health Service, Nhill, VIC, Australia.
Amanda NicholsMonash Health, Clayton, VIC, Australia.
Anne E HollandDiscipline of Physiotherapy, La Trobe University; Department of Physiotherapy, Alfred Health and Institute for Breathing and Sleep, La Trobe University, Melbourne, VIC, Australia.
La Trobe University · AUThe University of Melbourne · AUUniversity Hospital of North Norway · NOAlfred Health · AUInstitute for Breathing and Sleep · AUMonash Health · AUThe University of Sydney · AU

Funding

National Health and Medical Research Council 1101616National Health and Medical Research Council 1119970
6 · The paper itself

Abstract

backgroundPulmonary rehabilitation is an effective therapeutic intervention for people with chronic respiratory disease. However, fewer than 5% of eligible individuals receive pulmonary rehabilitation on an annual basis, largely due to limited availability of services and difficulties associated with travel and transport. The Rehabilitation Exercise At Home (REAcH) study is an assessor-blinded, multi-centre, randomised controlled equivalence trial designed to compare the efficacy of home-based telerehabilitation and traditional centre-based pulmonary rehabilitation in people with chronic respiratory disease.

methodsParticipants will undertake an 8-week group-based pulmonary rehabilitation program of twice-weekly supervised exercise training, either in-person at a centre-based pulmonary rehabilitation program or remotely from their home via the Internet. Supervised exercise training sessions will include 30 min of aerobic exercise (cycle and/or walking training). Individualised education and self-management training will be delivered. All participants will be prescribed a home exercise program of walking and strengthening activities. Outcomes will be assessed by a blinded assessor at baseline, after completion of the intervention, and 12-months post intervention. The primary outcome is change in dyspnea score as measured by the Chronic Respiratory Questionnaire - dyspnea domain (CRQ-D). Secondary outcomes will evaluate the efficacy of telerehabilitation on 6-min walk distance, endurance cycle time during a constant work rate test, physical activity and quality of life. Adherence to pulmonary rehabilitation between the two models will be compared. A full economic analysis from a societal perspective will be undertaken to determine the cost-effectiveness of telerehabilitation compared to centre-based pulmonary rehabilitation. DISCUSSION: Alternative models of pulmonary rehabilitation are required to improve both equity of access and patient-related outcomes. This trial will establish whether telerehabilitation can achieve equivalent improvement in outcomes compared to traditional centre-based pulmonary rehabilitation. If efficacious and cost-effective, the proposed telerehabilitation model is designed to be rapidly deployed into clinical practice.

trial registrationClinical trial registered with the Australian and New Zealand Clinical Trials Register at ( ACTRN12616000360415 ). Registered 21 March 2016.

Indexed as

Physical EnduranceQuality of LifeRandomized Controlled Trials as TopicAdultChronic DiseaseFemaleHumansMalePatient Reported Outcome MeasuresRehabilitation CentersRespiratory Tract DiseasesTelerehabilitationTreatment OutcomeAsthmaBronchiectasisChronic obstructive pulmonary diseaseExerciseInterstitial lung diseasePulmonary rehabilitationRespiratory diseaseTelehealthTelerehabilitation

Identifiers

PMID29764393
PMCPMC5952573
OpenAlexW2807148428

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.