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Study protocol
Renan Resende
UFMG: Universidade Federal de Minas Gerais
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1609-3278
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Delays in starting physical therapy after hospital discharge worsen deconditioning in older adults. Intervening quickly can minimize the negative effects of deconditioning. Telerehabilitation is a strategy that increases access to rehabilitation, improves clinical outcomes, and reduces costs. This paper presents the protocol for a pragmatic clinical trial that aims to determine the effectiveness and cost-effectiveness of a multi-component intervention offered by telerehabilitation for discharged older adults awaiting physical therapy for any specific medical condition.
Methods: This is a pragmatic randomized controlled clinical trial with two groups: telerehabilitation and control. Participants (n=230) will be recruited among individuals discharged from hospitals who are in the public healthcare system physical therapy waiting lists. The telerehabilitation group will receive a smartphone app with a personalized program (based on individual’s functional ability) of resistance, balance, and daily activity training exercises. The intervention will be implemented at the individuals’ homes. This group will be monitored weekly by phone and monthly through a face-to-face meeting until they start physical therapy. The control group will adhere to the public healthcare system usual flow and will be monitored weekly by telephone until they start physical therapy. The primary outcome will be physical function (Timed Up and Go and 30-second Chair Stand Test). The measurements will take place in baseline, start, and discharge of outpatient physical therapy. The economic evaluations will be performed from the perspective of society and the Brazilian public healthcare system.
Discussion: The study will produce evidence on the effectiveness and cost-effectiveness of multi-component telerehabilitation intervention for discharged older adult patients awaiting physical therapy, providing input that can aid implementation of similar proposals in other patient groups.
Trial registration: Brazilian Clinical Trials Registry, RBR-9243v7. Registered on 24 August 2020.
Keywords
Older adults, Deconditioning, Telerehabilitation, Physical Therapy
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CURRENT STATUS: Published
View the published article at Trials.
Version 1
Posted 14 Jun, 2021
No community comments so far
Editorial decision: Accept
On 19 Jun, 2021
Review #1 received
Received 16 Jun, 2021
Review #2 received
Received 14 Jun, 2021
Reviewer #2 agreed
On 13 Jun, 2021
Reviews received
Received 11 Jun, 2021
Reviewers invited
Invitations sent on 11 Jun, 2021
Reviewer #1 agreed
On 11 Jun, 2021
Editor assigned
On 04 Jun, 2021
First submitted
On 04 Jun, 2021
Submission checks complete
On 03 Jun, 2021
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PDF Downloads: ...
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Subject Areas
Physical Medicine & Rehab
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A new preprint design is coming!
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See the published version of this preprint at Trials.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Study protocol
Renan Resende
UFMG: Universidade Federal de Minas Gerais
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1609-3278
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Trials.
Version 1
Posted 14 Jun, 2021
No community comments so far
Editorial decision: Accept
On 19 Jun, 2021
Review #1 received
Received 16 Jun, 2021
Review #2 received
Received 14 Jun, 2021
Reviewer #2 agreed
On 13 Jun, 2021
Reviews received
Received 11 Jun, 2021
Reviewers invited
Invitations sent on 11 Jun, 2021
Reviewer #1 agreed
On 11 Jun, 2021
Editor assigned
On 04 Jun, 2021
First submitted
On 04 Jun, 2021
Submission checks complete
On 03 Jun, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Physical Medicine & Rehab
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Trials.
Background: Delays in starting physical therapy after hospital discharge worsen deconditioning in older adults. Intervening quickly can minimize the negative effects of deconditioning. Telerehabilitation is a strategy that increases access to rehabilitation, improves clinical outcomes, and reduces costs. This paper presents the protocol for a pragmatic clinical trial that aims to determine the effectiveness and cost-effectiveness of a multi-component intervention offered by telerehabilitation for discharged older adults awaiting physical therapy for any specific medical condition.
Methods: This is a pragmatic randomized controlled clinical trial with two groups: telerehabilitation and control. Participants (n=230) will be recruited among individuals discharged from hospitals who are in the public healthcare system physical therapy waiting lists. The telerehabilitation group will receive a smartphone app with a personalized program (based on individual’s functional ability) of resistance, balance, and daily activity training exercises. The intervention will be implemented at the individuals’ homes. This group will be monitored weekly by phone and monthly through a face-to-face meeting until they start physical therapy. The control group will adhere to the public healthcare system usual flow and will be monitored weekly by telephone until they start physical therapy. The primary outcome will be physical function (Timed Up and Go and 30-second Chair Stand Test). The measurements will take place in baseline, start, and discharge of outpatient physical therapy. The economic evaluations will be performed from the perspective of society and the Brazilian public healthcare system.
Discussion: The study will produce evidence on the effectiveness and cost-effectiveness of multi-component telerehabilitation intervention for discharged older adult patients awaiting physical therapy, providing input that can aid implementation of similar proposals in other patient groups.
Trial registration: Brazilian Clinical Trials Registry, RBR-9243v7. Registered on 24 August 2020.
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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