Evaluation of a web based home training program for COPD patients: A controlled trial
European Respiratory Journal(2011)
摘要
Introduction: An important aim of rehabilitation of patients with COPD is to support them in acquiring and maintaining an active lifestyle. Dependent on their ability to train, patients visit the rehabilitation center 2 or 3 times a week. It is hypothesized that a web based home training program, with exercise videos and a videoconference module can increase the efficiency and effectiveness of this rehabilitation program. Aim and objective: To evaluate a web based home training program for COPD patients in terms of user experience (satisfaction and usability) and clinical benefits (changes in subjective perceived and objective measured health status: dyspnea and fatigue (VAS), CRQ and Six Minute Walk Test). Methods: COPD patients were divided into a control and an intervention group. Patients of the control group followed the traditional rehabilitation program. Patients of the intervention group followed the same program but a web based home training program was provided as addition (for those visiting rehabilitation center 2 times a week) or as partly replacement (for those visiting rehabilitation center 3 times a week). At baseline and after intervention measurements were obtained. Results: Preliminary data analysis (n=23) shows that patients are satisfied with the web based home training program and rated its usability as good. The degree of clinical benefit of the intervention group (n=23) is similar to the progression made by the patients of the control group (n=20) after rehabilitation. Conclusions: Based on preliminary results, a web based home training program seems to have potential to treat patients in their own environment under professional supervision.
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