Telehealth system: A randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors.

Source: Galiano-Castillo et al. 2016 - Pubmed ID: 27332968

Setting: Spain, Hospital

Study design:

RCT

 

Follow up: 6 months

Patient group:

Sample size

Total: 81 (68)

IG: 40 (33)

CG: 41 (35)

 

 

Inclusion criteria:

  • Breast cancer (stage I-IIIA)
  • Adjuvant therapy (except hormone treatment)
Type of technology:

Website (Telehealth system (e-CUIDATE))

  • Exercise sessions
  • Monitoring
  • Training
  • Progress
  • Communication

 

Video consultation (Wormhole Web Conference and Skype software)

  • Questions
  • Adjustments
Intervention:

Intervention: Internet-based tailored exercise intervention for improving adverse events, functional capacity and cognition. 23 sessions (3 per week) that lasted approximately 90 minutes each day. Participants had a space available to write questions or suggestions regarding their performance. Participants could send instant messages and set up video conference sessions (3 times per week). Research staff could revise comments and monitor each participant’s performance remotely.


Duration
: 8 week
Add on: +

 

Control group: Usual care

Clinical effect/ Patient safety:

Clinical effect:

  • Health status↑
  • Physical functioning↑
  • Role functioning→
  • Emotional functioning→
  • Cognitive functioning↑
  • Social functioning→
  • Arm symptoms↑
  • Pain severity→
  • Pain interference↓
  • Affected hand grib↑
  • Abdominal, back and lower body strength↑
  • Total fatigue↑

 

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences:

  • 93,9% adherence rate
  • 97,8% satisfaction

 

Staff experiences: NA

Costs and organization:

Investment:
Equipment

  • Telehealth system

 

Running:
Equipment

  • Telehealth system

Staff

  • Monitoring
  • Communication
  • Adjustments

 

Organization: NA

 

Health care utilization: NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)