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地域密着型慢性疾患運動リハビリテーションプログラム「MedEx Wellness」への参加が身体的、臨床的、心理的健康に及ぼす影響。コホート試験のための研究計画書
The effect of participating in MedEx Wellness, a community-based chronic disease exercise rehabilitation programme, on physical, clinical and psychological health: A study protocol for a cohort trial.
PMID: 32685764 PMCID: PMC7358260. DOI: 10.1016/j.conctc.2020.100591.
抄録
背景:
慢性疾患を対象としたコミュニティベースの運動リハビリテーションプログラムは、従来の病院ベースのプログラムに代わる有効な手段である。MedEx Wellness は、さまざまな慢性疾患を統合した新しい地域密着型の運動リハビリテーションプログラムである。この試験の目的は、MedEx Wellnessへの参加が身体的、臨床的、心理的健康に及ぼす影響を調査することであった。
Background: Community-based exercise rehabilitation programmes for chronic disease are an effective alternative to traditional hospital-based programmes. MedEx Wellness is a novel community-based exercise rehabilitation programme that integrates a range of chronic diseases. The aim of this trial was to investigate the effect of participating in MedEx Wellness on physical, clinical and psychological health.
方法:
Methods: A prospective cohort study was conducted. Participants were recruited at induction to the MedEx Wellness programme following referral from healthcare professionals. Participants underwent a baseline assessment before commencing the exercise programme and repeat assessments at 3, 6 and 12 months. The primary outcome was cardiorespiratory fitness (6 minute- time trial) at 12 months. Secondary outcomes included health-related quality of life (EuroQoL-5D, Satisfaction with Life Scale, Warwick Edinburgh Mental Wellbeing Scale, Patient Health Questionnaire8, Functional Assessment of Cancer Therapy Questionnaire), free living activity behavior (accelerometer) and healthcare utilization (recall questionnaire). Tertiary outcomes included blood pressure (24 h), biomarkers (lipids, glucose and C-reactive protein), other components of physical fitness, including strength (handgrip test, sit-to-stand test), flexibility (sit-and-reach test), body composition (body mass index and waist-to-hip ratio), and falls risk (timed up and go test), and claudication time (incremental treadmill walking test), cognitive function, including attention (Attention Network Task), memory (Luck & Vogel Visual Working Memory Task) and cognitive reserve. Exploratory outcomes included psychosocial determinants of physical activity (self-efficacy, social support, intentions).
議論:
この試験では、MedEx Wellness プログラムへの参加が、さまざまな慢性疾患を持つ患者の身体的、臨床的、心理的健康にプラスの効果をもたらすかどうかを評価する。
Discussion: This trial will evaluate whether participation in the MedEx Wellness programme has positive effects on physical, clinical and psychological health in individuals with a range of chronic diseases.
試験の登録:
ISRCTN レジストリ ISRCTN10351412。
Trial registration: ISRCTN Registry ISRCTN10351412.
© 2020 The Authors.