Effect of an Internet-based telehealth system on functional capacity and cognition in breast cancer survivors: a secondary analysis of a randomized controlled trial.
Purpose: This trial determines the effect of an Internet-based tailored exercise program compared to usual care control for improving functional capacity and cognition among breast cancer survivors.Methods: A two-arm, assessor-blinded, parallel, randomized controlled efficacy trial was conducted. Pa...
| Publicado en: | Supportive Care in Cancer Vol. 25; no. 11; pp. 3551 - 3560 |
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| Autores principales: | , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Nov2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125294451&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125294451 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Nov2017 vid: 25 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 125294451 125294451 144033428 NLM28639097 125294451 10.1007/s00520-017-3782-9 NLM28639097 125294451 ppf: 3551 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Effect of an Internet-based telehealth system on functional capacity and cognition in breast cancer survivors: a secondary analysis of a randomized controlled trial. aug: au: Galiano-Castillo, Noelia Arroyo-Morales, Manuel Fernández-Lao, Carolina Cantarero-Villanueva, Irene Lozano-Lozano, Mario Martín-Martín, Lydia Del-Moral-Ávila, Rosario Fernández-Lao, Carolina Martín-Martín, Lydia Del-Moral-Ávila, Rosario affil: Department of Physical Therapy, Health Science Faculty , University of Granada , Avda de la Ilustración 60 18016 Granada Spain sug: subj: Telemedicine Statistics and Numerical Data Internet Breast Neoplasms Psychosocial Factors Quality of Life Psychosocial Factors Breast Neoplasms Therapy Male Female Middle Age Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Middle Aged: 45-64 years Male Female ab: Purpose: This trial determines the effect of an Internet-based tailored exercise program compared to usual care control for improving functional capacity and cognition among breast cancer survivors.Methods: A two-arm, assessor-blinded, parallel, randomized controlled efficacy trial was conducted. Participants were recruited from the Oncology and Breast unit at the Virgen de las Nieves Hospital (Granada, Spain) between March 2012 to November 2013 and randomized to either the experimental group (an 8-week Internet-based tailored exercise program) or control group (usual care). The outcome measures were the 6-min walk test, Auditory Consonant Trigrams, and Trail Making Test. All were assessed at baseline, post-intervention, and 6-month follow-up.Results: After intervention, the telerehabilitation group had significantly improved distances (d = 0.92, P < 0.001) as well as percentage of predicted of the 6-min walk test (d = 0.93, P < 0.001) compared with the control group. Significant improvement was also observed favoring the telerehabilitation group for the number of consonants recalled in total compared with the control group (d = 0.47, P = 0.04). These findings were maintained after 6-month follow-up (d = 0.80, P = 0.001; d = 0.76, P = 0.002; and d = 0.57, P = 0.02, respectively). Analysis was based on intention-to-treat principle.Conclusions: These findings support the effectiveness of a telehealth system based on an 8-week physical exercise to achieve improvements and maintain them after 6-month follow-up in terms of functional and cognitive performance in breast cancer survivors. This broad-reach modality could help the growing number of cancer survivors to face their disabling side effects. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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