Three-Year Follow-Up of a Hybrid Adapted Physical Activity Program Including Telehealth in Comparison to In-Person Care for Chronic Conditions.
Adapted physical activity (PA) programs benefit patients with non‑communicable diseases, but access barriers limit reach. Hybrid programs mixing in‑person and telehealth sessions may overcome these constraints. The purpose of this study was to evaluate the acceptability and effectiveness of a 3‑mont...
| Publicado en: | Inquiry (00469580) Vol. 62; pp. 1 - 13 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
11/1/2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=189238046&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 189238046 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 11/1/2025 vid: 62 pid: 344 pub: Sage Publications Inc. artinfo: ui: 189238046 10.1177/00469580251390287 ppf: 1 ppct: 12 formats: tig: atl: Three-Year Follow-Up of a Hybrid Adapted Physical Activity Program Including Telehealth in Comparison to In-Person Care for Chronic Conditions. aug: au: Mazéas, Alexandre Rausch, Félix Pereira, Bruno Penando, Stéphane Roland, Melissa Chalabaev, Aïna Duclos, Martine affil: Department of Sports Science and Clinical Biomechanics, Danish Center for Motivation and Behavior Science (DRIVEN), University of Southern Denmark, Odense, Denmark University Grenoble Alpes, SENS, France Department of Sport Medicine and Functional Exploration, University Hospital Clermont-Ferrand, Clermont Auvergne University, INRAE, UNH, France Department of Biostatistics Unit (DRCI), Clermont-Ferrand University Hospital, France su: Chronic disease treatment Patient compliance Home care services Statistical models Academic medical centers T-test (Statistics) Research funding Body composition Pilot projects Scientific observation Exercise therapy Interviewing Fisher exact test Questionnaires Treatment effectiveness Bioelectric impedance Aerobic capacity Mann Whitney U Test Chi-squared test Descriptive statistics Retrospective studies Telemedicine Pre-tests & post-tests Physical education for people with disabilities Case-control method Videoconferencing Medical records Acquisition of data Patient satisfaction Confidence intervals Data analysis software Patient aftercare Grip strength France sug: subj: France Chronic disease treatment Patient compliance Home care services Statistical models Academic medical centers T-test (Statistics) Research funding Body composition Pilot projects Scientific observation Exercise therapy Interviewing Fisher exact test Questionnaires Treatment effectiveness Bioelectric impedance Aerobic capacity Mann Whitney U Test Chi-squared test Descriptive statistics Retrospective studies Telemedicine Pre-tests & post-tests Physical education for people with disabilities Case-control method Videoconferencing Medical records Acquisition of data Patient satisfaction Confidence intervals Data analysis software Patient aftercare Grip strength keyword: adapted physical activity chronic disease eHealth exercise telehealth telemedicine videoconferencing ab: Adapted physical activity (PA) programs benefit patients with non‑communicable diseases, but access barriers limit reach. Hybrid programs mixing in‑person and telehealth sessions may overcome these constraints. The purpose of this study was to evaluate the acceptability and effectiveness of a 3‑month hybrid APA program compared with usual face‑to‑face care and to examine whether benefits persist up to 36 months. Twenty patients with chronic diseases completed an APA program that began onsite and transitioned to videoconference plus home exercises. A historical cohort of 100 patients who received the standard onsite program and matched baseline characteristics served as controls. Changes in self-reported PA, physical capacities, and body composition of patients from both programs were measured at baseline and 3, 6, 12, 4, 36 months and analyzed using random-effect models. Adherence and satisfaction were also evaluated. Participants in the hybrid program showed high adherence and acceptability to the program, significant improvements in cardiorespiratory capacity, and reported increased PA levels. Overall effect sizes between the two groups were small. Importantly, the effects of both programs on these variables persisted 3 months after the end of the program with meaningful effect sizes and up to 33 months after the end of the program for 6 MWT. However, dropout rates during follow-up were high. Despite high acceptability and adherence for most patients of the hybrid group, some patients demonstrated lower participation. In conclusion, a hybrid program including telehealth was feasible, well‑accepted, and produced durable, clinically meaningful gains in cardiorespiratory fitness, and physical activity that matched conventional rehabilitation. Larger randomized trials are warranted to confirm these findings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2025 holdings: @attributes: islocal: N |
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