The effect of participating in MedEx Wellness, a community-based chronic disease exercise rehabilitation programme, on physical, clinical and psychological health: a study …
Kehoe, BrónaORCID: 0000-0003-4552-0555, Skelly, Fiona, Moyna, NiallORCID: 0000-0003-1061-8528, Cantwell, MairéadORCID: 0000-0002-3183-9138, Boran, Lorraine, Daly, Leslie, McCarren, AndrewORCID: 0000-0002-7297-0984, Dowd, Kieran, Woods, CatherineORCID: 0000-0002-0892-6591, McCaffrey, Noel and Loughney, Lisa
(2020)
The effect of participating in MedEx Wellness, a community-based chronic disease exercise rehabilitation programme, on physical, clinical and psychological health: a study ….
Contemporary Clinical Trials Communications, 19
.
ISSN 2451-8654
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.
Methods/design: 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
Questionnaire 8, Functional Assessment of Cancer Therapy (FACT) 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); 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).
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Discussion: This trial will evaluate whether participation in the MedEx Wellness
programme has positive effects on physical, clinical and psychological health in men
and women with a range of chronic diseases
Trial Registration: ISRCTN Registry ISRCTN10351412.