A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial
Abstract Background Regular participation in physical activity by people with cystic fibrosis (CF) promotes positive clinical and health outcomes including reduced rate of decline in lung function, fewer hospitalizations and greater wellbeing. However adherence to exercise and activity programs is l...
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | BMC Pulmonary Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12890-019-0942-3 |
| _version_ | 1818919540423131136 |
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| author | Narelle S. Cox Beverley Eldridge Sarah Rawlings Julianna Dreger Jennifer Corda Jennifer Hauser Brenda M. Button Jennifer Bishop Amanda Nichols Anna Middleton Nathan Ward Tiffany Dwyer Owen W. Tomlinson Sarah Denford Alan R. Barker Craig A. Williams Michael Kingsley Paul O’Halloran Anne E. Holland On behalf of Youth Activity Unlimited – A Strategic Research Centre of the UK Cystic Fibrosis Trust |
| author_facet | Narelle S. Cox Beverley Eldridge Sarah Rawlings Julianna Dreger Jennifer Corda Jennifer Hauser Brenda M. Button Jennifer Bishop Amanda Nichols Anna Middleton Nathan Ward Tiffany Dwyer Owen W. Tomlinson Sarah Denford Alan R. Barker Craig A. Williams Michael Kingsley Paul O’Halloran Anne E. Holland On behalf of Youth Activity Unlimited – A Strategic Research Centre of the UK Cystic Fibrosis Trust |
| author_sort | Narelle S. Cox |
| collection | DOAJ |
| description | Abstract Background Regular participation in physical activity by people with cystic fibrosis (CF) promotes positive clinical and health outcomes including reduced rate of decline in lung function, fewer hospitalizations and greater wellbeing. However adherence to exercise and activity programs is low, in part due to the substantial daily therapy burden for young people with CF. Strict infection control requirements limit the role of group exercise programs that are commonly used in other clinical groups. Investigation of methods to promote physical activity in this group has been limited. The Active Online Physical Activity in Cystic fibrosis Trial (ActionPACT) is an assessor-blinded, multi-centre, randomized controlled trial designed to compare the efficacy of a novel web-based program (ActivOnline) compared to usual care in promoting physical activity participation in adolescents and young adults with CF. Methods Adolescents and young adults with CF will be recruited on discharge from hospital for a respiratory exacerbation. Participants randomized to the intervention group will have access to a web-based physical activity platform for the 12-week intervention period. ActivOnline allows users to track their physical activity, set goals, and self-monitor progress. All participants in both groups will be provided with standardised information regarding general physical activity recommendations for adolescents and young adults. Outcomes will be assessed by a blinded assessor at baseline, after completion of the intervention, and at 3-months followup. Healthcare utilization will be assessed at 12 months from intervention completion. The primary outcome is change in moderate-to-vigorous physical activity participation measured objectively by accelerometry. Secondary outcomes include aerobic fitness, health-related quality of life, anxiety and depression and sleep quality. Discussion This trial will establish whether a web-based application can improve physical activity participation more effectively than usual care in the period following hospitalization for a respiratory exacerbation. The web-based application under investigation can be made readily and widely available to all individuals with CF, to support physical activity and exercise participation at a time and location of the user’s choosing, regardless of microbiological status. Trial registration Clinical trial registered on July 13, 2017 with the Australian and New Zealand Clinical Trials Register at (ACTRN12617001009303). |
| first_indexed | 2024-12-20T01:07:29Z |
| format | Article |
| id | doaj.art-4b829592a7234540af5fce49e29930e9 |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-12-20T01:07:29Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-4b829592a7234540af5fce49e29930e92022-12-21T19:58:47ZengBMCBMC Pulmonary Medicine1471-24662019-12-011911810.1186/s12890-019-0942-3A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trialNarelle S. Cox0Beverley Eldridge1Sarah Rawlings2Julianna Dreger3Jennifer Corda4Jennifer Hauser5Brenda M. Button6Jennifer Bishop7Amanda Nichols8Anna Middleton9Nathan Ward10Tiffany Dwyer11Owen W. Tomlinson12Sarah Denford13Alan R. Barker14Craig A. Williams15Michael Kingsley16Paul O’Halloran17Anne E. Holland18On behalf of Youth Activity Unlimited – A Strategic Research Centre of the UK Cystic Fibrosis TrustMonash University, La Trobe University and Institute for Breathing and SleepLa Trobe UniversityMonash Children’s Hospital Monash University and La Trobe UniversityMonash University, La Trobe University and Alfred Health, Level 6, The Alfred CentrePhysiotherapy Department Royal Children’s HospitalTasmanian Adult Cystic Fibrosis Unit, Royal Hobart HospitalDepartments of Physiotherapy and Respiratory Medicine Alfred Health and Department of Medicine, Nursing and Health Sciences, Monash UniversityAdult Cystic Fibrosis Service, Westmead HospitalMonash Children’s Hospital/Monash Health CF ServicePhysiotherapy Department, Children’s Hospital at WestmeadPhysiotherapy and Cystic Fibrosis ServicesDiscipline of Physiotherapy, Faculty of Health Sciences, The University of SydneyChildren’s Health & Exercise Research Centre (CHERC), Sport and Health Sciences, College of Life and Environmental Sciences, St. Luke’s Campus, University of ExeterChildren’s Health & Exercise Research Centre (CHERC), Sport and Health Sciences, College of Life and Environmental Sciences, St. Luke’s Campus, University of ExeterChildren’s Health & Exercise Research Centre (CHERC), Sport and Health Sciences, College of Life and Environmental Sciences, St. Luke’s Campus, University of ExeterChildren’s Health & Exercise Research Centre (CHERC), Sport and Health Sciences, College of Life and Environmental Sciences, St. Luke’s Campus, University of ExeterLa Trobe Rural Health School, La Trobe UniversitySchool of Psychology and Public Health, La Trobe UniversityMonash University La Trobe University, Alfred Health and Institute for Breathing and SleepAbstract Background Regular participation in physical activity by people with cystic fibrosis (CF) promotes positive clinical and health outcomes including reduced rate of decline in lung function, fewer hospitalizations and greater wellbeing. However adherence to exercise and activity programs is low, in part due to the substantial daily therapy burden for young people with CF. Strict infection control requirements limit the role of group exercise programs that are commonly used in other clinical groups. Investigation of methods to promote physical activity in this group has been limited. The Active Online Physical Activity in Cystic fibrosis Trial (ActionPACT) is an assessor-blinded, multi-centre, randomized controlled trial designed to compare the efficacy of a novel web-based program (ActivOnline) compared to usual care in promoting physical activity participation in adolescents and young adults with CF. Methods Adolescents and young adults with CF will be recruited on discharge from hospital for a respiratory exacerbation. Participants randomized to the intervention group will have access to a web-based physical activity platform for the 12-week intervention period. ActivOnline allows users to track their physical activity, set goals, and self-monitor progress. All participants in both groups will be provided with standardised information regarding general physical activity recommendations for adolescents and young adults. Outcomes will be assessed by a blinded assessor at baseline, after completion of the intervention, and at 3-months followup. Healthcare utilization will be assessed at 12 months from intervention completion. The primary outcome is change in moderate-to-vigorous physical activity participation measured objectively by accelerometry. Secondary outcomes include aerobic fitness, health-related quality of life, anxiety and depression and sleep quality. Discussion This trial will establish whether a web-based application can improve physical activity participation more effectively than usual care in the period following hospitalization for a respiratory exacerbation. The web-based application under investigation can be made readily and widely available to all individuals with CF, to support physical activity and exercise participation at a time and location of the user’s choosing, regardless of microbiological status. Trial registration Clinical trial registered on July 13, 2017 with the Australian and New Zealand Clinical Trials Register at (ACTRN12617001009303).https://doi.org/10.1186/s12890-019-0942-3Physical fitnessExerciseTelerehabilitationGoal settingApplicationOnline |
| spellingShingle | Narelle S. Cox Beverley Eldridge Sarah Rawlings Julianna Dreger Jennifer Corda Jennifer Hauser Brenda M. Button Jennifer Bishop Amanda Nichols Anna Middleton Nathan Ward Tiffany Dwyer Owen W. Tomlinson Sarah Denford Alan R. Barker Craig A. Williams Michael Kingsley Paul O’Halloran Anne E. Holland On behalf of Youth Activity Unlimited – A Strategic Research Centre of the UK Cystic Fibrosis Trust A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial BMC Pulmonary Medicine Physical fitness Exercise Telerehabilitation Goal setting Application Online |
| title | A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial |
| title_full | A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial |
| title_fullStr | A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial |
| title_full_unstemmed | A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial |
| title_short | A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial |
| title_sort | web based intervention to promote physical activity in adolescents and young adults with cystic fibrosis protocol for a randomized controlled trial |
| topic | Physical fitness Exercise Telerehabilitation Goal setting Application Online |
| url | https://doi.org/10.1186/s12890-019-0942-3 |
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