Clinical trial NCT06142331: Applicability of Home-based Exercise Programs in Physiotherapy
Official title: Investigation of Feasibility and Effectiveness of Home-Based Exercise Programs in Physiotherapy According to Disease Status: A Randomized Controlled Multicenter Study Protocol
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Home Exercise
Keywords: home exercise
exercise behavior
exercise compliance
Lead sponsor: Necmettin Erbakan University
Sponsor class: OTHER
First posted: 2023-11-21
Enrollment: 237
Sex: ALL
Maximum age (years): 78
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Population/Sample of the Study: The population of the study consists of patients receiving Physiotherapy and Rehabilitation services in the hospital and rehabilitation center where the health services where the research will be carried out are provided.

The sample of the research: Consists of 60 volunteer participants under the age of 18 and 177 participants over the age of 18 in the relevant units of three different health institutions, as stated, consisting of women and men. Only 89 female and male volunteer participants over the age of 18 will be included in the study in the physical therapy and rehabilitation unit of our hospital.

Brief summary: Aim: In this study, the types of home-based exercise programs prepared for patients receiving physiotherapy services in different rehabilitation institutions; It is aimed to examine the applicability and effectiveness advantages according to disease status, age, gender, socioeconomic level, education level, confidence in the home program, and functional independence level.

Study type: observational study Research question; To what extent do patients participate in home-based exercise programs?

Detailed description: Background and rationale; It is common to use home exercise programs in organizations that provide physiotherapy services. The home exercise program is specially created by physiotherapists according to the patient's needs and individual characteristics. The prepared program is explained to the patient how to do the exercise at home by various means such as verbal explanation, practical demonstration, giving brochures or video recording. Home program exercises contribute positively to the rehabilitation process by enabling the patient to take an active role in the rehabilitation process and giving the patient personal responsibility. Supporting the treatments given in health institutions with home program exercises increases the effectiveness of the treatment. In addition, preparing a home exercise program is a frequently used method in cases where access to healthcare is difficult due to various reasons.

Aim: In this study, the types of home-based exercise programs prepared for patients receiving physiotherapy services in different rehabilitation institutions; It is aimed to examine the applicability and effectiveness advantages according to disease status, age, gender, socioeconomic level, education level, confidence in the home program, and functional independence level.

Research processes; Participants will first be interviewed face to face and preliminary evaluation data will be obtained before a home exercise program is given.

The patient's gender, age, diagnosis, education level, socioeconomic level, functional dependency level, state anxiety level, fatigue severity scale, and pain level score will be recorded. The type of exercise given and the type of learn home-based exercise will be recorded.

12 days after the routine home exercise program, the final data will be collected by the researchers from the patients face to face or by phone for patients who cannot attend the appointment.

Eligibility criteria: Inclusion Criteria:

* Having a clinical problem that causes physiotherapy and rehabilitation treatment
* Being able to understand Turkish

Exclusion Criteria:

* Not wanting to participate in the study
* Having a chronic disease or disability that would prevent the application of the home program.

Primary outcomes:
measure: Vizuel Analog Scala, (VAS)
timeFrame: baseline, post-exercise (day 12)
Secondary outcomes:
measure: Fatigue Severity Scale, (FSS)
timeFrame: baseline, post-exercise (day 12)
Other outcomes:
measure: Functional independence measure, (FIM)
timeFrame: baseline, post-exercise (day 12)
measure: State Anxiety Scale
timeFrame: baseline, post-exercise (day 12)
measure: Functional Independence Measure for Children (WeeFIM)
timeFrame: baseline, post-exercise (day 12)
measure: Gross Motor Function Classification System (GMFCS)
timeFrame: baseline, post-exercise (day 12)
Locations:
city: Konya
country: Turkey
facility: Necmettin Erbakan University
state: Meram
Study officials:
affiliation: Necmettin Erbakan University
name: Neslihan Altuntaş Yılmaz
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kim JY, Lee MK, Lee DH, Kang DW, Min JH, Lee JW, Chu SH, Cho MS, Kim NK, Jeon JY. Effects of a 12-week home-based exercise program on quality of life, psychological health, and the level of physical activity in colorectal cancer survivors: a randomized controlled trial. Support Care Cancer. 2019 Aug;27(8):2933-2940. doi: 10.1007/s00520-018-4588-0. Epub 2018 Dec 18.