The Effectiveness of Exercise Physiology Services During the COVID-19 Pandemic: A Pragmatic Cohort Study

Autor: Patrick J. Owen, Shelley E. Keating, Christopher D. Askew, Kelly M. Clanchy, Paul Jansons, Ralph Maddison, Andrew Maiorana, Jenna McVicar, Suzanne Robinson, Christopher Neason, Matthew J. Clarkson, Niamh L. Mundell
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Sports Medicine - Open, Vol 9, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 2198-9761
DOI: 10.1186/s40798-022-00539-3
Popis: Abstract Background The COVID-19 pandemic markedly changed how healthcare services are delivered and telehealth delivery has increased worldwide. Whether changes in healthcare delivery borne from the COVID-19 pandemic impact effectiveness is unknown. Therefore, we examined the effectiveness of exercise physiology services provided during the COVID-19 pandemic. Methods This prospective cohort study included 138 clients who received exercise physiology services during the initial COVID-19 pandemic. Outcome measures of interest were EQ-5D-5L, EQ-VAS, patient-specific functional scale, numeric pain rating scale and goal attainment scaling. Results Most (59%, n = 82) clients received in-person delivery only, whereas 8% (n = 11) received telehealth delivery only and 33% (n = 45) received a combination of delivery modes. Mean (SD) treatment duration was 11 (7) weeks and included 12 (6) sessions lasting 48 (9) minutes. The majority (73%, n = 101) of clients completed > 80% of exercise sessions. Exercise physiology improved mobility by 14% (β = 0.23, P = 0.003), capacity to complete usual activities by 18% (β = 0.29, P 0.087). Conclusions Exercise physiology services provided during the COVID-19 pandemic improved a range of client-reported outcomes regardless of delivery mode. Further exploration of cost-effectiveness is warranted.
Databáze: Directory of Open Access Journals
Externí odkaz: