Universidad Peruana Cayetano Heredia

Effects of home-based intervention of respiratory physiotherapy and telephone-based psychological support for COVID-19 survivors: Protocol for a randomized controlled trial.

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dc.contributor.author Soriano-Moreno, Anderson N.
dc.contributor.author Flores, Elaine C.
dc.contributor.author Hartinger Peña, Stella Maria
dc.contributor.author Mallma, Claudia Y.
dc.contributor.author Diaz, Arnold A.
dc.contributor.author Gianella, Gonzalo E.
dc.contributor.author Galvez-Buccollini, Juan A.
dc.contributor.author Coico-Lama, Abdiel H.
dc.contributor.author Málaga Rodríguez, Germán Javier
dc.contributor.author Fajardo, Eufemia
dc.contributor.author Paredes-Angeles, Rubi
dc.contributor.author Otazu-Alfaro, Sharlyn
dc.contributor.author Lescano Guevara, Andres Guillermo
dc.contributor.author Checkley, William
dc.date.accessioned 2022-10-12T18:25:58Z
dc.date.available 2022-10-12T18:25:58Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12373
dc.description.abstract Background: Both pulmonary and mental health are affected following hospitalization for COVID-19 pneumonia. Pulmonary rehabilitation therapy has demonstrated benefits in improving mental health, but no validated combined programs that include mental health have been proposed. Objective: We developed a combined home-based respiratory physiotherapy and telephone-based psychological support intervention aimed at improving pulmonary and mental health outcomes 7-12 weeks after COVID-19 hospitalization discharge. Here we present the design and methodology of the trial. Methods: WAYRA (air in Quechua) was an open-label, unblinded, two-arm feasibility randomized controlled trial. We recruited 108 participants aged 18–75 years who were discharged from the hospital after COVID-19 pneumonia that required >6 L/min of supplemental oxygen during treatment. Participants were randomly assigned to receive the intervention or usual care in a 1:1 ratio. The intervention consisted of twelve at-home respiratory rehabilitation sessions and six telephone-based structured psychological sessions. The primary outcome was the six-minute walk distance. Secondary outcomes included lung function, mental health status (depression, anxiety and trauma) and quality of life. Outcomes were assessed at baseline (before randomization) and at 7 and 12 weeks after hospital discharge. Results: Recruitment and data collection occurred between October 2020 and June 2021 (ethics approval was obtained on September 02, 2020). A total of 103 participants completed the baseline assessments. Analyses of sample characteristics, primary and secondary outcomes are currently underway, with results expected to be published by the end of 2022. Conclusions: WAYRA aims to be the first randomized controlled trial evaluating combined pulmonary-mental health rehabilitation for hospitalized COVID-19 survivors in resource-limited settings, potentially providing a foundation for the cost-effective scaling-up of similar multidisciplinary rehabilitation programs. Clinical Trial: ClinicalTrials.gov,ID:NCT04649736 en_US
dc.language.iso eng
dc.publisher JMIR Publications
dc.relation.ispartofseries JMIR Research Protocols
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject COVID-19 en_US
dc.subject Pulmonary rehabilitation en_US
dc.subject Psychiatric rehabilitation en_US
dc.subject Mental health en_US
dc.subject clinical trial en_US
dc.title Effects of home-based intervention of respiratory physiotherapy and telephone-based psychological support for COVID-19 survivors: Protocol for a randomized controlled trial. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.2196/36001
dc.relation.issn 1929-0748


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