RecruitingNot ApplicableNCT05779605

Telerehabilitation in Hemato-oncological Survivors

Remotely Monitored Rehabilitation in Hemato-oncological Survivors After Treatment: The Tele@Home Study

Sponsor

Brno University Hospital

Enrollment

80 participants

Start Date

Apr 1, 2023

Study Type

INTERVENTIONAL

Conditions

Lymphoma Hematologic Malignancy

Summary

This study investigates whether the 12-week home-based exercise training with remote guidance and telemonitoring compared to regular center-based training leads to better long-term cardiorespiratory fitness and physical activity levels in post-treatment patients with lymphoma.

Eligibility

Min Age: 18 Years

Inclusion Criteria7

with hemato-oncological malignancy / lymphoma (in last two months)
after cancer systemic chemotherapy-based treatment
with clinically stable state
with the ability to perform a cardiopulmonary exercise test
with the ability to understand and write in the Czech language
with an internet connection at home
literacy with information and communication technology

Exclusion Criteria5

with acute heart disease or decompensation in the previous six weeks,
with psychological severe, cognitive disorders,
serious training limitations (musculoskeletal disorders)
currently carried out the recommendations for physical activity (150min per week)
who take part in a training program under supervision elsewhere

Interventions

DEVICEHome-based training

Patients will be instructed to perform three weekly training sessions at home (30 to 50 min/session, at an intensity of 70-85% of their maximum heart rate). Patients in the home training group complete the first three training sessions in the clinic under direct supervision. During these sessions, patients are introduced to the duration and intensity of training. The trainer will provide remote guidance (feedback on training frequency, duration, and intensity) via telephone call once a week. During exercise, patients will use a wearable heart rate monitor (Polar M430, a commercially available device designed for long-term use). Patients will be instructed to properly use the wearable sensor and upload training data to a web-based platform (Polar Flow) via the Internet. Furthermore, patients will be asked to choose their preferred training modality at home (cycling, walking, Nordic walking) and receive instructions and advice.

DEVICECenter-based training

Patients receive three training sessions a week with 30 to 50 min duration at 70 - 90% of their maximal heart rate at the outpatient clinic under direct supervision. Exercise modalities will be walking on a treadmill, riding a bicycle ergometer, and resistance training. Physiotherapists will track the attendance rate and training adherence during the training program.