Telehealth-supervised exercise in systemic lupus erythematosus : A pilot study
Journal article
Frade, Stephanie, O’Neill, Sean, Walsh, Samantha, Campbell, Chloe, Greene, David Anthony, Bird, Stephen P. and Cameron, Melainie. (2023). Telehealth-supervised exercise in systemic lupus erythematosus : A pilot study. Lupus. 32(4), pp. 508-520. https://doi.org/10.1177/09612033231157073
Authors | Frade, Stephanie, O’Neill, Sean, Walsh, Samantha, Campbell, Chloe, Greene, David Anthony, Bird, Stephen P. and Cameron, Melainie |
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Abstract | Objectives: To explore the feasibility and effectiveness of telehealth-supervised exercise for adults with Systemic lupus erythematosus (SLE). Methods: This was a non-randomised controlled pilot trial comparing telehealth-supervised exercise (8 weeks, 2 days/week, 45 min, moderate intensity) plus usual care with usual care alone. Mixed methods were used to assess change in fatigue (FACIT-fatigue), quality of life (SF36), resting fatigue and pain (11-point scale), lower body strength (five-time sit-to-stand) and endurance (30 s sit-to-stand), upper body endurance (30 s arm curl), aerobic capacity (2 min step test), and experience (survey and interviews). Group comparison was performed statistically using a two-sample T-test or Mann–Whitney U-test. Where known, we used MCID or MCII, or assumed a change of 10%, to determine clinically meaningful change within groups over time. Interviews were analysed using reflexive thematic analysis. Results: Fifteen female adults with SLE were included (control group n = 7, exercise group n = 8). Statistically significant differences between groups, in favour of the exercise intervention, were noted for SF36 domain emotional well-being (p = 0.048) and resting fatigue (p = 0.012). There were clinically meaningful improvements over time for FACIT-fatigue (+6.3 ± 8.3, MCID >5.9), SF36 domains physical role functioning (+30%), emotional role functioning (+55%), energy/fatigue (+26%), emotional well-being (+19%), social functioning (+30%), resting pain (−32%), and upper body endurance (+23%) within the exercise group. Exercise attendance was high (98%, 110/112 sessions); participants strongly agreed (n = 5/7, 71%) or agreed (n = 2/7, 29%) they would do telehealth-supervised exercise again and were satisfied with the experience. Four themes emerged: (1) ease and efficiency of exercising from home, (2) value of live exercise instruction, (3) challenges of exercising at home, and (4) continuation of telehealth-supervised exercise sessions. Conclusion: Key findings from this mixed-method investigation suggest that telehealth-supervised exercise was feasible for, and well-accepted by, adults with SLE and resulted in some modest health improvements. We recommend a follow-up RCT with more SLE participants. |
Keywords | systemic lupus erythematosus, exercise, autoimmune disease, telehealth, COVID-19 |
Year | 01 Jan 2023 |
Journal | Lupus |
Journal citation | 32 (4), pp. 508-520 |
Publisher | Sage Publications Ltd. (UK) |
ISSN | 0961-2033 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/09612033231157073 |
PubMed ID | 36803286 |
Web address (URL) | https://journals.sagepub.com/doi/10.1177/09612033231157073 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 508-520 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Apr 2023 | |
Publication process dates | |
Accepted | 24 Jan 2023 |
Deposited | 22 Jul 2024 |
Additional information | © The Author(s) 2023. |
This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/ ) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). | |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/90vq4/telehealth-supervised-exercise-in-systemic-lupus-erythematosus-a-pilot-study
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Publisher's version
OA_Greene_2023_Telehealth-supervised_exercise_in_systemic_lupus.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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