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2024-03-01T16:19:33Z2024-03-01T16:19:33Z202122https://doi.org/10.1186/s13063-021-05387-21745-6215http://hdl.handle.net/1843/65082https://orcid.org/0000-0002-6703-1536https://orcid.org/0000-0002-1609-3278https://orcid.org/0000-0003-1531-4275https://orcid.org/0000-0002-7415-5043Background: Delays in starting physical therapy after hospital discharge worsen deconditioning in older adults. Intervening quickly can minimize the negative effects of deconditioning. Telerehabilitation is a strategy that increases access to rehabilitation, improves clinical outcomes, and reduces costs. This paper presents the protocol for a pragmatic clinical trial that aims to determine the effectiveness and cost-effectiveness of a multi-component intervention offered by telerehabilitation for discharged older adults awaiting physical therapy for any specific medical condition. Methods: This is a pragmatic randomized controlled clinical trial with two groups: telerehabilitation and control. Participants (n=230) will be recruited among individuals discharged from hospitals who are in the public healthcare system physical therapy waiting lists. The telerehabilitation group will receive a smartphone app with a personalized program (based on individual’s functional ability) of resistance, balance, and daily activity training exercises. The intervention will be implemented at the individuals’ homes. This group will be monitored weekly by phone and monthly through a face-to-face meeting until they start physical therapy. The control group will adhere to the public healthcare system’s usual flow and will be monitored weekly by telephone until they start physical therapy. The primary outcome will be a physical function (Timed Up and Go and 30-s Chair Stand Test). The measurements will take place in baseline, start, and discharge of outpatient physical therapy. The economic evaluations will be performed from the perspective of society and the Brazilian public healthcare system. Discussion: The study will produce evidence on the effectiveness and cost-effectiveness of multi-component telerehabilitation intervention for discharged older adult patients awaiting physical therapy, providing input that can aid the implementation of similar proposals in other patient groups. Trial registration: Brazilian Registry of Clinical Trials (ReBEC), RBR-9243v7. Registered on 24 August 2020.Fundamento: Atrasos no início da fisioterapia após a alta hospitalar pioram o descondicionamento em idosos. Intervir rapidamente pode minimizar os efeitos negativos do descondicionamento. A telerreabilitação é uma estratégia que aumenta o acesso à reabilitação, melhora os resultados clínicos e reduz custos. Este artigo apresenta o protocolo para um ensaio clínico pragmático que visa determinar a eficácia e o custo-benefício de uma intervenção multicomponente oferecida pela telerreabilitação para idosos que receberam alta e aguardam fisioterapia para qualquer condição médica específica. Métodos: Trata-se de um ensaio clínico pragmático randomizado controlado com dois grupos: telerreabilitação e controle. Os participantes (n = 230) serão recrutados entre indivíduos que receberam alta de hospitais que estão na lista de espera de fisioterapia do sistema público de saúde. O grupo de telerreabilitação receberá um aplicativo para smartphone com um programa personalizado (baseado na capacidade funcional do indivíduo) de exercícios de resistência, equilíbrio e treinamento de atividades diárias. A intervenção será implementada nas residências dos indivíduos. Esse grupo será acompanhado semanalmente por telefone e mensalmente por meio de encontro presencial até o início da fisioterapia. O grupo controle seguirá o fluxo habitual do sistema público de saúde e será acompanhado semanalmente por telefone até iniciar a fisioterapia. O resultado primário será uma função física (Timed Up and Go e 30-s Chair Stand Test). As medições ocorrerão na linha de base, início e alta da fisioterapia ambulatorial. As avaliações econômicas serão realizadas sob a perspectiva da sociedade e do sistema público de saúde brasileiro. Discussão: O estudo produzirá evidências sobre a eficácia e relação custo-benefício da intervenção de telerreabilitação multicomponente para pacientes idosos que receberam alta e aguardam fisioterapia, fornecendo informações que podem auxiliar na implementação de propostas semelhantes em outros grupos de pacientes. Registro do ensaio: Registro Brasileiro de Ensaios Clínicos (ReBEC), RBR-9243v7. Registrado em 24 de agosto de 2020.engUniversidade Federal de Minas GeraisUFMGBrasilEEF - DEPARTAMENTO DE FISIOTERAPIAEEF - DEPARTAMENTO DE TERAPIA OCUPACIONALTrialsIdosoTelerreabilitaçãoModalidades de fisioterapiaOlder adultsDeconditioningTelerehabilitationPhysical therapyTelerehabilitation program for older adults on a waiting list for physical therapy after hospital discharge: study protocol for a pragmatic randomized trial protocolPrograma de telerreabilitação para idosos em lista de espera para fisioterapia após alta hospitalar: protocolo de estudo para um protocolo pragmático de ensaio randomizadoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://trialsjournal.biomedcentral.com/articles/10.1186/s13063-021-05387-2Pollyana Ruggio Tristão BorgesRenan Alves ResendeJane Fonseca DiasMarisa Cotta ManciniRosana Ferreira Sampaioapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/65082/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALTelerehabilitation program for older adults on a waiting list for physical therapy after hospital discharge_ study protocol for a pragmatic randomized trial protocol.pdfTelerehabilitation program for older adults on a waiting list for physical therapy after hospital discharge_ study protocol for a pragmatic randomized trial protocol.pdfapplication/pdf785816https://repositorio.ufmg.br/bitstream/1843/65082/2/Telerehabilitation%20program%20for%20older%20adults%20on%20a%20waiting%20list%20for%20physical%20therapy%20after%20hospital%20discharge_%20study%20protocol%20for%20a%20pragmatic%20randomized%20trial%20protocol.pdfc8e014a09d4e458616c81b57ccb34bbbMD521843/650822024-03-01 13:19:34.045oai:repositorio.ufmg.br:1843/65082TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-03-01T16:19:34Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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