Remote assessment of exercise capacity in adults with chronic respiratory disease: Safety, reliability and acceptability.

IF 2.3 3区医学 Q2 RESPIRATORY SYSTEM Chronic Respiratory Disease Pub Date : 2025-01-01 DOI:10.1177/14799731251318033

Narelle S Cox, Simone Dal Corso, Angela T Burge, Janet Bondarenko, Jaycie Perryman, Anne E Holland

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Abstract

Objectives: To assess the safety, reliability and acceptability of the modified incremental step test (MIST) supervised remotely via videoconferencing in adults with chronic respiratory disease.

Methods: Adults with chronic respiratory disease undertaking pulmonary rehabilitation were invited to undertake the MIST under two testing conditions: in-person supervision and remote supervision via video-conferencing. Test order was randomised.

Results: 38 participants (n = 18 Female; mean (SD) age 68 (10) years; 56% chronic obstructive pulmonary disease) undertook two MIST evaluations. There was excellent agreement between tests for total step count (ICC_2,1 0.93, 95%CI 0.86 to 0.96), despite higher counts with in-person supervision (MD 12 steps, 95%CI 1 to 24). There was very good agreement, and no difference between tests, for nadir oxygen saturation (ICC_2,1 0.797, 95%CI 0.643 to 0.889) and peak heart rate (ICC_2,1 0.782, 95%CI 0.620 to 0.880). Participant satisfaction with telehealth was high, and confidence was not different between testing conditions. There were no adverse events and remote testing was acceptable to participants.

Discussion: In this single centre cohort study MIST supervised remotely via video-conferencing was safe, reliable and acceptable to people with chronic respiratory disease.

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成人慢性呼吸系统疾病患者运动能力的远程评估：安全性、可靠性和可接受性

目的：评估通过视频会议远程监督的改进的渐进步骤试验（MIST）在成人慢性呼吸道疾病患者中的安全性、可靠性和可接受性。方法：邀请接受肺部康复治疗的成人慢性呼吸系统疾病患者在现场监督和远程视频会议监督两种测试条件下进行MIST测试。试验顺序随机化。结果：38名参与者(n = 18女性；平均（SD）年龄68（10）岁；56%（慢性阻塞性肺疾病）进行了两次MIST评估。尽管在现场监督下总步数较高（MD为12步，95%CI为1 ~ 24），但两项试验之间的总步数非常一致（ICC2, 1.93, 95%CI 0.86 ~ 0.96）。最低血氧饱和度（ICC2,1 0.797, 95%CI 0.643 ~ 0.889）和最高心率（ICC2,1 0.782, 95%CI 0.620 ~ 0.880）的结果非常一致，试验间无差异。参与者对远程医疗的满意度较高，在不同的测试条件下，信心没有差异。没有不良事件，远程测试对参与者是可接受的。讨论：在这项单中心队列研究中，通过视频会议远程监督的MIST对慢性呼吸道疾病患者是安全、可靠和可接受的。

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来源期刊

Chronic Respiratory Disease RESPIRATORY SYSTEM-

CiteScore

5.90

自引率

7.30%

发文量

审稿时长

11 weeks

期刊介绍： Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.