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The effect of participating in MedEx wellness, a community-based chronic disease exercise rehabilitation programme, on physical, clinical and psychological health: A study protocol for a cohort trial

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dc.contributor.author Kehoe, Brona
dc.contributor.author Skelly, Fiona
dc.contributor.author Moyna, Niall
dc.contributor.author Cantwell, Mairead
dc.contributor.author Boran, Lorraine
dc.contributor.author Daly, Leslie
dc.contributor.author McCarren, Andrew
dc.contributor.author Dowd, Kieran P.
dc.contributor.author Woods, Catherine B.
dc.contributor.author McCaffrey, Noel
dc.contributor.author Loughney, Lisa
dc.date.accessioned 2020-07-24T08:21:36Z
dc.date.available 2020-07-24T08:21:36Z
dc.date.issued 2020
dc.identifier.uri http://hdl.handle.net/10344/9034
dc.description peer-reviewed en_US
dc.description.abstract Background: Community-based exercise rehabilitation programmes for chronic disease are an effective alternative to traditional hospital-based programmes. MedEx Wellness is a novel community-based exercise rehabilitation programme that integrates a range of chronic diseases. The aim of this trial was to investigate the effect of participating in MedEx Wellness on physical, clinical and psychological health.Methods: A prospective cohort study was conducted. Participants were recruited at induction to the MedEx Wellness programme following referral from healthcare professionals. Participants underwent a baseline assessment before commencing the exercise programme and repeat assessments at 3, 6 and 12 months. The primary outcome was cardiorespiratory fitness (6 minute- time trial) at 12 months. Secondary outcomes included health-related quality of life (EuroQoL-5D, Satisfaction with Life Scale, Warwick Edinburgh Mental Wellbeing Scale, Patient Health Questionnaire8, Functional Assessment of Cancer Therapy Questionnaire), free living activity behavior (accelerometer) and healthcare utilization (recall questionnaire). Tertiary outcomes included blood pressure (24 h), biomarkers (lipids, glucose and C-reactive protein), other components of physical fitness, including strength (handgrip test, sit-to-stand test), flexibility (sit-and-reach test), body composition (body mass index and waist-to-hip ratio), and falls risk (timed up and go test), and claudication time (incremental treadmill walking test), cognitive function, including attention (Attention Network Task), memory (Luck & Vogel Visual Working Memory Task) and cognitive reserve. Exploratory outcomes included psychosocial determinants of physical activity (self-efficacy, social support, intentions). Discussion: This trial will evaluate whether participation in the MedEx Wellness programme has positive effects on physical, clinical and psychological health in individuals with a range of chronic diseases en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation ISRCTN10351412 en_US
dc.relation.ispartofseries Contemporary Clinical Trials Communications;19, 100591
dc.subject Chronic disease en_US
dc.subject Exercise rehabilitation en_US
dc.subject Community-based en_US
dc.subject Cardiorespiratory fitness en_US
dc.title The effect of participating in MedEx wellness, a community-based chronic disease exercise rehabilitation programme, on physical, clinical and psychological health: A study protocol for a cohort trial en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1016/j.conctc.2020.100591
dc.contributor.sponsor HSE en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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