Evaluation of the Feasibility of a Home-Based TeleYoga Intervention in Participants with Both Chronic Obstructive Pulmonary Disease and Heart Failure
Evaluation of the Feasibility of a Home-Based TeleYoga Intervention in Participants with Both Chronic Obstructive Pulmonary Disease and Heart Failure
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DOI：
10.1089/acm.2015.0279
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发表时间：
2017-09-01
影响因子：
2.6
通讯作者：
Howie-Esquivel, Jill
中科院分区：
文献类型：
--
作者：
Donesky, DorAnne;Selman, Lucy;Howie-Esquivel, Jill
目的：测试家庭视频会议瑜伽干预对患有慢性阻塞性肺疾病 (COPD) 和心力衰竭 (HF) 的参与者的可行性和临床结果。背景：瑜伽对于缓解 COPD 和 HF 参与者的症状具有潜在益处；然而，功能障碍和交通问题可能会妨碍参加典型的瑜伽课程。方法：进行了一项对照、非随机试验，比较为期 8 周的远程瑜伽干预与教育控制（通过每周一次的电话向参与者邮寄信息传单）。每周两次通过多点视频会议进行一小时的远程瑜伽课程，参与者通过互联网连接到电视上观看现场课程。结果：14 名患有 COPD 和 HF 的参与者参加了试点研究（干预组 7 人，对照组 8 人）。干预参与者坚持上课，能够安全地参与，并在 8 周的项目结束后发现课程很有趣。干预组运动后呼吸困难得到改善。结论：尽管诊断为慢性阻塞性肺病和心力衰竭的患者身体虚弱，但他们能够在家里安全地进行瑜伽。 TeleYoga 可以接受，并且坚持性良好；然而，技术问题是参与的一个重要障碍。
Objective: Test the feasibility and clinical outcomes of a home-based videoconferencing yoga intervention in participants diagnosed with both Chronic Obstructive Pulmonary Disease (COPD) and heart failure (HF).Background: Yoga has potential benefit for symptom relief in participants with COPD and with HF; however, functional impairment and transportation issues can hinder access to typical yoga classes.Methods: A controlled, nonrandomized trial was conducted of an 8-week TeleYoga intervention versus an educational control (information leaflets mailed to participants with one weekly phone call). One-hour TeleYoga classes were implemented twice weekly via multipoint videoconferencing, which connected participants to live classes via an Internet connection to their televisions.Results: Fourteen participants with COPD and HF took part in the pilot study (7 in the intervention group and 8 in the control). Intervention participants were adherent to classes, able to safely participate, and found the classes enjoyable after the 8-week program. Dyspnea after exercise improved in the intervention group.Conclusions: Despite their frailty, patients diagnosed with both COPD and HF were able to perform yoga safely in the home setting. TeleYoga was acceptable and adherence was good; however, technical issues were an important hindrance to participation.