The Effectiveness of Exercise Physiology Services During the COVID-19 Pandemic: A Pragmatic Cohort Study

Patrick J Owen; Shelley E Keating; Christopher Askew; Kelly M Clanchy; Paul Jansons; Ralph Maddison; Andrew Maiorana; Jenna McVicar; Suzanne Robinson; Christopher Neason; Matthew J Clarkson; Niamh L Mundell

doi:10.1186/s40798-022-00539-3

Back

The Effectiveness of Exercise Physiology Services During the COVID-19 Pandemic: A Pragmatic Cohort Study

Journal article

Open access

Peer reviewed

The Effectiveness of Exercise Physiology Services During the COVID-19 Pandemic: A Pragmatic Cohort Study

Patrick J Owen, Shelley E Keating, Christopher Askew, Kelly M Clanchy, Paul Jansons, Ralph Maddison, Andrew Maiorana, Jenna McVicar, Suzanne Robinson, Christopher Neason, …

Sports Medicine - Open, Vol.9(2), pp.1-9

2023

DOI: https://doi.org/10.1186/s40798-022-00539-3

PMCID: PMC9826725

PMID: 36617585

Files and links (2)

pdf

s40798-022-00539-31.13 MBDownload View

Published Version Open Access CC BY V4.0

url

https://doi.org/10.1186/s40798-022-00539-3View

Published Version

Abstract

Telehealth

Coronavirus

Telemedicine

eHealth

Rehabilitation

Background: The COVID-19 pandemic markedly changed how healthcare services are delivered and telehealth delivery has increased worldwide. Whether changes in healthcare delivery borne from the COVID-19 pandemic impact effectiveness is unknown. Therefore, we examined the effectiveness of exercise physiology services provided during the COVID-19 pandemic. Methods: This prospective cohort study included 138 clients who received exercise physiology services during the initial COVID-19 pandemic. Outcome measures of interest were EQ-5D-5L, EQ-VAS, patient-specific functional scale, numeric pain rating scale and goal attainment scaling. Results: Most (59%, n = 82) clients received in-person delivery only, whereas 8% (n = 11) received telehealth delivery only and 33% (n = 45) received a combination of delivery modes. Mean (SD) treatment duration was 11 (7) weeks and included 12 (6) sessions lasting 48 (9) minutes. The majority (73%, n = 101) of clients completed > 80% of exercise sessions. Exercise physiology improved mobility by 14% (β = 0.23, P = 0.003), capacity to complete usual activities by 18% (β = 0.29, P < 0.001), capacity to complete important activities that the client was unable to do or having difficulty performing by 54% (β = 2.46, P < 0.001), current pain intensity by 16% (β = − 0.55, P = 0.038) and goal attainment scaling t-scores by 50% (β = 18.37, P < 0.001). Effectiveness did not differ between delivery modes (all: P > 0.087). Conclusions: Exercise physiology services provided during the COVID-19 pandemic improved a range of client-reported outcomes regardless of delivery mode. Further exploration of cost-effectiveness is warranted.

Details

Title: The Effectiveness of Exercise Physiology Services During the COVID-19 Pandemic: A Pragmatic Cohort Study
Authors: Patrick J Owen (Author) - Deakin University
Shelley E Keating (Author) - The University of Queensland
Christopher Askew (Author) - University of the Sunshine Coast, Queensland, School of Health - Sports & Exercise Science
Kelly M Clanchy (Author) - Griffith University
Paul Jansons (Author) - Deakin University
Ralph Maddison (Author) - Deakin University
Andrew Maiorana (Author) - Curtin University
Jenna McVicar (Author) - Deakin University
Suzanne Robinson (Author) - Curtin University
Christopher Neason (Author) - Deakin University
Matthew J Clarkson (Author) - Victoria University
Niamh L Mundell (Author) - Deakin University
Publication details: Sports Medicine - Open, Vol.9(2), pp.1-9
Publisher: SpringerOpen
Date published: 2023
DOI: 10.1186/s40798-022-00539-3
ISSN: 2198-9761
PMID: 36617585; PMC9826725
Copyright note: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Organisation Unit: University of the Sunshine Coast, Queensland; Cancer Research Cluster; School of Health - Sports & Exercise Science
Language: English
Record Identifier: 99699098402621
Output Type: Journal article

Metrics

180 File views/ downloads

86 Record Views

5 Times Cited - Web of Science

See more details

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration
Web Of Science research areas: Sport Sciences

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

Source: SDGs from InCites