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Published VersionCC BY V4.0, Open Access
Journal article
The Effectiveness of Exercise Physiology Services During the COVID-19 Pandemic: A Pragmatic Cohort Study
Sports Medicine - Open, Vol.9(2), pp.1-9
2023
Abstract
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 UniversityShelley E Keating (Author) - The University of QueenslandChristopher Askew (Author) - University of the Sunshine Coast, Queensland, School of Health - Sports & Exercise ScienceKelly M Clanchy (Author) - Griffith UniversityPaul Jansons (Author) - Deakin UniversityRalph Maddison (Author) - Deakin UniversityAndrew Maiorana (Author) - Curtin UniversityJenna McVicar (Author) - Deakin UniversitySuzanne Robinson (Author) - Curtin UniversityChristopher Neason (Author) - Deakin UniversityMatthew J Clarkson (Author) - Victoria UniversityNiamh 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; 2199-1170
- 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
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