Çelik Z, Kafa N, Güzel NA, Köktürk N. The effects of physical activity tele-counseling intervention on physical activity, functional performance, and quality of life in post-COVID-19 conditions: a randomized controlled trial.
Expert Rev Respir Med 2024. [PMID:
38829396 DOI:
10.1080/17476348.2024.2363862]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Accepted: 05/31/2024] [Indexed: 06/05/2024]
Abstract
BACKGROUND
This study aims to investigate the effectiveness of tele-counseling to promote physical activity in COVID-19 survivors at the persistent phase.
METHODS
Twenty-eight participants who suffered from COVID-19 were randomly assigned into intervention and control groups. Physical activity counseling was applied according to the transtheoretical model to the intervention group during 20 sessions. Second assessments were performed 6 weeks after the intervention. The physical activity, functional performance (4-Meter Gait Speed; 4-MGS) and 5-repetition Sit-To-Stand; STS test), exercise behavioral and processes of change, quality of life, fatigue, mental health, severity of symptoms, and dyspnea were evaluated in groups.
RESULTS
The baseline demographic and clinical outcomes were similar (p > 0.05) except for physical role limitations and general health perceptions in groups. Five-repetition STS, 4-MGS, activity dyspnea, step counts, sitting time, Exercise Processes of Change Scale (EPCS) total and behavioral processes except for self-liberation scores significantly improved in the counseling group. Five-repetition STS, 4-MGS improved while dramatic relief, self reevaluation, self-liberation and EPCS total scores deteriorated in the control group.
CONCLUSIONS
The tele-counseling intervention contributes to improving physical activity, functional performance, behavioral change, quality of life, and decreasing common problems related to COVID-19. The results of the tele-counseling intervention are promising in post-COVID-19 conditions.
TRIAL REGISTRATION (CLINICALTRIALS.GOV)
Registration ID: NCT04853966.
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