Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol.
<h4>Background</h4>In recent years, cancer survival rates have increased exponentially. However, this rise in survival comes with a significant drawback. As the number of treatment lines has grown, so too have the side effects, which can severely impact patients' functionality and q...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2025-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0313207 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832595686984515584 |
|---|---|
| author | Eduardo Jose Fernandez-Rodriguez Maria Isabel Rihuete-Galve Alberto Garcia-Martin Celia Sanchez-Gomez Fausto Jose Barbero-Iglesias Roberto Mendez-Sanchez Ana Silvia Puente-Gonzalez Susana Saez-Gutierrez Emilio Fonseca-Sanchez Juan Jesus Cruz-Hernandez |
| author_facet | Eduardo Jose Fernandez-Rodriguez Maria Isabel Rihuete-Galve Alberto Garcia-Martin Celia Sanchez-Gomez Fausto Jose Barbero-Iglesias Roberto Mendez-Sanchez Ana Silvia Puente-Gonzalez Susana Saez-Gutierrez Emilio Fonseca-Sanchez Juan Jesus Cruz-Hernandez |
| author_sort | Eduardo Jose Fernandez-Rodriguez |
| collection | DOAJ |
| description | <h4>Background</h4>In recent years, cancer survival rates have increased exponentially. However, this rise in survival comes with a significant drawback. As the number of treatment lines has grown, so too have the side effects, which can severely impact patients' functionality and quality of life. One of the most concerning effects is dyspnoea, a serious health issue that imposes substantial limitations on individuals. While traditional clinical approaches, primarily focused on pharmacological interventions, are commonly employed to manage dyspnoea, we argue that these methods may not always provide optimal symptomatic relief. Therefore, we propose a study protocol to implement an interdisciplinary intervention for these patients. This protocol aims to enhance standard clinical practice by introducing a program of functional re-education and environmental adaptation. We believe this intervention is essential for the follow-up care of patients with respiratory conditions after hospital discharge.<h4>Methods</h4>A two-arm, randomized, parallel, controlled clinical trial will be conducted by the University of Salamanca, Spain, in collaboration with the Medical Oncology Service of the University Health Care Complex of Salamanca. The trial aims to recruit 80 oncology patients who exhibit symptoms of dyspnoea during hospital admission. Participants will be randomly assigned to one of two groups: the control group, which will receive a health education program, and the experimental group, which will receive both the health education program and a functional re-education and environmental adaptation program. Assessments will be conducted at three time points: baseline (prior to hospital discharge), follow-up (15 days after discharge), and the end of the intervention (1 month after discharge). During these assessments, sociodemographic data will be collected, and the following scales will be administered: Barthel Index, Medical Research Council Dyspnoea Scale (mMRC), EuroQol 5-D questionnaire (EQ-5D), Visual Analogue Scale (VAS), Short Physical Performance Battery (SPPB), Tampa Scale for Kinesiophobia (TSK), and the Zarit Reduced Caregiver Burden Scale.<h4>Discussion</h4>The findings of this research can be easily implemented in clinical settings by introducing a targeted intervention to improve the quality of life for this patient population. This study aims to advance traditional clinical approaches by facilitating the recovery or adaptation of cancer patients in their daily routines, in relation to the severity of their symptoms. Our primary goal is to enhance independence and functionality, ultimately improving their overall standard of living.<h4>Trial registration</h4>ClinicalTrials.gov; ID: NCT06035263. Registered on: September 19, 2023. https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000DM2U&selectaction=Edit&uid=U0004OJ7&ts=6&cx=f7qqxo. |
| format | Article |
| id | doaj-art-677f5a53352a43bbbec1735d7b8c35e2 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-677f5a53352a43bbbec1735d7b8c35e22025-01-18T05:30:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031320710.1371/journal.pone.0313207Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol.Eduardo Jose Fernandez-RodriguezMaria Isabel Rihuete-GalveAlberto Garcia-MartinCelia Sanchez-GomezFausto Jose Barbero-IglesiasRoberto Mendez-SanchezAna Silvia Puente-GonzalezSusana Saez-GutierrezEmilio Fonseca-SanchezJuan Jesus Cruz-Hernandez<h4>Background</h4>In recent years, cancer survival rates have increased exponentially. However, this rise in survival comes with a significant drawback. As the number of treatment lines has grown, so too have the side effects, which can severely impact patients' functionality and quality of life. One of the most concerning effects is dyspnoea, a serious health issue that imposes substantial limitations on individuals. While traditional clinical approaches, primarily focused on pharmacological interventions, are commonly employed to manage dyspnoea, we argue that these methods may not always provide optimal symptomatic relief. Therefore, we propose a study protocol to implement an interdisciplinary intervention for these patients. This protocol aims to enhance standard clinical practice by introducing a program of functional re-education and environmental adaptation. We believe this intervention is essential for the follow-up care of patients with respiratory conditions after hospital discharge.<h4>Methods</h4>A two-arm, randomized, parallel, controlled clinical trial will be conducted by the University of Salamanca, Spain, in collaboration with the Medical Oncology Service of the University Health Care Complex of Salamanca. The trial aims to recruit 80 oncology patients who exhibit symptoms of dyspnoea during hospital admission. Participants will be randomly assigned to one of two groups: the control group, which will receive a health education program, and the experimental group, which will receive both the health education program and a functional re-education and environmental adaptation program. Assessments will be conducted at three time points: baseline (prior to hospital discharge), follow-up (15 days after discharge), and the end of the intervention (1 month after discharge). During these assessments, sociodemographic data will be collected, and the following scales will be administered: Barthel Index, Medical Research Council Dyspnoea Scale (mMRC), EuroQol 5-D questionnaire (EQ-5D), Visual Analogue Scale (VAS), Short Physical Performance Battery (SPPB), Tampa Scale for Kinesiophobia (TSK), and the Zarit Reduced Caregiver Burden Scale.<h4>Discussion</h4>The findings of this research can be easily implemented in clinical settings by introducing a targeted intervention to improve the quality of life for this patient population. This study aims to advance traditional clinical approaches by facilitating the recovery or adaptation of cancer patients in their daily routines, in relation to the severity of their symptoms. Our primary goal is to enhance independence and functionality, ultimately improving their overall standard of living.<h4>Trial registration</h4>ClinicalTrials.gov; ID: NCT06035263. Registered on: September 19, 2023. https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000DM2U&selectaction=Edit&uid=U0004OJ7&ts=6&cx=f7qqxo.https://doi.org/10.1371/journal.pone.0313207 |
| spellingShingle | Eduardo Jose Fernandez-Rodriguez Maria Isabel Rihuete-Galve Alberto Garcia-Martin Celia Sanchez-Gomez Fausto Jose Barbero-Iglesias Roberto Mendez-Sanchez Ana Silvia Puente-Gonzalez Susana Saez-Gutierrez Emilio Fonseca-Sanchez Juan Jesus Cruz-Hernandez Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol. PLoS ONE |
| title | Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol. |
| title_full | Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol. |
| title_fullStr | Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol. |
| title_full_unstemmed | Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol. |
| title_short | Impact of functional re-education and environmental adaptation in cancer patients with respiratory pathology: Study protocol. |
| title_sort | impact of functional re education and environmental adaptation in cancer patients with respiratory pathology study protocol |
| url | https://doi.org/10.1371/journal.pone.0313207 |
| work_keys_str_mv | AT eduardojosefernandezrodriguez impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT mariaisabelrihuetegalve impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT albertogarciamartin impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT celiasanchezgomez impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT faustojosebarberoiglesias impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT robertomendezsanchez impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT anasilviapuentegonzalez impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT susanasaezgutierrez impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT emiliofonsecasanchez impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol AT juanjesuscruzhernandez impactoffunctionalreeducationandenvironmentaladaptationincancerpatientswithrespiratorypathologystudyprotocol |