Using technology to engage patients with interstitial lung diseases in a home exercise program: a pilot study

Abstract

<b>Background:</b> Engaging, safe and sustainable exercise alternatives for patients with interstitial lung diseases (ILDs) are needed. <b>Objectives:</b> i) to evaluate the effect of two interventions on the health outcomes of patients with ILDs, and ii) to explore adherence, compliance and patient satisfaction. <b>Methods:</b> ILD patients were randomly assigned to one home exercise program (8-week 3-times/week) implemented using different platforms (Group 1: live zoom sessions, Group 2: pre-recorded YouTube videos) and monitoring devices. Once a week, patients received a follow-up call and were requested to submit data (spirometry, pre-post exercise oxygen saturation and heart rate). <b>Results:</b> 14 adults (7 each group), 50% males with a mean age of 67±11 years participated in the study. No gender or age differences were identified between groups. No significant changes in lung capacity, dyspnea, fatigue, exercise capacity, or health-related quality of life were identified within or between groups. Greater adherence to the exercise program occurred in the live zoom session group, with all participants completing &gt;90% of the program compared to 57% in the videos group. Overall, participants in both groups complied with weekly data submissions, reported a high level of satisfaction with the program and improvements in their overall health. No adverse effects were reported in either group. <b>Conclusions:</b> These interventions appear to be well-accepted and safe alternatives to engage ILD patients in a home-exercise program. These results will inform the design of future large-scale studies that further explore the effect of these interventions.