For the study, a metropolitan cardiac rehabilitation program was offered as individual components, or modules, based on patient need rather than an all-or-nothing exercise-based approach.
First, the traditional on-site intervention model requires a neuropsychologist supervising the procedure, to administer exercises and cues, based on patient performance.
LHWs modified their suggestions based on patients' experience; for example one LHW devised a home-based exercise programme after a patient rejected group exercise.
The TERC eliminates the need for physician knowledge about specific exercise routines by placing the patient in an appropriate exercise program based on patient-specific variables.
The NewCOACH study is a three-arm pragmatic randomized trial that aims to determine the efficacy of GP referral of insufficiently active patients (regardless of their chronic disease status) for physical activity counseling (either face-to-face or predominately via telephone) by exercise specialists, based on patients' objectively assessed physical activity levels, compared with usual care.
Accordingly, this trial aims to determine the efficacy of GP referral of insufficiently active patients (regardless of their chronic disease status) for physical activity counseling (either face-to-face or predominately via telephone) by exercise specialists, based on patients' objectively assessed physical activity levels, compared with usual care.
In general, rehabilitation in cancer patients based on physical exercise perioperatively has been shown to increase HRQoL and physical activity, and at the same time reduce the side effects of the treatment [ 24, 26- 33].
A number of available reports have also demonstrated clinical improvement in patients based on various parameters improved exercise tolerance, improved quality of life, or reduced New York Heart Association NYHA HFHF class [ 25– 28].
Using exercise animations to facilitate proper technique, the TERC assigned and progressed patients through multiple levels of exercise intensity based on exercise history, co-morbidities and a validated measure of pain and function.
