Telerehabilitation As Follow-up for Obesity (OPaCTe)

Centre de l'Obesite Bernard Descottes

Status: Not yet enrolling

Conditions: Obese Patients

Treatments: Other: Aerobic Exercice and muscular reinforcement

Study type: Interventional

Funder types: Other

Identifiers

NCT06871436

N° 2024-A02428-39

Details and patient eligibility

About

The goal of this experimental study is to observed the impact of telerehabilitation modalities in obese patient after a hospitalization on physical intensity at home (MVPA). The secondary aim is to observe the evolution of clinical parameters such as anthropometric data, adherence and psychological state.

Enrollment: 138 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult (> 18 years old)
• BMI > 35 or 30 Kg/m2 in case of concomitant comorbidity
• Authorization to practice physical activity for participants over 30 years old by means of a cardiac assessment and an ECG less than 6 months old carried out by a cardiologist. As part of the COBD treatment, the ECG is either: integrated into the patient file before hospitalization if the patient has seen his cardiologist staff. Either the ECG is provided in the file or carried out and analyzed by the center's cardiologist (Dr Rouffaud). The latter then authorizes or not the practice of PA.
• Complete 3-week stay in an obesity center
• Availability of equipment suitable for telerehabilitation at home
• Having given informed consent for participation in the study

Exclusion criteria

• Medical contraindication to PA practice defined by a doctor
• Participation in a concomitant research protocol
• For women of childbearing age, they will be informed that in the event of pregnancy occurring during participation in the research, they will not be able to continue the protocol and will withdraw from the research
• Refusal to participate in the research protocol
• Patient on weekday stay (< 3 weeks)
• Psychiatric/psychological disorder limiting the expression of consent
• Persons under legal protection or unable to express their consent
• Inability to participate in any of the 18 Telerehabilitation sessions

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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138 participants in 3 patient groups

Supervised Telerehabilitation

Experimental group

Description:

Participants will have access to the Follow SURG application to monitor their health at home. In addition, participants will be asked to wear the activity wristband daily (except when sleeping) and to download the GARMIN Connect app on their smartphone to update their physical activity data. They will participate in telerehabilitation sessions with a professional via videoconference using the AXOMOVE telehealth application. These sessions will take place three times a week, for 60 minutes, from 12pm to 13pm and 5pm to 6pm on Mondays, Wednesdays and Fridays. Each telerehabilitation group will follow these sessions live. Telerehabilitation sessions include a 10-minute warm-up, 40 minutes of circuit training, 5 minutes of stretching and 5 minutes of discussion with the professional.

Treatment:

Other: Aerobic Exercice and muscular reinforcement

Unsupervised Physical Activity Videos

Experimental group

Description:

Participants will be able to use the Follow SURG application to monitor their health at home. In terms of accessibility, this will be comprehensive, with access to informative content proposed by paramedical professionals such as psychomotricians, dieticians and psychologists, as well as content made available in the current COBD follow-up. In addition, participants will be asked to wear the activity wristband on a daily basis (except when sleeping) and to download the GARMIN Connect application onto their smartphone in order to update their PA data. Participants will be asked to carry out APA sessions 3 times a week, using videos produced in advance by a professional. Videos will include 10 min of warm-up, 40 min of circuit training (following the same modalities as those defined in the "Telerehabilitation" section) and 10 min of stretching.

Treatment:

Other: Aerobic Exercice and muscular reinforcement

Contrôle Group

No Intervention group

Description:

Participants will be able to use the Follow SURG application to monitor their health at home. Access to the Follow SURG application will be restricted to informative content provided by paramedical professionals such as psychomotricians, dieticians and psychologists. In addition, participants will be asked to wear the activity wristband on a daily basis (except when sleeping) and to download the GARMIN Connect app on their smartphone in order to update their physical activity data. In addition, reminders to practice physical activity will be provided on the Follow SURG app 3 times a week.