A mobile health technology enabled home‐based intervention to treat frailty in adult lung transplant candidates: A pilot study

• DOI: 10.1111/ctr.13274
• Publication Date: 2018-05-09T20:04:58Z
• Authors: Jonathan P. Singer; Allison Soong; Allan Bruun; Ayana Bracha; Greg Chin; Steven R. Hays; Jasleen Kukreja; Julia Rigler; Jeff A. Golden; John R. Greenland; Chris Garvey
• Keywords: Prehabilitation

Frailty is prevalent in lung transplant candidates (LTC) and associated with waitlist delisting or death. We performed a pilot study to assess the safety feasibility of home-based, mobile health technology-facilitated intervention treat frailty LTC.We an 8-week, nonrandomized, home-based exercise nutrition LTC Short Physical Performance Battery (SPPB) scores ≤11. The utilized customized, device application ("app") enabling monitoring progression real time. aimed evaluate key process measures. Secondarily, we tested whether could improve quantified by SPPB Fried Phenotype (FFP).A total 15 subjects enrolled were 63 ± 5.7 years old; oxygen requirements ranged from 3 15LPM. Thirteen completed intervention. Over 108 subject-weeks, there no adverse events. Subjects found app engaging easy work with. improved 7 (54%) FFP 8 (62%). There was strong trend toward (SPPB change 1.0 1.9; P = .08; -0.6 1.0; .07).In this study, that prehabilitation program leverages technology target well received, safe, capable improving physical scores.