GRAICE - guided rehabilitation after intensive care.
Research type
Research Study
Full title
Trial of a guided self-management exercise-based rehabilitation programme for critical care survivors: A feasibility study.
IRAS ID
209325
Contact name
Sian Goddard
Contact email
Sponsor organisation
Plymouth University
Duration of Study in the UK
0 years, 8 months, 1 days
Research summary
The importance of follow-up rehabilitation for the 110,000 patients who survive critical care every year (ICNARC 2014) was highlighted by the publication of the NICE guidelines for Critical Care Rehabilitation in 2009 (NICE, 2009). Many critical care survivors have reduced quality of life following their stay and are more dependent on their relatives (Griffiths et al., 2013); therefore a programme that improves their functional ability and health related quality of life (HRQL), but does not require further visits to healthcare providers would be beneficial. Although small studies have been carried out using a variety of interventions and outcomes measures, none have considered structured exercise-based rehabilitation programmes delivered in the patient’s home using a self-management approach with remote support.
This non-randomised study aims to evaluate the feasibility of carrying out a full randomised controlled trial to evaluate the effectiveness of a guided self-management exercise-based rehabilitation programme for critical care survivors, delivered in their own home with telephone/video calling support to assist participants in maintaining motivation and adherence to the programme.
The intervention will consist of a single supervised education exercise session, followed by an ten week structured self-directed programme of strengthening and cardiovascular exercises to be completed twice weekly. Support will be provided weekly and reassessment will be undertaken three months post hospital discharge.
It is anticipated that participants will report improvements in HRQL and functional ability, that qualitative feedback will support the delivery of the programme on a larger scale and that a full size study will prove to be feasible.REC name
Yorkshire & The Humber - Sheffield Research Ethics Committee
REC reference
16/YH/0431
Date of REC Opinion
4 Nov 2016
REC opinion
Further Information Favourable Opinion