Table 2.
Characteristics of the Home-based Interventions in Included Studies.
| Intervention |
||||||
|---|---|---|---|---|---|---|
| Author | Control | Duration | Interval | Components | Type/Target? | Outcome Measures |
|
| ||||||
| Battle et al31 | UC | 6 weeks | Twice weekly; one weekly session at home independently | Cardiopulmonary, balance and strengthening exercises Instructions for completing | Physical function | 6MWT, BBS, Jamar Dynamometer, HADS. |
| Cox et al24 | — | 1 month | Weekly | Mindfulness mobile app Or Telephone-based mindfulness Or Web-based critical illness education. |
Psychological wellbeing | Feasibility, CSQ, SSU, PHQ-9, GAD-7, PTSS, Euro-QOL VAS, PHQ-15 CAMS-R, Brief COPE |
| Elliott et al30 | UC | 8 weeks | Weekly PT home visits weeks 1, 3, 5 Phone visits weeks 2,4,5,7 |
Strength training, endurance exercises | Physical function | SF-36, 6MWT |
| Jackson et al25 | UC | 12 weeks In person at home alternating with tele-visit; supplemental phone call; |
Weekly | Physical exercise, cognitive training, functional rehab | Cognitive and physical function | TOWER tests, FAQ, TUG, MMSE, DEX, ABCS, Katz ADL |
| Jensen et al28 | UC | 10 months First visit 1–3 months post hospital discharge; follow up at 5 months and 10 months post hospital discharge |
2–11 months | 3 consultations with nurse—individualized illness narratives and completion of “reflection” sheets for second and third visits | Psychological wellbeing | SF-36, SOC-13, HADS, Use of health care system, HTQ-IV |
| Jónasdóttir et al26 | UC | 3 months | Contact at 1 week, appointment 3 months post-discharge | (1) Booklet delivered at ICU discharge; (2) ward visits; (3) phone contact 1 week after hospital discharge to home at and (4) an appointment 3 months after discharge from the ICU—could include revisiting ICU, or could take place in home or other setting | Quality of life | SF-36, 1 year post hospital discharge |
| McDowell et al27 | — | 6 weeks | Weekly 2 supervised in hospital gym and 2 unsupervised |
Aerobic exercise, hand strengthening, dexterity | Physical Function | RMI, Hydraulic hand dynamometer, 9-HPT, ISWT, SF-36, FLP, EuroQol-5D-5L, MRC |
| Shelly et al29 | UC | 4 weeks | Daily × 5 days per week at home | Physical and breathing exercises, 30–40 minutes duration Booklet describing exercises | Physical Function | SF-36 |
| Vitacca et al32 | UC | 6 months | Twice daily exercise; 60–90 minutes sessions; 7 days per week at home | Pulmonary rehab; Included—bronchial hygiene, physical activity, advanced physical activity; Physiologic monitoring for feedback and safety during exercise periods monitored by family caregiver Therapist home visit at end of 1 month and as needed. |
Physical function | MIP/MEP, FEV, ABG, RR BADL MRC-SS, EQ-5D, Survival, Readmission, ED visits, Adherence to protocol, Decannulation Safety, Patient satisfaction, Costs |
Note. UC = usual care; ED = emergency department; BBS = Berg Balance Scale; 6MWT = 6 minutes Walk Test; PHQ-9 = Patient Health Questionnaire-9; GAD-7 = General Anxiety Disorder-7; PTSS = Posttraumatic Stress Survey; Euro-QOL VAS = European Quality of Life Visual Analog Scale; PHQ-15 = Patient Health Questionnaire-15; CAMS-R = Cognitive and Affective Mindfulness Scale-Revised; Brief COPE = Brief Coping Orientation to Problems Experienced Inventory; SF-36 = 36-Item Short Form Survey; TUG = Timed Up and Go Test; MMSE = Mini-Mental State Examination; SOC-13 = Validation of Sense of Coherence-13 Scale; HADS = Hospital Anxiety and Depression Scale; HTQ-IV = Harvard Trauma Questionnaire-Part IV; RMI = Rivermead Mobility Index; ISWT = Incremental Shuttle Walk Test; FLP = Functional Limitations Profile; EuroQol-5D-5L = European Quality of Life-5 Dimension-5-Levels; MRC = Medical Research Council Scale for Muscle Strength; MIP/MEP = maximal inspiratory pressure/maximal expiratory pressure; FEV = forced expiratory volume; ABG = air blood gases; RR = respiratory rate; BADL = Basic Activities of Daily Living; MRC-SS = Medical Research Council Sum Score; EQ-5D = European Quality of Life-5 Dimension; SOC = Validation of Sense of Coherence; HRQOL = Health-Related Quality of Life; SSU = System Usability Scale; DEX = Dysexecutive Questionnaire; ABCS = Activities Balance and Confidence Scale; FAQ = Functional Activities Questionnaire; Katz ADL = Katz Activities of Daily Living Scale; 9-HPT = 9 Hole Peg Test; CSQ = Client Satisfaction Questionnaire.