000148196 001__ 148196 000148196 005__ 20250923084442.0 000148196 0247_ $$2doi$$a10.1080/13548506.2024.2439180 000148196 0248_ $$2sideral$$a141677 000148196 037__ $$aART-2024-141677 000148196 041__ $$aeng 000148196 100__ $$aCarpallo Porcar, Beatriz 000148196 245__ $$aImprovements of depression, anxiety, stress, and social support through a telerehabilitation system in discharged COVID-19 patients: a randomized controlled pilot study 000148196 260__ $$c2024 000148196 5060_ $$aAccess copy available to the general public$$fUnrestricted 000148196 5203_ $$aIntroduction: Post-acute COVID-19 patients who were discharged from hospitals during the epidemic faced significant challenges, not only physical sequelae, but also psychological distress, anxiety, and depression. It is already known that continued exercise improves psychosocial components, but few studies have explored the impact of multimodal rehabilitation programs, including therapeutic education, in this type of patient. There are no studies that explore the application of these programs through asynchronous telerehabilitation, which would open up new therapeutic windows. Methods: This pilot single-blinded randomized controlled trial included 35 postdischarge COVID-19 patients allocated to two intervention arms: an asynchronous telerehabilitation group (ATG) and a booklet-based rehabilitation group (BRG). The aim was to analyze the preliminary changes in depression, anxiety, stress, and social support comparing both groups. Results: The ATG exhibited statistically significant reductions in depression (p=0.048) and stress (p=0.033) compared to the BRG after intervention. While both groups showed improvements in psychosocial variables, the ATG demonstrated consistent lower depression levels at 3- and 6-month follow-ups (p=0.010, p=0.036 respectively) and notably higher social support at 3- and 6-month follow-ups (p=0.038, p=0.028 respectively). Discussion: This pilot study suggests that a multimodal rehabilitation program using asynchronous telerehabilitation provides substantial benefits in terms of alleviating psychological distress and improving social support in discharged COVID-19 patients. These data will enable for larger studies to confirm these results. Clinical Trial registration: Clinialtrials.gov #NCT04794036. 000148196 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000148196 590__ $$a1.9$$b2024 000148196 592__ $$a0.935$$b2024 000148196 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b230 / 419 = 0.549$$c2024$$dQ3$$eT2 000148196 593__ $$aApplied Psychology$$c2024$$dQ2 000148196 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b230 / 419 = 0.549$$c2024$$dQ3$$eT2 000148196 593__ $$aPsychiatry and Mental Health$$c2024$$dQ2 000148196 593__ $$aClinical Psychology$$c2024$$dQ2 000148196 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/submittedVersion 000148196 700__ $$0(orcid)0000-0002-1674-7788$$aCalvo, Sandra$$uUniversidad de Zaragoza 000148196 700__ $$aLiñares Varela, Irene 000148196 700__ $$aBafaluy Franch, Laura 000148196 700__ $$aBrandín de la Cruz, Natalia 000148196 700__ $$aGómez Barrera, Manuel 000148196 700__ $$aJiménez-Sánchez, Carolina 000148196 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000148196 773__ $$g(2024), 1-21$$pPSYCHOLOGY HEALTH & MEDICINE$$tPSYCHOLOGY HEALTH & MEDICINE$$x1354-8506 000148196 8564_ $$s1436134$$uhttps://zaguan.unizar.es/record/148196/files/texto_completo.pdf$$yPreprint 000148196 8564_ $$s839015$$uhttps://zaguan.unizar.es/record/148196/files/texto_completo.jpg?subformat=icon$$xicon$$yPreprint 000148196 909CO $$ooai:zaguan.unizar.es:148196$$particulos$$pdriver 000148196 951__ $$a2025-09-22-14:51:43 000148196 980__ $$aARTICLE