148196 20260217205521.0 doi 10.1080/13548506.2024.2439180 sideral 141677 ART-2024-141677 eng Carpallo Porcar, Beatriz Improvements of depression, anxiety, stress, and social support through a telerehabilitation system in discharged COVID-19 patients: a randomized controlled pilot study 2024 Access copy available to the general public Unrestricted Introduction: 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. info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 1.9 2024 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 231 / 421 = 0.549 2024 Q3 T2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 231 / 421 = 0.549 2024 Q3 T2 0.935 2024 Applied Psychology 2024 Q2 Psychiatry and Mental Health 2024 Q2 Clinical Psychology 2024 Q2 7.3 2024 info:eu-repo/semantics/article info:eu-repo/semantics/submittedVersion Calvo, Sandra Universidad de Zaragoza (orcid)0000-0002-1674-7788 Liñares Varela, Irene Bafaluy Franch, Laura Brandín de la Cruz, Natalia Gómez Barrera, Manuel Jiménez-Sánchez, Carolina 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia (2024), 1-21 PSYCHOLOGY HEALTH & MEDICINE PSYCHOLOGY HEALTH & MEDICINE 1354-8506 1436134 http://zaguan.unizar.es/record/148196/files/texto_completo.pdf Preprint 839015 http://zaguan.unizar.es/record/148196/files/texto_completo.jpg?subformat=icon icon Preprint oai:zaguan.unizar.es:148196 articulos driver 2026-02-17-20:28:49 ARTICLE