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Liver transplant recipients often experience reduced physical activity levels, fatigue, and increased caregiver burden after transplantation. Structured home-based exercise education may help improve these outcomes. This study aims to evaluate the effects of brochure-based and video-based home exercise education programs on physical activity levels, fatigue, and caregiver burden in liver transplant recipients.
Participants are assigned to either a brochure-based exercise education group, a video-based exercise education group, or a control group receiving standard care. The primary objective is to determine whether structured home exercise education improves physical activity and reduces fatigue and caregiver burden compared to standard care.
Regular physical activity is essential for improving functional capacity and quality of life in liver transplant recipients. However, many recipients experience persistent fatigue, decreased physical activity levels, and increased caregiver burden after transplantation. Structured and accessible home-based exercise education may provide a practical approach to support long-term rehabilitation in this population.
This study evaluates the effectiveness of two different home-based exercise education methods: brochure-based education and video-based education. Participants receive standardized exercise recommendations designed to promote safe and gradual increases in physical activity. The intervention period includes structured follow-up and guidance to enhance adherence. A control group receives standard post-transplant care without structured exercise education.
Outcome measures include physical activity level, fatigue severity, and caregiver burden, assessed at predefined time points during the study period. The findings of this study may contribute to the development of accessible rehabilitation strategies for liver transplant recipients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brochure-Based Exercise Education | Experimental | Participants receive structured home-based exercise education delivered through a printed brochure. The brochure includes information on safe physical activity, recommended exercises, frequency, intensity, and progression guidelines designed for liver transplant recipients. |
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| Video-Based Exercise Education | Experimental | Participants receive structured home-based exercise education delivered through instructional videos. The videos demonstrate recommended exercises, provide guidance on proper technique, frequency, intensity, and progression suitable for liver transplant recipients. |
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| Standard Care Control | No Intervention | Participants receive standard post-transplant follow-up care without additional structured exercise education during the study period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home-Based Exercise Education | Behavioral | Home-Based Exercise Education consists of structured guidance designed to promote safe and progressive physical activity in liver transplant recipients. The program includes recommendations regarding exercise type, frequency, duration, and intensity appropriate for the post-transplant period. Education is delivered either through a printed brochure or instructional video materials. The content focuses on aerobic and strengthening exercises that can be performed at home without specialized equipment. Participants are encouraged to follow the prescribed exercise recommendations throughout the study period. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical Activity Level | International Physical Activity Questionnaire (IPAQ). Physical activity is expressed as MET-minutes per week calculated from activity intensity and duration. Scores range from 0 to >3000 MET-min/week, with higher values indicating higher physical activity level. | Baseline and end of intervention (8 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Inonu University Turgut Ozal Medical Center | Malatya | Gaziantep | 27010 | Turkey (Türkiye) |
Individual participant data (IPD) will not be shared due to institutional data protection policies and ethical restrictions. The informed consent obtained from participants did not include permission for public data sharing.
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| ID | Term |
|---|---|
| D005221 | Fatigue |
| D057185 | Sedentary Behavior |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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Participants are randomly assigned to one of three parallel groups: a brochure-based home exercise education group, a video-based home exercise education group, or a control group receiving standard care. Each participant remains in the assigned group throughout the study period, and outcomes are compared between groups.
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| Brochure-Based Exercise Education (Experimental) | Behavioral | Participants receive structured home-based exercise education delivered through a printed brochure specifically developed for liver transplant recipients. The brochure includes written instructions and illustrations describing aerobic and strengthening exercises, along with recommendations for frequency, duration, intensity, and progression. The material is designed to enable participants to independently perform safe and gradual physical activity at home throughout the study period. |
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