{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:24:44Z","timestamp":1791923084992,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Postural and aerobic exercises are essential in rehabilitation in cystic fibrosis (CF). The aim of this study is to examine the effect of telerehabilitation on the quality of life, depression, and anxiety levels of children with CF and their caregivers' mood and anxiety levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Patients between the ages of 6\u201313 with CF were randomized into two groups. Study group received an exercise program three times a week via Zoom for 12 weeks. Cystic Fibrosis Revised Questionnaire (CFQ\u2010R), Anxiety and Depression Scale in Children\u2010Revised (RCADS) were applied to the patients and State\u2010Trait Anxiety Scale (STAI)\u00a0and Beck Depression Inventory (BDI) were applied to the caregivers in the beginning and at the end of the program. Patients' FEV1 levels and 6\u2010min\u00a0walk tests were also measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight patient\u2013caregiver dyads, 14 dyads in each group, completed the study. The initial mean RCADS\u2010Major depressive disorder score of the patients in the exercise group was 6.21\u2009\u00b1\u20093.11, and this value decreased to 3.92\u2009\u00b1\u20093.79 at the end of the study and was significantly better (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.02). A similar significant change was observed when the RCADS\u2010generalized anxiety disorder score decreased from the initial mean level of 6.28\u2009\u00b1\u20092.81 to 3.42\u2009\u00b1\u20092.65 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). There were significant changes in improvement in the body image in telerehabilitation group. Similar significant changes were not observed in the control group. Caregivers' anxiety and depression levels did not change significantly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A short\u2010term telerehabilitation program improved patients' anxiety and depression levels, body image, and functional status. However, caregiver anxiety and depression levels did not change significantly.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.25860","type":"journal-article","created":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T08:48:22Z","timestamp":1645087702000},"page":"1262-1271","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["The effect of telerehabilitation on quality of life, anxiety, and depression in children with cystic fibrosis and caregivers: A single\u2010blind randomized trial"],"prefix":"10.1002","volume":"57","author":[{"given":"\u00d6zge","family":"Kenis\u2010Coskun","sequence":"first","affiliation":[{"name":"Department of\u00a0Physical Medicine and Rehabilitation Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahsen N.","family":"Aksoy","sequence":"additional","affiliation":[{"name":"Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eda N.","family":"Kuma\u015f","sequence":"additional","affiliation":[{"name":"Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aybike","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elifnur","family":"G\u00fcven","sequence":"additional","affiliation":[{"name":"Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatice H.","family":"Ayaz","sequence":"additional","affiliation":[{"name":"Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tu\u011f\u00e7e","family":"S\u00f6zer","sequence":"additional","affiliation":[{"name":"Department of\u00a0Physical Medicine and Rehabilitation Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Almala P.","family":"Ergenekon","sequence":"additional","affiliation":[{"name":"Department of\u00a0Pediatric Pulmonology Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evrim","family":"Karada\u011f\u2010Sayg\u0131","sequence":"additional","affiliation":[{"name":"Department of\u00a0Physical Medicine and Rehabilitation Marmara University Medical Faculty Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2015.11.002"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.med.58.071905.105316"},{"issue":"5","key":"e_1_2_10_4_1","first-page":"447","article-title":"Pancreas and cystic fibrosis: the implications of increased survival in cystic fibrosis","volume":"7","author":"Krysa J","year":"2007","journal-title":"Pancreatol\u00a0Off\u00a0J\u00a0Int\u00a0Assoc\u00a0Pancreatol"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312120933807"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2011.06.012"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.22990"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.01328"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2296"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1586\/ers.10.18"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1586\/ers.12.19"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.0198"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-012-0152-4"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-017-0716-1"},{"key":"e_1_2_10_15_1","unstructured":"Oner N Envanteri LAD\u2010SK. 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