Assessment of behavioral determinants influencing success of supervised exercise therapy in patients with intermittent claudication: A cross sectional survey

Bolt, Lars J.J.; Jacobs, Michael; Sigterman, Tim A.; Krasznai, A; Sikkink, C.J.J.M.; Schurink, G.W.H.; Bouwman, Lee H.

doi:10.1016/j.physbeh.2019.112732

Cited by 8 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 1 summarizes the characteristics of the included studies. Of the 16 studies included in the review, 13 were quantitative (12 cross-sectional and 1 prospective cohort study) [ 11 , 17 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ] and three were qualitative in design [ 21 , 22 , 40 ]. Two were abstract-only publications [ 35 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two were abstract-only publications [ 35 , 38 ]. Eleven studies were conducted in the European Region [ 17 , 21 , 22 , 29 , 30 , 31 , 32 , 33 , 38 , 40 ], three in the Region of the Americas [ 11 , 35 , 39 ] and two in the South-East Asian Region [ 34 , 37 ]. Except for one study published in Korean [ 26 ] and one in Spanish [ 36 ], all others were published in English.…”

Section: Resultsmentioning

confidence: 99%

“…Delays in the presentation and appropriate management of the condition may lead to complications such as ischaemia, amputation, and death [ 4 ]. Research shows that educating and supporting patients with CVD leads to a better understanding of their central role in disease management, making informed decisions about their care, and engaging in heart-healthy behaviours [ 17 ]. Many strategies are used by healthcare providers to educate their patients, from discharge education [ 18 ] to structured programs following an event [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients

Felix,

Pereira,

Pakosh

et al. 2023

JCM

View full text Add to dashboard Cite

Background: Peripheral arterial disease (PAD) is the third leading cause of atherosclerotic cardiovascular morbidity worldwide, with high prevalence and associated complications, and is often overlooked and undertreated. Research has shown that there is a profound lack of PAD-related knowledge and awareness; additionally, information sources are not often reliable and accessible. The objective of this scoping review was: (1) to identify and critically appraise instruments that measure patients’ disease-related knowledge/awareness about PAD, and (2) to characterize the current state of knowledge/awareness levels among these patients. Methods: This systematic review was conducted and reported in accordance with the PRISMA statement. Six databases (APA PsycInfo, CINAHL Ultimate, Embase, Emcare Nursing, Medline ALL and Web of Science Core Collection) were searched, and search strategies were developed utilizing the PICO framework. Potential studies of any methodological design were considered for inclusion through a snowball hand search. Data from the included articles were extracted by a reviewer, and the extraction accuracy was independently cross-checked by another author. Results: The initial database search yielded 9832 records, of which sixteen studies (thirteen quantitative and three qualitative) were included. Only three questionnaires had their psychometric properties assessed. Questionnaire items focused on the following topics: definition/characteristics, risk factors/causes, treatment, complications, and personal issues regarding the perception/management of the disease. Overall, knowledge/awareness about PAD was low among patients. Conclusions: This study identified major gaps in PAD education, including the lack of availability of a validated measurement tool addressing all educational topics relevant to care and low knowledge/awareness of patients about their condition.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients

Felix,

Pereira,

Pakosh

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…Due to the extrinsic and intrinsic barriers to participation in PA in people with IC, it is vital that, as well as navigating the limitations of SET, the interventions also improve health literacy, illness perception and self-efficacy. 18,19 There is some evidence that the self-management of IC using behaviour change principles may be effective in addressing issues with self-efficacy, health literacy and uptake of walking exercise. 20 Recently, following participation in the walking-based behaviour intervention Motivating Structured Walking Activity in People with Intermittent Claudication (MOSAIC), 21 people with PAD (n=190) were able to walk further at 3-month follow-up and reported improvements in other functional and quality of life outcomes.…”

Section: Introductionmentioning

confidence: 99%

Motivating Physical Activity with a Walking Exercise Behaviour Intervention and Pain Management Remotely in Intermittent Claudication (MAvERIC): protocol for a randomised controlled feasibility trial

Carroll,

Gray,

Wood

et al. 2024

J.Vasc.Soc.G.B.Irel

View full text Add to dashboard Cite

Background: Physical activity (PA) through walking exercise improves functional capacity and quality of life and provides secondary prevention benefits in individuals with peripheral arterial disease (PAD) and intermittent claudication (IC). However, there are many barriers to uptake and maintenance of PA in this population including pain and limited motivation. The aim of this study is to test the feasibility and acceptability of delivering a clinical trial to evaluate the effect of using a walking exercise behaviour change intervention, modified to include the use of a transcutaneous electrical nerve stimulation (TENS) device for non-invasive pain management, to increase walking-based PA in individuals with PAD and IC in comparison with usual care. Methods: This is a randomised controlled analysis-blinded feasibility study with two parallel groups. We will recruit 48 adults with PAD and IC from NHS Lanarkshire vascular service. Inclusion criteria are: PAD (ankle brachial pressure index <0.90) and stable IC for >3 months, being able and willing to participate, and to provide informed consent. Participants will be randomly assigned 1:1 to intervention plus usual care or usual care alone. Usual care includes best medical therapy, information on PAD, walking advice or home exercise programme, and managing risk factors. The intervention consists of a home-based, walking exercise behaviour change intervention (MOSAIC), adapted for remote delivery, and includes non-pharmacological pain management through a TENS device. Feasibility and exploratory outcomes will be assessed at baseline, after 6 and 12 weeks of intervention, and at 6 and 12 months follow-up. The primary outcomes are trial process and intervention feasibility, as well as intervention acceptability measured using rates of participant recruitment and retention, intervention adherence, and the Theoretical framework of Acceptability questionnaire. Exploratory outcomes include daily PA and patient-reported outcomes including quality of life, pain self-efficacy and catastrophising, and walking impairment pain intensity and quality. Conclusion: This trial will evaluate the feasibility and acceptability of a remotely delivered walking exercise behaviour change intervention adapted to include the use of a TENS device to improve PA in individuals with PAD and IC. Trial Registration Number: ClinicalTrials.gov Identifier: NCT06114732

show abstract

“…A study of patients with both PAD and DM found that self-efficacy is significantly associated with walking ability (124). Another study on determinants that influence the long-term adherence to SET for patients with IC showed that patients with high self-efficacy remained significantly more active after participating in SET compared to patients with low self-efficacy (125). However, studies describing self-efficacy in relation to other aspects of secondary prevention for patients with IC are needed.…”

Section: Self-efficacymentioning

confidence: 99%

Secondary prevention in patients with intermittent claudication and evaluation of e-health support

Striberger

View full text Add to dashboard Cite

Introduction: Intermittent claudication is the most common symptom of peripheral arterial disease, with impaired walking ability due to pain in the legs and with negative effects on quality of life as well as a high risk for cardiovascular events. The first line of treatment is secondary prevention, including smoking cessation, walking exercise and best medical therapy with the purpose of reducing claudication symptoms, of slowing down the progression of the atherosclerotic process and of preventing cardiovascular events. However, there is a deficiency in evidence-based systematic care regarding secondary prevention for these patients. Accordingly, new ways to support patients with intermittent claudication to adhere to treatment is needed. Further, knowledge about patients’ requisite resources for managing their disease are important to be able to improve the care of patients with intermittent claudication. Therefore, the overall aim of this thesis is to explore illness perception and associated factors for adherence to secondary prevention treatment for patients with IC. A further aim is to test and evaluate a web-based application as support for secondary prevention in patients with IC. Methods: Study I was a systematic review of current research in illness perception. The data were analysed deductively using the common-sense model, as well as inductively with conventional content analysis. In study II, health literacy was evaluated in patients with intermittent claudication regarding clinical characteristics, demographics, self-efficacy and quality of life. The method was a cross-sectional multicentre questionnaire study. In total, 158 patients were included. Study III aimed to compare illness perceptions, health literacy, self efficacy, adherence to treatment, and quality of life in patients with intermittent claudication. It was a longitudinal cohort multicentre questionnaire study where the participants from study II (n=158) were followed up after 6 (n=133) and 12 months (n=128). Descriptive and inferential statistics were used in studies II-IV. Study IV was a randomised controlled pilot trial which aimed to evaluate the usability of a web-based application and its effect on secondary prevention outcomes. Patients’ experiences of using the application were collected through focus group interviews and analysed with thematic analysis. In total, 34 patients were included. For three months, the intervention group (n=18) reported information in the application about physical activity, smoking, medication therapy, blood pressure, pain after activity, and quality of life. Results: In study I, the findings showed a lack of understanding of the symptoms, the cause and the chronic nature of the disease. The beliefs about control and cures varied from awareness of the positive effects of physical activity to the belief that walking would not have any effect, but instead make patients’ situations worse. There was fear that the disease would progress, leading to increased dependency and a lack of control. The experienced consequences showed that living with the disease meant a process of adaptation to patients’ new situations. According to study II, 52.5 % of the participants had insufficient levels of health literacy. Insufficient levels were more frequent among patients living alone compared to co-habitants. Patients with a university degree reported a significantly higher ability to access and understand health-related information. Further, patients with sufficient health literacy reported significantly higher selfefficacy and quality of life, and were more physically active than patients with insufficient health literacy. According to study III, women reported higher illness coherence and higher emotional representations compared to men. The believed cause for one’s disease reported most often was smoking, followed by age, genetics and “no idea”. Patients with sufficient health literacy reported less consequences and lower emotional representations of the disease. They also reported higher self-efficacy and higher quality of life than patients with insufficient health literacy. Quality of life increased between baseline and 12 months, but there were no differences in self-efficacy. In study IV, the results showed a non-significant trend towards increased walking distance and an improved mean change in ankle-brachial index in the intervention group compared to the control group. Patients in the intervention group also had an improved quality of life between baseline and follow-up, and reported higher levels than in the control group, in which no improvement was found. The focus group interviews identified three major themes, focussed on describing a process whereby the usability factors of the application led to the feeling of having a helping hand which further worked as a promoter of self-care and control. Conclusion: Illness perception, health literacy and self-efficacy are factors influencing self-management in patients with IC and should be addressed to beable to improve adherence to secondary prevention. The positive results from the pilot study indicate that the web-based application might be beneficial for patients with IC in giving support to adherence to secondary prevention treatment and that a further study at a larger scale could be valuable.

show abstract

Assessment of behavioral determinants influencing success of supervised exercise therapy in patients with intermittent claudication: A cross sectional survey

Cited by 8 publications

References 26 publications

A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients

A Scoping Review of Measurement Tools Evaluating Awareness and Disease-Related Knowledge in Peripheral Arterial Disease Patients

Motivating Physical Activity with a Walking Exercise Behaviour Intervention and Pain Management Remotely in Intermittent Claudication (MAvERIC): protocol for a randomised controlled feasibility trial

Secondary prevention in patients with intermittent claudication and evaluation of e-health support

Contact Info

Product

Resources

About