Face-to-Face Interaction Compared with Video Watching on Use of Physical Activity in Peripheral Arterial Disease: A Pilot Trial

Abstract

Few studies have defined the association of physician-patient communication with physical activity levels in patients with peripheral arterial disease. We hypothesized that a face-to-face intervention versus video watching would improve physical activity levels in patients with peripheral arterial disease. The authors conducted a randomized trial involving 2 interventions. The face-to-face intervention included a brief dialogue with patients to understand their perceptions of peripheral arterial disease and importance of walking. The comparison group watched a video that included an overview of peripheral arterial disease. The primary outcome was changed from baseline to follow-up in levels of physical activity. Fifty-one patients with peripheral arterial disease were randomized. There were no statistically significant differences between the 2 groups in reported activity level or walking ability at 12 weeks. For within group changes, the patients in the video-watching group improved their walking speed (8.5%; SD = 4.1; P = .05). Patients with peripheral arterial disease may benefit from the use of an educational video to increase the use of unsupervised physical activity. Further research is needed to identify interventions that can increase the use of unsupervised physical activity in this population.

Multimedia psychoeducational interventions to support patient self-care in degenerative conditions: A realist review

“…Hoffman et al (2011) argued that as length of hospital stay has decreased, many patients are discharged before they have absorbed necessary information; and that patients and families are often overwhelmed by the psychological and physical consequences of the condition (in this case spinal injury) and therefore, not ready to receive and retain all the information that they will eventually need. This contextual limitation is confirmed by authors who believe that when a multimedia intervention is available for viewing only in hospital, whilst this may ensure that the material is actually seen, the lack of ongoing access to the material means patients are less likely to retain the information (Chiou & Chung, 2012;Collins et al, 2009). On the other hand, it is 14 proposed that ease of access to multimedia materials allows patients to view the material at home in a relaxed atmosphere and with the support of relatives (Albert et al, 2007;Boyde et al, 2013;Hoffman et al, 2011).…”

“…Three papers were focused on people with heart failure (Albert, Buchsbaum, & Li, 2007;Boyde et al, 2013;Veroff et al, 2012); two on those with cancer pain (Capewell, Gregory, Closs, & Bennett, 2010;Syrjala et al, 2008); and one each on people with sexual dysfunction following radical prostatectomy (Chambers et al, 2008); end-stage renal disease (Chiou & Chung, 2012); peripheral vascular disease (Collins, Krueger, Kroll, & Sharf, 2009); haemophilia related joint pain (Elander, Robinson, & Morris, 2011); and spinal cord injury (Hoffman et al, 2011).…”

“…Multimedia content was often reported as being developed on the basis of research evidence and expert opinion (Boyde et al, 2013;Capewell et al, 2010;C -P Chiou & Chung, 2012;Collins et al, 2009;Hoffman et al, 2011). A number of videos showed patients (or actors as patients) role modelling desirable behaviours, whilst others focused on experts giving opinions.…”

“…Only one of the interventions consisted entirely of audio-visual material and this was the only intervention delivered online (Hoffman et al, 2011). The remainder consisted of audio-visual content supplemented by written material (Capewell et al, 2010;Elander et al, 2011;Veroff et al, 2012), some also with professional led face-to-face education or support (Albert et al, 2007;Boyde et al, 2013;Collins et al, 2009;Syrjala et al, 2008), or telephone contact (Chambers et al, 2008;C -P Chiou & Chung, 2012).…”

“…design with 'purposive sampling' and significant attrition at 4 months) interpret and understand; audio, video, 3D animation and videos that demonstrate the complete treatment process enhance interest in learning patient motivation; delivery is tailored to the specific need of each patient; and patients can preselect DVD education segments for repeated replay to facilitate familiarisation and absorption. Collins et al (2009) Intervention: a 25 minute film; mailed to participants with brief instructions and no need for personal instruction or clinical support; featuring 5 people who described their own experiences of living and coping with haemophilia joint pain; plus a booklet with the same information.…”