The effects of a nurse‐supervised home exercise programme on improving patients’ perceptions of the benefits and barriers to exercise: A randomised controlled trial

Tao, Xingjuan; Chow, Susan Ka Yee; Wong, Frances Kam Yuet

doi:10.1111/jocn.13798

Cited by 19 publications

(12 citation statements)

References 36 publications

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“…Gait speed increased between baseline and 20 weeks above the MDC 90 calculated for this population (0.26 m/s), so that 11 out of 17 participants from both groups increased gait speed above this value. A previous study found an increase in normal gait speed of 0.12 m/s after a home‐based program with high adherence rates . Another study that implemented a combined exercise program in CKD patients stages 3‐4 also found an increase of 0.28 m/s in gait speed after a 12‐week intervention .…”

Section: Discussionmentioning

confidence: 90%

“…A previous study found an increase in normal gait speed of 0.12 m/s after a home-based program with high adherence rates. 26 Another study that implemented a combined exercise program in CKD patients stages 3-4 also found an increase of 0.28 m/s in gait speed after a 12-week intervention. 27 In our study, we found no differences between groups.…”

Section: Discussionmentioning

confidence: 97%

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Virtual reality exercise intradialysis to improve physical function: A feasibility randomized trial

Segura‐Ortí

Pérez‐Domínguez

Villar

et al. 2018

Scandinavian Med Sci Sports

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 97%

Virtual reality exercise intradialysis to improve physical function: A feasibility randomized trial

Segura‐Ortí

Pérez‐Domínguez

Villar

et al. 2018

Scandinavian Med Sci Sports

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“…Awareness of recommendations and adherence are closely related [65]. It should be emphasized that the importance of awareness of recommendations can only be developed as a result of patient education, an essential element of dialysis care [6,66,67,68,69].…”

Section: Discussionmentioning

confidence: 99%

Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients

Hornik

Duława

2019

IJERPH

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Hemodialysis patients perform little physical activity. We formulated a hypothesis that some factors, i.e., frailty, medical and functional factors, psychological factors, quality of life, awareness of recommendations, and sociodemographic factors influence the decisions of taking up physical activity. This prospective study comprised 72 dialysis patients aged 57.8 ± 16.0 ( x ¯ ± SD; in the range of 19–87 years of age). The following research tools were used: an interview about awareness of the physical activity recommendations, the Canadian Study of Health and Aging Scale (CSHA-CFS), scales for the assessment of functional status, State-Trait Anxiety Inventory (STAI), Acceptance of Illness Scale (AIS), and the questionnaire of Kidney Disease Quality of Life (KDQOL-SF 1.3). The majority of patients diagnosed with frailty did not follow the physical activity recommendations (79.3%). Quality of life was better in active patients compared to inactive patients, especially in the domains of sleep and physical performance. The severity of trait anxiety was significantly higher in patients who did not follow the recommendations compared to patients who adhered to physical activity recommendations (46.0 ± 10.5 vs. 40.0 ± 8.2; p = 0.021 ). The likelihood of adherence decreased by 1% after each subsequent month of dialysis (odds ratio = 0.99; 95% confidence interval = 0.972–0.999; p = 0.047 ). Adherence was most limited by frailty. Adherence to recommendations on physical activity was affected by: motivation, lower levels of trait anxiety, and better quality of life. Age modified the effect of awareness and acceptance of the disease on adherence to physical activity recommendations.

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“…Primary health care professionals including GPs, physiotherapists, pharmacists and nutritionists will be incorporated into the recruitment strategy. Evidence suggests that advice from these groups promotes engagement in physical activity programmes [24–27]. An official MFL launch, addressed by the president of the university and a government minister, will take place 2 weeks prior to trial commencement and will receive local and national media coverage.…”

Section: Methodsmentioning

confidence: 99%

An evaluation of an intervention designed to help inactive adults become more active with a peer mentoring component: a protocol for a cluster randomised feasibility trial of the Move for Life programme

O’Regan

Glynn

Bengoechea

et al. 2019

Pilot Feasibility Stud

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Background There is overwhelming evidence to support the promotion of physical activity in adults in terms of benefits to well-being, physical and mental health. Physical activity guidelines suggest that adults should accumulate at least 150 min of moderate to vigorous physical activity per week. In Ireland, the majority of adults do not achieve these guidelines, with costs to health and economy. ‘Move for Life’ (MFL) employs behavioural change techniques delivered by an instructor and peer mentor, using a train-the-trainer (cascade) model. This study will conduct a feasibility cluster randomised controlled trial of the MFL intervention for modifying physical activity behaviours in inactive adults aged 45 years and older. Methods The trial is set in eight Local Sports Partnership (LSP) hubs that have structured physical activity programmes. The hubs are the units of randomisation (clusters), and individuals are the units of analysis (participants). Eligible participants will contact one of the hubs, with each hub running four physical activity programmes. Each programme requires between 12–15 inactive adults, resulting in 48–60 participants per hub. Allowing for 20% dropout rate, an additional 96 people will be recruited giving a maximum sample of 576. The hub will be randomised: true control, usual programme or MFL intervention. The true control group will be given information about physical activity but will not be included in a programme for the duration of the trial; the intervention will involve the instructor training one (or more) of the participants to be a peer mentor using an educational toolkit; and usual care groups will have physical activity classes delivered as normal. Baseline data will collect physical activity measures and follow-up measurements will be obtained at 3 and 6 months. All participants will be asked to wear a device for measuring activity on the thigh (activPAL) for 7 days before commencing the programme and at 3 and 6 months. The primary objective of the study is to investigate if it is feasible to deliver the intervention and collect data on moderate to vigorous physical activity (MVPA) on all participants, thereby providing valuable information to guide sample size calculation for a future, more definitive trial. Trial registration number ISRCTN11235176 Electronic supplementary material The online version of this article (10.1186/s40814-019-0473-y) contains supplementary material, which is available to authorized users.

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The effects of a nurse‐supervised home exercise programme on improving patients’ perceptions of the benefits and barriers to exercise: A randomised controlled trial

Abstract: Physical exercise in a clinical arena should not be considered the exclusive domain of physical therapists; the team could collaborate with nurses to play a core role in making physical exercise for patients an essential practice of care in a multidisciplinary team.

Cited by 19 publications

References 36 publications

Virtual reality exercise intradialysis to improve physical function: A feasibility randomized trial

Virtual reality exercise intradialysis to improve physical function: A feasibility randomized trial

Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients

An evaluation of an intervention designed to help inactive adults become more active with a peer mentoring component: a protocol for a cluster randomised feasibility trial of the Move for Life programme

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