Cargando…
A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients
BACKGROUND: Evidence suggests that exercise training for hemodialysis patients positively improves morbidity and mortality outcomes, yet exercise programs remain rare and are not systematically incorporated into care. We developed a research-based film, Fit for Dialysis, designed to introduce, motiv...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5267380/ https://www.ncbi.nlm.nih.gov/pubmed/28122510 http://dx.doi.org/10.1186/s12882-017-0454-4 |
_version_ | 1782500627125895168 |
---|---|
author | Kontos, Pia Alibhai, Shabbir M.H. Miller, Karen-Lee Brooks, Dina Colobong, Romeo Parsons, Trisha Jassal, Sarbjit Vanita Thomas, Alison Binns, Malcolm Naglie, Gary |
author_facet | Kontos, Pia Alibhai, Shabbir M.H. Miller, Karen-Lee Brooks, Dina Colobong, Romeo Parsons, Trisha Jassal, Sarbjit Vanita Thomas, Alison Binns, Malcolm Naglie, Gary |
author_sort | Kontos, Pia |
collection | PubMed |
description | BACKGROUND: Evidence suggests that exercise training for hemodialysis patients positively improves morbidity and mortality outcomes, yet exercise programs remain rare and are not systematically incorporated into care. We developed a research-based film, Fit for Dialysis, designed to introduce, motivate, and sustain exercise for wellness amongst older hemodialysis patients, and exercise counseling and support by nephrologists, nurses, and family caregivers. The objective of this clinical trial is to determine whether and in what ways Fit for Dialysis improves outcomes and influences knowledge/attitudes regarding the importance of exercise for wellness in the context of end-stage renal disease. METHODS/DESIGN: This 2-site parallel intervention trial will recruit 60 older hemodialysis patients from two urban hospitals. The trial will compare the film + a 16-week exercise program in one hospital, with a 16-week exercise-only program in another hospital. Physical fitness and activity measures will be performed at baseline, 8 and 16 weeks, and 12 weeks after the end of the program. These include the 2-min Walk Test, Grip Strength, Duke Activity Status Index, and the Timed Up-and-Go Test, as well as wearing a pedometer for one week. Throughout the 16-week exercise program, and at 12 weeks after, we will record patients’ exercise using the Godin Leisure-time Exercise Questionnaire. Patients will also keep a diary of the exercise that they do at home on non-dialysis days. Qualitative interviews, conducted at baseline, 8, and 16 weeks, will explore the impact of Fit for Dialysis on the knowledge/attitudes of patients, family caregivers, and nephrology staff regarding exercise for wellness, and in what ways the film is effective in educating, motivating, or sustaining patient exercise during dialysis, at home, and in the community. DISCUSSION: This research will determine for whom Fit for Dialysis is effective, why, and under what conditions. If Fit for Dialysis is proven beneficial to patients, nephrology staff and family caregivers, research-based film as a model to support exercise promotion and adherence could be used to support the National Kidney Foundation’s guideline recommendation (NKF-KDOQI) that exercise be incorporated into the care and treatment of dialysis patients. TRIAL REGISTRATION: NCT02754271 (ClinicalTrials.gov), retroactively registered on April 21, 2016. |
format | Online Article Text |
id | pubmed-5267380 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-52673802017-02-01 A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients Kontos, Pia Alibhai, Shabbir M.H. Miller, Karen-Lee Brooks, Dina Colobong, Romeo Parsons, Trisha Jassal, Sarbjit Vanita Thomas, Alison Binns, Malcolm Naglie, Gary BMC Nephrol Study Protocol BACKGROUND: Evidence suggests that exercise training for hemodialysis patients positively improves morbidity and mortality outcomes, yet exercise programs remain rare and are not systematically incorporated into care. We developed a research-based film, Fit for Dialysis, designed to introduce, motivate, and sustain exercise for wellness amongst older hemodialysis patients, and exercise counseling and support by nephrologists, nurses, and family caregivers. The objective of this clinical trial is to determine whether and in what ways Fit for Dialysis improves outcomes and influences knowledge/attitudes regarding the importance of exercise for wellness in the context of end-stage renal disease. METHODS/DESIGN: This 2-site parallel intervention trial will recruit 60 older hemodialysis patients from two urban hospitals. The trial will compare the film + a 16-week exercise program in one hospital, with a 16-week exercise-only program in another hospital. Physical fitness and activity measures will be performed at baseline, 8 and 16 weeks, and 12 weeks after the end of the program. These include the 2-min Walk Test, Grip Strength, Duke Activity Status Index, and the Timed Up-and-Go Test, as well as wearing a pedometer for one week. Throughout the 16-week exercise program, and at 12 weeks after, we will record patients’ exercise using the Godin Leisure-time Exercise Questionnaire. Patients will also keep a diary of the exercise that they do at home on non-dialysis days. Qualitative interviews, conducted at baseline, 8, and 16 weeks, will explore the impact of Fit for Dialysis on the knowledge/attitudes of patients, family caregivers, and nephrology staff regarding exercise for wellness, and in what ways the film is effective in educating, motivating, or sustaining patient exercise during dialysis, at home, and in the community. DISCUSSION: This research will determine for whom Fit for Dialysis is effective, why, and under what conditions. If Fit for Dialysis is proven beneficial to patients, nephrology staff and family caregivers, research-based film as a model to support exercise promotion and adherence could be used to support the National Kidney Foundation’s guideline recommendation (NKF-KDOQI) that exercise be incorporated into the care and treatment of dialysis patients. TRIAL REGISTRATION: NCT02754271 (ClinicalTrials.gov), retroactively registered on April 21, 2016. BioMed Central 2017-01-26 /pmc/articles/PMC5267380/ /pubmed/28122510 http://dx.doi.org/10.1186/s12882-017-0454-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Kontos, Pia Alibhai, Shabbir M.H. Miller, Karen-Lee Brooks, Dina Colobong, Romeo Parsons, Trisha Jassal, Sarbjit Vanita Thomas, Alison Binns, Malcolm Naglie, Gary A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients |
title | A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients |
title_full | A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients |
title_fullStr | A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients |
title_full_unstemmed | A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients |
title_short | A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients |
title_sort | prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5267380/ https://www.ncbi.nlm.nih.gov/pubmed/28122510 http://dx.doi.org/10.1186/s12882-017-0454-4 |
work_keys_str_mv | AT kontospia aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT alibhaishabbirmh aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT millerkarenlee aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT brooksdina aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT colobongromeo aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT parsonstrisha aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT jassalsarbjitvanita aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT thomasalison aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT binnsmalcolm aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT nagliegary aprospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT kontospia prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT alibhaishabbirmh prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT millerkarenlee prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT brooksdina prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT colobongromeo prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT parsonstrisha prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT jassalsarbjitvanita prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT thomasalison prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT binnsmalcolm prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients AT nagliegary prospective2siteparallelinterventiontrialofaresearchbasedfilmtoincreaseexerciseamongstolderhemodialysispatients |