Therapies Department, King's College Hospital, NHS Trust, UK.
King's Kidney Care, King's College Hospital, UK.
Br J Health Psychol. 2021 Feb;26(1):232-255. doi: 10.1111/bjhp.12471. Epub 2020 Sep 15.
Weight gain in the first year following kidney transplantation increases the risk of adverse health outcomes. Currently, there is no recognized intervention available to prevent weight gain after kidney transplantation. An online kidney transplant-specific resource, entitled Exercise in Renal Transplant Online (ExeRTiOn), has been co-created by a multi-professional team, including patients, to assist with weight prevention. This study aimed to evaluate patient and health care professional usability and experience of the ExeRTiOn online resource.
Qualitative study utilizing 'Think-Aloud' and semi-structured interviews.
Participants (n = 17) were purposively sampled to include new kidney transplant recipients (n = 11) and transplant health care professionals (n = 6). Kidney transplant recipient participants were from a spread of physical activity levels based on scores from the General Practice Physical Activity Questionnaire (GPPAQ). 'Think-Aloud' interviews assessed the usability of ExeRTiOn. Semi-structured interviews explored participants' experience of ExeRTiOn, weight gain, and physical activity. The data set were analysed thematically. Participant characteristics, including login data and self-reported body weight, were collected.
Data analyses identified valued intervention content and usability aspects which were summarized by two themes. The first theme 'You need to know how to manage yourself' included subthemes: (1) the resource filled a guidance gap, (2) expert patient content resonated, and (3) the importance of goal setting and monitoring progress. The second theme 'room for improvement' included subthemes: (2) web support and (2) content and operational change suggestions.
Results have allowed for identification of potential areas for resource refinement. This has facilitated iterative enhancement of ExeRTiOn in preparation for a randomized controlled feasibility trial.
肾移植后第一年的体重增加会增加不良健康结果的风险。目前，尚无被认可的干预措施可预防肾移植后的体重增加。一个名为“Exercise in Renal Transplant Online（ExeRTiOn）”的在线肾移植专用资源由多专业团队共同创建，包括患者，以帮助预防体重增加。本研究旨在评估患者和医疗保健专业人员对 ExeRTiOn 在线资源的可用性和体验。
利用“出声思考”和半结构化访谈进行定性研究。
参与者（n=17）是根据包括新肾移植受者（n=11）和移植医疗保健专业人员（n=6）在内的多种专业人员进行有目的抽样的。根据一般实践活动问卷（GPPAQ）的评分，肾移植受者参与者的身体活动水平各不相同。“出声思考”访谈评估了 ExeRTiOn 的可用性。半结构化访谈探讨了参与者对 ExeRTiOn、体重增加和身体活动的体验。数据集通过主题分析进行分析。收集了参与者的特征，包括登录数据和自我报告的体重。
数据分析确定了有价值的干预内容和可用性方面，这些方面总结为两个主题。第一个主题“你需要知道如何管理自己”包括子主题：（1）该资源填补了指导空白，（2）专家患者内容引起共鸣，（3）设定目标和监测进展的重要性。第二个主题“改进的空间”包括子主题：（2）网络支持和（2）内容和操作变更建议。
研究结果确定了资源改进的潜在领域。这为在准备随机对照可行性试验之前对 ExeRTiOn 进行迭代增强提供了便利。
