Klonizakis Markos, Gumber Anil, Morley Alexandra, Horspool Michelle, McIntosh Emma, Levesley Maria, McKeown Jane, Logan Pip
Lifestyle, Exercise and Nutrition Improvement (LENI) Research Group, Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield S10 2BP, UK.
College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield S10 2BP, UK.
Healthcare (Basel). 2023 Oct 13;11(20):2728. doi: 10.3390/healthcare11202728.
BACKGROUND: The aim of this study was to adapt the "FISCU Home" intervention (a co-produced, self-managed and expert-supported lifestyle intervention comprising exercise and behaviour support aimed at people with Venous Leg Ulcers (VLUs), in a way that is suitable for the needs of people with combined VLUs and early-stage, Neuro-degenerative diseases (NDDs), and to explore its feasibility (e.g., estimate rates of recruitment and completion of sessions, calculate study adherence rates, assess participant satisfaction via participant interviews, and assess ease of data collection) within this clinical sub-group. METHODS: We recruited seven people belonging to this VLUs sub-group (e.g., people with early-stage dementia or Parkinson's), who were ≥18 years' old, had VLU(s) of diameter ≥1 cm, ABPI ≥ 0.8, had the ability to tolerate lower-leg compression and were receiving VLU treatment at home. In Phase 1, participants helped us adapt the intervention. In Phase 2 we carried out a 4-week "training crash-course". This consisted of three, 1 h, self-managed, exercise sessions per week (12 sessions in total), among the participants that completed the interviews. For Phase 3, we carried out post-interviews with all participants to investigate their study experiences, which were analysed using content analysis. RESULTS: All assessments were completed successfully (100% retention and assessment completion), with no exercise-related adverse events. All participants completed the 4-week intervention (100%; all sessions completed by all participants). CONCLUSION: Our findings suggest that the adapted intervention is feasible, enjoyable and well-received, and has the potential to provide clinical benefits to the participants.
背景:本研究的目的是调整“FISCU之家”干预措施(一种联合制作、自我管理且有专家支持的生活方式干预措施,包括运动和行为支持,针对下肢静脉溃疡(VLU)患者),使其适合下肢静脉溃疡合并早期神经退行性疾病(NDD)患者的需求,并在这一临床亚组中探索其可行性(例如,估计招募率和课程完成率,计算研究依从率,通过参与者访谈评估参与者满意度,以及评估数据收集的难易程度)。 方法:我们招募了七名属于该下肢静脉溃疡亚组的患者(例如,早期痴呆或帕金森病患者),他们年龄≥18岁,有直径≥1厘米的下肢静脉溃疡,踝臂指数(ABPI)≥0.8,能够耐受小腿加压,且正在接受家庭下肢静脉溃疡治疗。在第一阶段,参与者帮助我们调整干预措施。在第二阶段,我们开展了为期4周的“培训速成课程”。这包括每周三次、每次1小时的自我管理运动课程(总共12次课程),对象是完成访谈的参与者。在第三阶段,我们对所有参与者进行了访谈后调查,以了解他们的研究体验,并使用内容分析法进行分析。 结果:所有评估均成功完成(保留率和评估完成率均为100%),没有与运动相关的不良事件。所有参与者都完成了为期4周的干预(完成率100%;所有参与者完成了所有课程)。 结论:我们的研究结果表明,调整后的干预措施是可行的、令人愉快的且受到好评,并且有可能为参与者带来临床益处。
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