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保持活跃俱乐部研究:肾移植受者参与体育活动和社交互动虚拟小组的体验

KEeP ACTIVe Club Study: Kidney Transplant Recipients' Experiences of a Physical Activity and Social Interaction Virtual Group.

作者信息

Malo Marie-Françoise, Janaudis-Ferreira Tania, Affdal Aliya, Ballesteros Gallego Fabián-Andrés, Boulianne-Gref Janie, Cantarovich Marcelo, Ingram Elizabeth, Mangahas Lloyd, Tansey Catherine M, Sapir-Pichhadze Ruth, Fortin Marie-Chantal

机构信息

Bioethics Program, École de santé publique de l'Université de Montréal, QC, Canada.

Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, QC, Canada.

出版信息

Can J Kidney Health Dis. 2024 Feb 8;11:20543581241229254. doi: 10.1177/20543581241229254. eCollection 2024.

Abstract

BACKGROUND

It can be difficult for kidney transplant recipients (KTRs) to be physically active after their transplantation. Physical inactivity is a risk factor for cardiovascular disease, one of the leading cause of death among KTRs. To help KTRs start and maintain a physical activity routine, we developed the KEeP ACTIVe Club, a 6-month online intervention with access to a kinesiologist, a patient partner, and a private support group with an online platform (Facebook).

OBJECTIVE

The objective of this study was to capture the participants' experiences of the KEeP ACTIVe Club.

DESIGN

Individual interviews.

SETTING

The Center hospitalier de l'Université de Montréal (CHUM) and the McGill University Health Center (MUHC) kidney transplant programs.

PARTICIPANTS

Kidney transplant recipients who participated in the KEeP ACTIVe Club.

METHODS

Between October and December 2021, we conducted 11 individual semi-directed interviews with KTRs from 2 urban kidney transplant programs who participated in the KEeP ACTIVe Club. The interviews were digitally recorded and transcribed. Thematic analysis was conducted.

RESULTS

Participants' principal motivation to participate in the KEeP ACTIVe Club was to improve their physical fitness following their transplant in a pandemic period. One of the main benefits of the KEeP ACTIVe Club was the improvement of participant's self-confidence and the knowledge gained regarding exercises adapted to their reality as KTRs. However, the small number of participants and the schedules of classes offered were viewed as a pitfall of the current intervention. Finally, the peer mentoring and support gained by other participants were important and viewed as highly impactful aspects of the KEeP ACTIVe Club.

LIMITATIONS

Only 11 of the 18 patients who participated in the KEeP ACTIVe Club took part in the interviews.

CONCLUSION

Participants reported a positive experience with the KEeP ACTIVe Club. Peer mentoring and support gained from other participants seem to be essential aspects of the experience within the KEeP ACTIVe Club. This program is a good avenue to offer in post-transplant care to help KTRs to be more active and to connect with other patients.

摘要

背景

肾移植受者(KTRs)在移植后可能难以进行体育活动。缺乏体育活动是心血管疾病的一个风险因素,而心血管疾病是KTRs死亡的主要原因之一。为了帮助KTRs开始并维持日常体育活动,我们开发了“保持活跃俱乐部”(KEeP ACTIVe Club),这是一项为期6个月的在线干预措施,可让参与者接触到一名运动学家、一名患者伙伴以及一个通过在线平台(脸书)建立的私人支持小组。

目的

本研究的目的是了解参与者对“保持活跃俱乐部”的体验。

设计

个人访谈。

地点

蒙特利尔大学中心医院(CHUM)和麦吉尔大学健康中心(MUHC)的肾移植项目。

参与者

参加“保持活跃俱乐部”的肾移植受者。

方法

在2021年10月至12月期间,我们对来自两个城市肾移植项目且参加了“保持活跃俱乐部”的KTRs进行了11次个人半定向访谈。访谈进行了数字录音和转录,并进行了主题分析。

结果

参与者参加“保持活跃俱乐部”的主要动机是在疫情期间移植后改善身体健康。“保持活跃俱乐部”的主要益处之一是提高了参与者的自信心,并使他们获得了适合其作为KTRs实际情况的运动知识。然而,参与者数量较少以及所提供课程的时间安排被视为当前干预措施的一个缺陷。最后,从其他参与者那里获得的同伴指导和支持很重要,并且被视为“保持活跃俱乐部”极具影响力的方面。

局限性

参加“保持活跃俱乐部”的18名患者中只有11人参加了访谈。

结论

参与者报告了对“保持活跃俱乐部”的积极体验。从其他参与者那里获得的同伴指导和支持似乎是“保持活跃俱乐部”体验的重要方面。该项目是移植后护理中提供的一个良好途径,有助于KTRs更加活跃并与其他患者建立联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b0d/10854381/51b9ba562175/10.1177_20543581241229254-fig1.jpg

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