Hajdú Sara Fredslund, Bøgard Helle, Aagaard Thomas Vedste, Roikjær Stine Gundtoft, Simonÿ Charlotte, Dalhoff Anne, Houlind Kim, Luijk Alexander, Ulriksen Ida, Jensen Lotte Therkildsen, Skou Søren T, Tang Lars Hermann
The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.
The Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
PLoS One. 2025 Jan 13;20(1):e0315577. doi: 10.1371/journal.pone.0315577. eCollection 2025.
Intermittent claudication is a peripheral artery disease caused by arteriosclerosis. People with intermittent claudication experience leg cramping during walking, with relief of symptoms during rest. Evidence shows that by participating in supervised exercise therapy and smoking cessation programs, people with intermittent claudication can reduce those symptoms and improve health-related quality of life and maximal walking distance while minimizing the need for an operation. However, implementation of such health-promoting initiatives in clinical practice in Denmark and other countries is limited. This is a protocol presenting the implementation process of supervised exercise therapy and smoking cessation in a region of Denmark.
The implementation process is a collaboration between the municipalities in the Region of Zealand and the Department of Vascular Surgery at University Hospital Zealand. The study uses a convergent mixed-methods prospective clinical cohort design, and the theoretical frame of this implementation process follows the framework for Adapting an existing intervention to a new context (ADAPT). The process involves stakeholder engagement, ongoing evaluation through key performance indicators and relevant outcomes that will inform the implementation process across and within each municipality.
Dissemination will happen throughout the process through continued meetings with stakeholders and dissemination of performance indicators and outcome results obtained through a database. All information about the study and material will be freely available. The project is registred on Clinicalgov (NCT06299956).
间歇性跛行是一种由动脉硬化引起的外周动脉疾病。患有间歇性跛行的人在行走时会出现腿部抽筋，休息时症状会缓解。有证据表明，通过参与监督下的运动疗法和戒烟计划，间歇性跛行患者可以减轻这些症状，提高与健康相关的生活质量和最大行走距离，同时将手术需求降至最低。然而，在丹麦和其他国家的临床实践中，此类促进健康举措的实施有限。这是一份介绍丹麦一个地区监督下的运动疗法和戒烟实施过程的方案。
实施过程是西兰岛地区各市政当局与西兰大学医院血管外科之间的合作。该研究采用了收敛性混合方法前瞻性临床队列设计，这一实施过程的理论框架遵循将现有干预措施应用于新环境（ADAPT）的框架。该过程包括利益相关者参与，通过关键绩效指标和相关结果进行持续评估，这些将为每个市政当局内部及之间的实施过程提供信息。
在整个过程中，将通过与利益相关者持续开会以及传播通过数据库获得的绩效指标和结果来进行传播。所有关于该研究和材料的信息将免费提供。该项目已在Clinicalgov（NCT06299956）上注册。
