影响轴性脊柱关节炎患者参与数字化高强度间歇训练的促进因素——一项定性研究

Facilitators influencing participation in digitally-based high-intensity interval training among individuals with axial spondyloarthritis - a qualitative study.

作者信息

Torell Anna, Wiking Emelie, Larsson Ingrid, Olsson M Charlotte, Haglund Emma

机构信息

Department of Environment and Biosciences, School of Business, Innovation and Sustainability, Halmstad University, Halmstad, Sweden.

Department of Clinical Sciences, Section of Rheumatology, Lund, Sweden.

出版信息

BMC Rheumatol. 2025 Sep 10;9(1):104. doi: 10.1186/s41927-025-00567-y.

DOI:10.1186/s41927-025-00567-y

PMID:40931328

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12421769/

Abstract

BACKGROUND

Physical exercise is part of the recommended treatment for individuals with axial spondyloarthritis (axSpA). High-intensity interval training (HIIT) is an effective way to improve cardiovascular health without risk of increased disease activity. Nevertheless, there is a lack of knowledge regarding facilitating factors for digitally-based HIIT among individuals with axSpA.

OBJECTIVE

This study aimed to explore facilitators influencing participation in a twelve-week digitally-based HIIT intervention among individuals with axSpA.

METHODS

Individuals with axSpA (9 females/7 males) were recruited from the intervention group of a randomized controlled trial. The intervention included three high-intensity training sessions, two of which would be interval training, weekly for twelve weeks with digitally-based coaching by a physiotherapist. Individual semi-structured interviews were conducted with the participants after completing the intervention. At baseline, the median (min-max) age was 47 (28–65), disease activity (BASDAI) was 2.6 (0.2–5.5) and aerobic capacity was 31 ml O2/kg/min (24–54). A qualitative content analysis was used to bring out manifest content from the interviews. The analysis revealed three categories and eight sub-categories.

RESULTS

The participants described that HIIT was facilitated by intervention design, encouragement, and feelings of well-being. The intervention design facilitated HIIT to be feasible to perform, adaptable to everyday life, and by use of digital tools. The importance of inner drive, need for individual coaching, and support of social networks were highlighted as keys for encouragement. Feelings of well-being facilitated HIIT through perceived health effects and improved self-efficacy.

CONCLUSION

A self-managed digitally-based HIIT intervention coached by a physiotherapist but performed outside the healthcare settings could be used as an additional non-pharmacological treatment for individuals with axSpA.

TRIAL REGISTRATION

Not applicable.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1186/s41927-025-00567-y.

摘要

背景

体育锻炼是推荐给中轴型脊柱关节炎（axSpA）患者的治疗方法的一部分。高强度间歇训练（HIIT）是改善心血管健康且不会增加疾病活动风险的有效方法。然而，对于axSpA患者中基于数字技术的HIIT的促进因素，人们了解不足。

目的

本研究旨在探索影响axSpA患者参与为期12周的基于数字技术的HIIT干预的促进因素。

方法

从一项随机对照试验的干预组中招募axSpA患者（9名女性/7名男性）。干预包括每周三次高强度训练课程，其中两次为间歇训练，为期12周，由物理治疗师进行基于数字技术的指导。干预结束后，对参与者进行了个体半结构化访谈。基线时，年龄中位数（最小值 - 最大值）为47岁（28 - 65岁），疾病活动度（BASDAI）为2.6（0.2 - 5.5），有氧能力为31 ml O2/kg/min（24 - 54）。采用定性内容分析法从访谈中提炼出显性内容。分析得出三个类别和八个子类别。