Evidence map›Paper›PMID 26068875›Full record

Trial reportPloS one2015

Patient and Staff Perceptions of Intradialytic Exercise before and after Implementation: A Qualitative Study.

Hannah M L Young, Nicky Hudson, Amy L Clarke, Maurice Dungey, John Feehally, James O Burton, Alice C Smith

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  11. Addressing feasibility challenges to delivering intradialytic exercise interventions: a theory-informed qualitative study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hannah M L YoungLeicester Kidney Exercise Team, Academic Unit, Leicester General Hospital, Leicester, United Kingdom.
Nicky HudsonSchool of Applied Social Sciences, De Montfort University, Leicester, United Kingdom.
Amy L ClarkeLeicester Kidney Exercise Team, Academic Unit, Leicester General Hospital, Leicester, United Kingdom; Department of Infection, Immunity & Inflammation, University of Leicester, Leicester, United Kingdom.
Maurice DungeyLeicester Kidney Exercise Team, Academic Unit, Leicester General Hospital, Leicester, United Kingdom; School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom.
John FeehallyJohn Walls Renal Unit, Leicester General Hospital University Hospitals of Leicester NHS Trusts, Leicester, United Kingdom.
James O BurtonLeicester Kidney Exercise Team, Academic Unit, Leicester General Hospital, Leicester, United Kingdom.
Alice C SmithLeicester Kidney Exercise Team, Academic Unit, Leicester General Hospital, Leicester, United Kingdom; Department of Infection, Immunity & Inflammation, University of Leicester, Leicester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite guidance and evidence for the beneficial effects of intradialytic exercise (IDE), such programmes are rarely adopted within practice and little is known about how they may best be sustained. The Theoretical Domains Framework (TDF) was used to guide the understanding of the barriers and facilitators to initial and ongoing IDE participation and to understand how these are influential at each stage. MATERIALS AND

methodsFocus groups explored patient (n=24) and staff (n=9) perceptions of IDE prior to the introduction of a programme and, six months later, face to face semi-structured interviews captured exercising patients (n=11) and staffs' (n=8) actual experiences. Data were collected at private and NHS haemodialysis units within the UK. All data were audio-recorded, translated where necessary, transcribed verbatim and subject to framework analysis.

resultsIDE initiation can be facilitated by addressing the pre-existing beliefs about IDE through the influence of peers (for patients) and training (for staff). Participation was sustained through the observation of positive outcomes and through social influences such as teamwork and collaboration. Despite this, environment and resource limitations remained the greatest barrier perceived by both groups.

conclusionsNovel methods of staff training and patient education should enhance engagement. Programmes that clearly highlight the benefits of IDE should be more successful in the longer term. The barrier of staff workload needs to be addressed through specific guidance that includes recommendations on staffing levels, roles, training and skill mix.

Indexed as

Attitude of Health PersonnelAttitude to HealthRenal DialysisAdultAgedAged, 80 and overEducation, Medical, ContinuingFemaleHumansMaleMiddle AgedPatient Education as Topic

Identifiers

PMID26068875
PMCPMC4466330

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.