Evidence map›Paper›PMID 30081845›Full record

Trial reportBMC nephrology2018

Fit for Dialysis: a qualitative exploration of the impact of a research-based film for the promotion of exercise in hemodialysis.

Pia Kontos, Alisa Grigorovich, Romeo Colobong, Karen-Lee Miller, Gihad E Nesrallah, Malcolm A Binns, Shabbir M H Alibhai, Trisha Parsons, Sarbjit Vanita Jassal, Alison Thomas and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02754271 (Fit for Dialysis), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 27% of its field
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.

NCT02754271 phase2unknown statusnot on this map

Fit for Dialysis: Research-based Film as a Knowledge Translation Strategy

TypeinterventionalSponsorToronto Rehabilitation InstituteRan2014 to 2017Enrolled60ConditionsEnd-Stage Renal DiseaseArmsFit for Dialysis
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. 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
    Article
  3. Article
  4. Article
  5. Article
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

11 authors at 6 institutions in 1 country.

Pia KontosToronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON, M5G 2A2, Canada. pia.kontos@uhn.ca.ORCID 0000-0002-8893-2544
Alisa GrigorovichToronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON, M5G 2A2, Canada.
Romeo ColobongToronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON, M5G 2A2, Canada.
Karen-Lee MillerToronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON, M5G 2A2, Canada.
Gihad E NesrallahDepartment of Nephrology, Humber River Regional Hospital, 1235 Wilson Ave, Toronto, M3M 0B2, ON, Canada.
Malcolm A BinnsDalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, ON, M5T 3M7, Canada.
Shabbir M H AlibhaiDepartment of Medicine, University of Toronto, 1 King's College Cir, Toronto, ON, M5S 1A8, Canada.
Trisha ParsonsSchool of Rehabilitation Therapy, Queen's University, 31 George St, Kingston, ON, K7L 3N6, Canada.
Sarbjit Vanita JassalDepartment of Medicine, University Health Network, 200 Elizabeth St, Toronto, ON, M5G 2C4, Canada.
Alison ThomasSt. Michael's Hospital, 30 Bond St, Toronto, ON, M5B 1W8, Canada.
Gary NaglieToronto Rehabilitation Institute-University Health Network, 550 University Ave, Toronto, ON, M5G 2A2, Canada.
University Health Network · CAHumber River Regional Hospital · CAQueen's University · CASt. Michael's Hospital · CAUniversity of New Brunswick · CAUniversity of Toronto · CA

Funding

CIHR 133433
6 · The paper itself

Abstract

backgroundExercise improves functional outcomes and quality of life of older patients with end-stage renal disease undergoing hemodialysis. Yet exercise is not promoted as part of routine care. Health care providers and family carers rarely provide encouragement for patients to exercise, and the majority of older patients remain largely inactive. There is thus the need for a shift in the culture of hemodialysis care towards the promotion of exercise for wellness, including expectations of exercise participation by older patients, and encouragement by health care providers and family carers. Film-based educational initiatives hold promise to effect cultures of best practice, but have yet to be utilized in this population.

methodsWe developed a research-based film, Fit for Dialysis, to promote exercise for wellness in hemodialysis care. Using a qualitative approach, we evaluated the effects that resulted from engagement with this film (e.g. knowledge/attitudes regarding the importance of exercise-based principles of wellness) as well as the generative mechanisms of these effects (e.g. realism, aesthetics). We also explored the factors related to patients, family carers, and health care providers that influenced engagement with the film, and the successful uptake of the key messages of Fit for Dialysis. We conducted qualitative interviews with 10 patients, 10 health care providers, and 10 family carers. Data were analyzed using thematic analysis.

resultsThe film was perceived to be effective in increasing patients', family carers' and health care providers' understanding of the importance of exercise and its benefits, motivating patients to exercise, and in increasing encouragement by family carers and health care providers of patient exercise. Realism (e.g. character identification) and aesthetic qualities of the film (e.g. dialogue) were identified as central generative mechanisms.

conclusionsFit for Dialysis is well-positioned to optimize the health and wellbeing of older adults undergoing hemodialysis.

trial registrationNCT02754271 ( ClinicalTrials.gov ), retroactively registered on April 21, 2016.

Indexed as

Motion PicturesAgedAged, 80 and overExerciseFemaleHealth PromotionHumansKidney Failure, ChronicMaleMotivationPatient Education as TopicQualitative ResearchRenal DialysisEducation and trainingEnd-stage renal diseaseExercise/physical activityFilmQualitative research methods

Identifiers

PMID30081845
PMCPMC6091204
OpenAlexW2885316147

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.