Please use this identifier to cite or link to this item:
|Publication type:||Article in scientific journal|
|Type of review:||Peer review (publication)|
|Title:||Lessons learned from a pilot implementation of physical activity recommendations in axial spondyloarthritis exercise group therapy|
Vliet Vlieland, Theodora P. M.
van Bodegom-Vos, Leti
Niedermann Schneider, Karin
|Published in:||BMC Rheumatology|
|Publisher / Ed. Institution:||BioMed Central|
|Subjects:||Ankylosing spondylitis; Assessment; Coaching; Counselling; Group exercise; Physical therapy|
|Subject (DDC):||615.82: Physical therapy |
616.7: Diseases of musculoskeletal system and orthopaedics
|Abstract:||Background: The Ankylosing Spondylitis Association of Switzerland (SVMB) aimed to implement physical activity recommendations (PAR) within their exercise groups (EGs). The PAR promote exercise in all fitness dimensions at the correct dose. To implement the PAR within EGs, they were translated into a new EG concept with five key activities: (a) training for supervising physiotherapists (PTs), (b) correctly dosed exercises in all fitness dimensions, (c) exercise counselling, (d) bi-annual fitness assessments, and (e) individual exercise training, in addition to EG. All these activities were realized in close coordination with SVMB management. Objectives: To analyse the implementation success by evaluating adherence/fidelity, feasibility, and satisfaction at the patient, PTs, and organisational level. Methods: The five key activities of the new EG concept were developed, executed, and assessed after 6 months. The primary outcomes for implementation success were adherence of patients to the recommended exercise behaviour, self-reported by electronic diary; fidelity of PTs to the new concept, self-reported by diary; SVMB organisational changes. Secondary outcomes were feasibility and satisfaction with the new EG concept at all three levels. The tertiary outcome, to evaluate the effectiveness of PAR, was patient fitness, assessed through fitness assessments. Results: 30 patients with axSpA (ten women, mean age 58 ± 9 years) and four PTs (three women, mean age 46 ± 9 years) participated. The patients' self-reporting of adherence to the PAR was insufficient (43%), possibly due to technical problems with the electronic dairy. The PTs' fidelity to the new EG concept was satisfactory. On all levels, the new concept was generally perceived as feasible and useful for supporting personalised exercise.The frequency of exercise counselling and the fitness assessments was found by patients and PTs to be too high and rigid. Patients' cardiorespiratory fitness [ES 1.21 (95%CI 0.59, 1.89)] and core strength [ES 0.61 (95%CI 0.18, 1.06)] improved over the 6 months. Conclusions: The pilot implementation of PAR showed acceptance and satisfaction to be sufficient, thus confirming the need for evidence-based EGs, provided by a patient organisation in order to support active PA behaviour. However, adaptations are necessary to increase its feasibility for nationwide implementation. Trial Registration: SNCTP, SNCTP000002880. Registered 31 May 2018, https://www.kofam.ch/en/snctp-portal/search/0/study/42491.|
|Fulltext version:||Published version|
|License (according to publishing contract):||CC BY 4.0: Attribution 4.0 International|
|Departement:||School of Health Sciences|
|Organisational Unit:||Institute of Physiotherapy (IPT)|
|Published as part of the ZHAW project:||Etablierung der internationalen Bewegungsempfehlungen für Rheuma-Betroffene in den Bechterew-Bewegungsgruppen|
|Appears in collections:||Publikationen Gesundheit|
Files in This Item:
|2022_Rausch-etal_Lessons-axial-spondyloarthritis_BMCRheum.pdf||1.2 MB||Adobe PDF|
Show full item record
Rausch, A.-K., Vliet Vlieland, T. P. M., Meichtry, A., van Bodegom-Vos, L., Topalidis, B., Büchi, S., Nast, I., Ciurea, A., & Niedermann Schneider, K. (2022). Lessons learned from a pilot implementation of physical activity recommendations in axial spondyloarthritis exercise group therapy. BMC Rheumatology, 6(12). https://doi.org/10.1186/s41927-021-00233-z
Rausch, A.-K. et al. (2022) ‘Lessons learned from a pilot implementation of physical activity recommendations in axial spondyloarthritis exercise group therapy’, BMC Rheumatology, 6(12). Available at: https://doi.org/10.1186/s41927-021-00233-z.
A.-K. Rausch et al., “Lessons learned from a pilot implementation of physical activity recommendations in axial spondyloarthritis exercise group therapy,” BMC Rheumatology, vol. 6, no. 12, 2022, doi: 10.1186/s41927-021-00233-z.
Rausch, Anne-Kathrin, et al. “Lessons Learned from a Pilot Implementation of Physical Activity Recommendations in Axial Spondyloarthritis Exercise Group Therapy.” BMC Rheumatology, vol. 6, no. 12, 2022, https://doi.org/10.1186/s41927-021-00233-z.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.