Exploring How the Kidney BEAM Physical Activity Digital Health Intervention Improved Mental Health-Related Quality of Life for People Living With Kidney Disease

IF 5.7 2区 医学 Q1 UROLOGY & NEPHROLOGY
Ellen M. Castle , Roseanne E. Billany , Hannah M.L. Young , Christy Walklin , Juliet Briggs , Elham Asgari , Sunil Bhandari , James O. Burton , Kate Bramham , Vashist Deelchand , Alexander Hamilton , Mark Jesky , Philip A. Kalra , Kieran McCafferty , Andrew C. Nixon , Maarten W. Taal , James Tollit , David C. Wheeler , Jamie Macdonald , Sharlene A. Greenwood
{"title":"Exploring How the Kidney BEAM Physical Activity Digital Health Intervention Improved Mental Health-Related Quality of Life for People Living With Kidney Disease","authors":"Ellen M. Castle ,&nbsp;Roseanne E. Billany ,&nbsp;Hannah M.L. Young ,&nbsp;Christy Walklin ,&nbsp;Juliet Briggs ,&nbsp;Elham Asgari ,&nbsp;Sunil Bhandari ,&nbsp;James O. Burton ,&nbsp;Kate Bramham ,&nbsp;Vashist Deelchand ,&nbsp;Alexander Hamilton ,&nbsp;Mark Jesky ,&nbsp;Philip A. Kalra ,&nbsp;Kieran McCafferty ,&nbsp;Andrew C. Nixon ,&nbsp;Maarten W. Taal ,&nbsp;James Tollit ,&nbsp;David C. Wheeler ,&nbsp;Jamie Macdonald ,&nbsp;Sharlene A. Greenwood","doi":"10.1016/j.ekir.2024.09.029","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>The Kidney BEAM randomized controlled trial reported clinically meaningful and statistically significant improvements in mental health-related quality of life (HRQoL), physical function (sit-to-stand-60, but not the physical component of HRQoL) and patient activation after a 12-week physical activity digital health intervention (DHI). This study explores factors that contributed to the effectiveness of Kidney BEAM through mixed methods analyses.</div></div><div><h3>Methods</h3><div>Quantitative data analysis was obtained from the recently published primary manuscript. Participants from the Kidney BEAM trial intervention group (<em>n</em> = 30) completed individualized semistructured interviews after the 12-week DHI. Interviews were analyzed using the framework method with inductive and deductive coding. Quantitative and qualitative data collection and analyses occurred concurrently, and independently, before combining using a mixed methods analysis with joint displays to triangulate datasets and further explore the primary findings.</div></div><div><h3>Results</h3><div>The integrated mixed methods analyses facilitated explanation of the primary findings. The Kidney BEAM intervention was shown to have mental and physical wellbeing benefits and enhanced self-management in this cohort of people living with chronic kidney disease (CKD). Elements that contributed to the effectiveness of the intervention were reported, including the different functional levels and gradual progression of the program, shared lived experiences with other participants, self-monitoring, the sense of achievement, taking back control of their health, moving beyond medications, and feeling safe and confident to exercise.</div></div><div><h3>Conclusion</h3><div>Elements of the Kidney BEAM intervention that contributed to the main quantitative trial findings were identified. This will allow researchers and practitioners to maximize the effectiveness of DHIs to enhance healthy behaviors in people living with CKD.</div></div>","PeriodicalId":17761,"journal":{"name":"Kidney International Reports","volume":"9 12","pages":"Pages 3517-3531"},"PeriodicalIF":5.7000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11652097/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kidney International Reports","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468024924019594","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

The Kidney BEAM randomized controlled trial reported clinically meaningful and statistically significant improvements in mental health-related quality of life (HRQoL), physical function (sit-to-stand-60, but not the physical component of HRQoL) and patient activation after a 12-week physical activity digital health intervention (DHI). This study explores factors that contributed to the effectiveness of Kidney BEAM through mixed methods analyses.

Methods

Quantitative data analysis was obtained from the recently published primary manuscript. Participants from the Kidney BEAM trial intervention group (n = 30) completed individualized semistructured interviews after the 12-week DHI. Interviews were analyzed using the framework method with inductive and deductive coding. Quantitative and qualitative data collection and analyses occurred concurrently, and independently, before combining using a mixed methods analysis with joint displays to triangulate datasets and further explore the primary findings.

Results

The integrated mixed methods analyses facilitated explanation of the primary findings. The Kidney BEAM intervention was shown to have mental and physical wellbeing benefits and enhanced self-management in this cohort of people living with chronic kidney disease (CKD). Elements that contributed to the effectiveness of the intervention were reported, including the different functional levels and gradual progression of the program, shared lived experiences with other participants, self-monitoring, the sense of achievement, taking back control of their health, moving beyond medications, and feeling safe and confident to exercise.

Conclusion

Elements of the Kidney BEAM intervention that contributed to the main quantitative trial findings were identified. This will allow researchers and practitioners to maximize the effectiveness of DHIs to enhance healthy behaviors in people living with CKD.

Abstract Image

探讨肾脏BEAM身体活动数字健康干预如何改善肾脏疾病患者的心理健康相关生活质量。
肾BEAM随机对照试验报告了在12周体育活动数字健康干预(DHI)后,心理健康相关生活质量(HRQoL)、身体功能(坐立比为60,但不包括HRQoL的身体部分)和患者激活方面具有临床意义和统计学意义的改善。本研究通过混合方法分析探讨影响肾BEAM有效性的因素。方法:对近期发表的论文进行定量分析。肾BEAM试验干预组的参与者(n = 30)在12周DHI后完成了个性化的半结构化访谈。访谈采用归纳编码和演绎编码的框架方法进行分析。定量和定性数据收集和分析同时进行,独立进行,然后使用混合方法分析与联合显示相结合,对数据集进行三角测量,并进一步探索主要发现。结果:综合混合方法分析有助于解释主要发现。在这组慢性肾脏疾病(CKD)患者中,肾BEAM干预被证明具有精神和身体健康益处,并增强了自我管理。报告了导致干预有效的因素,包括不同的功能水平和项目的渐进进展,与其他参与者分享生活经历,自我监控,成就感,重新控制自己的健康,摆脱药物治疗,以及对锻炼感到安全和自信。结论:确定了导致主要定量试验结果的肾BEAM干预因素。这将使研究人员和从业人员能够最大限度地提高DHIs的有效性,以增强CKD患者的健康行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Kidney International Reports
Kidney International Reports Medicine-Nephrology
CiteScore
7.70
自引率
3.30%
发文量
1578
审稿时长
8 weeks
期刊介绍: Kidney International Reports, an official journal of the International Society of Nephrology, is a peer-reviewed, open access journal devoted to the publication of leading research and developments related to kidney disease. With the primary aim of contributing to improved care of patients with kidney disease, the journal will publish original clinical and select translational articles and educational content related to the pathogenesis, evaluation and management of acute and chronic kidney disease, end stage renal disease (including transplantation), acid-base, fluid and electrolyte disturbances and hypertension. Of particular interest are submissions related to clinical trials, epidemiology, systematic reviews (including meta-analyses) and outcomes research. The journal will also provide a platform for wider dissemination of national and regional guidelines as well as consensus meeting reports.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信