MAintAin Activity in Arthritis: A study protocol of the co-development and feasibility testing of a physical activity maintenance intervention.

HRB open research Pub Date : 2025-04-28 eCollection Date: 2024-01-01 DOI:10.12688/hrbopenres.14002.2
Suzanne McDonough, Aoife Stephenson, Chloe Grimmett, Kathleen Bennett, Noreena Coyle, Stacey Grealis, Claire Kinneavy, Oliver Fitzgerald, Helen French, Maria Stokes, Aisling Walsh, Mick Thacker, Deirdre Hurley Osing, David French
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Abstract

Background: Despite the wealth of evidence demonstrating the health benefits of physical activity (PA), people with arthritis commonly do not meet recommended PA levels. Whilst various programmes support people with arthritis to become active, most individuals reduce their level of PA after completion of a structured exercise programme. This research aims to co-develop and feasibility test a PA maintenance intervention for those living with arthritis, after exit from a structured exercise programme.

Methods: Intervention development was guided by the INDEX framework for developing complex interventions.Phase 1, Evidence Synthesis: Bring together existing evidence, clinical guidelines and behavior change theories for PA maintenance in arthritis, to develop an intervention logic model.Phase 2, Observation and qualitative study: Conduct an observational analysis of a physiotherapy led structured exercise programme for those living with arthritis, to understand what behaviour change components are used and what might support PA maintenance. Followed by a qualitative exploration of PA maintenance barriers, facilitators and strategies for those who have participated in the classes, their family members/friends and the delivering physiotherapist.Phase 3, Finalise intervention prototype: Results from phases 1 and 2, will be triangulated to inform potential intervention options. Those living with arthritis/key stakeholders will be invited to participatory workshops to refine intervention content and delivery modes.Phase 4, Feasibility Study: The final phase is a pre-post, mixed methods feasibility evaluation of the newly developed multicomponent PA maintenance intervention for people living with arthritis, after completion of a physiotherapy led structured exercise programme.

Discussion: Intervention development will bring together PA maintenance theory and evidence with user input and other key contextual factors. User input will be achieved by collaboration with two embedded patient researchers and a wider Public Patient Involvement (PPI) panel to ensure diverse patient experiences and perspectives are heard and inform programme design.

关节炎的维持活动:一项共同开发和身体活动维持干预的可行性测试的研究方案。
背景:尽管有大量证据表明体育活动(PA)对健康有益,但关节炎患者通常达不到推荐的PA水平。虽然有各种各样的计划支持关节炎患者变得活跃,但大多数人在完成有组织的锻炼计划后会降低他们的PA水平。本研究旨在共同开发和可行性测试的PA维持干预那些患有关节炎的人,退出一个有组织的锻炼计划后。方法:以INDEX框架为指导,制定复杂干预措施。第一阶段,证据综合:将关节炎中PA维持的现有证据、临床指南和行为改变理论结合起来,建立干预逻辑模型。第2阶段,观察和定性研究:对关节炎患者进行物理治疗主导的结构化锻炼计划进行观察分析,以了解使用了哪些行为改变成分,以及哪些可能支持PA维持。随后,对参加课程的人、他们的家人/朋友和提供课程的物理治疗师进行了PA维持障碍、促进因素和策略的定性探索。第三阶段,完成干预原型:将对第一阶段和第二阶段的结果进行三角测量,以确定潜在的干预方案。关节炎患者/关键利益相关者将被邀请参加参与性研讨会,以完善干预内容和交付模式。第4阶段,可行性研究:最后阶段是在完成物理治疗主导的结构化锻炼计划后,对新开发的多组分PA维持干预进行前后混合方法可行性评估。讨论:干预开发将把PA维护理论和证据与用户输入和其他关键上下文因素结合起来。用户输入将通过与两名嵌入式患者研究人员和更广泛的公众患者参与(PPI)小组的合作来实现,以确保听取不同的患者经验和观点,并为规划设计提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.40
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