Literature DB >> 31606948

Participant experiences in a feasibility trial of supervised exercise training in adults with venous leg ulcers: A qualitative study.

Sue Kesterton1, Helen J Crank1, Garry A Tew2, Jonathan Michaels3, Anil Gumber4, Emma McIntosh1, Brenda King5, Markos Klonizakis1.   

Abstract

Exercise training can improve lower-limb cutaneous microvascular reactivity in adults with venous leg ulceration; however, there is a lack of research on patients' views about the acceptability and feasibility of exercise interventions. The aim of this study was to explore participants' experiences of the trial "Exploring the Feasibility of Implementing a Supervised Exercise Training and Compression Hosiery Intervention in Patients with Venous Ulceration" (FISCU). Semi-structured face-to-face and telephone interviews were used to investigate participants' experiences (n = 16) of taking part in the FISCU trial. Data were analysed using thematic analysis. Three overarching themes were identified, along with 11 sub-themes: (a) sedentary cautious living (because of pain and reduced mobility, treatment and perceived control, and advice to rest and be careful), (b) key components of the exercise trial (including motivation, an individualised intervention supervised by a specialist exercise professional, and satisfaction with the intervention), and (c) benefits of exercise (physical benefits and healing, psychological well-being, positive impact on comorbidities, and an improved self-management strategy). This study found that an exercise intervention was viewed by participants as positive, acceptable, and feasible while living with a venous leg ulcer. An individualised and supervised exercise programme was key to build confidence to exercise.
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Entities:  

Keywords:  exercise; feasibility; participant experience; qualitative; venous leg ulcers

Mesh:

Year:  2019        PMID: 31606948      PMCID: PMC7949412          DOI: 10.1111/iwj.13252

Source DB:  PubMed          Journal:  Int Wound J        ISSN: 1742-4801            Impact factor:   3.315


  26 in total

1.  The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial.

Authors:  Maud Heinen; George Borm; Carine van der Vleuten; Andrea Evers; Rob Oostendorp; Theo van Achterberg
Journal:  Int J Nurs Stud       Date:  2011-09-28       Impact factor: 5.837

2.  A home-based progressive resistance exercise programme for patients with venous leg ulcers: a feasibility study.

Authors:  Jane O'Brien; Helen Edwards; Ian Stewart; Harry Gibbs
Journal:  Int Wound J       Date:  2012-06-14       Impact factor: 3.315

3.  The prepare pilot RCT of home-based progressive resistance exercises for venous leg ulcers.

Authors:  A Jull; V Parag; N Walker; R Maddison; N Kerse; T Johns
Journal:  J Wound Care       Date:  2009-12       Impact factor: 2.072

4.  Factors associated with recurrence of venous leg ulcers: a survey and retrospective chart review.

Authors:  Kathleen Finlayson; Helen Edwards; Mary Courtney
Journal:  Int J Nurs Stud       Date:  2009-01-30       Impact factor: 5.837

5.  Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial.

Authors:  Frank T Padberg; Mark V Johnston; Sue Ann Sisto
Journal:  J Vasc Surg       Date:  2004-01       Impact factor: 4.268

6.  Fear-avoidance beliefs and pain as predictors for low physical activity in patients with leg ulcer.

Authors:  Kirsti Skavberg Roaldsen; Britt Elfving; Johan Kvalvik Stanghelle; Toomas Talme; Eva Mattsson
Journal:  Physiother Res Int       Date:  2009-09

7.  Physical activity in patients with venous leg ulcer--between engagement and avoidance. A patient perspective.

Authors:  Kirsti Skavberg Roaldsen; Gabriele Biguet; Britt Elfving
Journal:  Clin Rehabil       Date:  2010-12-09       Impact factor: 3.477

8.  Evaluating the effectiveness of a self-management exercise intervention on wound healing, functional ability and health-related quality of life outcomes in adults with venous leg ulcers: a randomised controlled trial.

Authors:  Jane O'Brien; Kathleen Finlayson; Graham Kerr; Helen Edwards
Journal:  Int Wound J       Date:  2016-01-27       Impact factor: 3.315

Review 9.  Compression for venous leg ulcers.

Authors:  Susan O'Meara; Nicky Cullum; E Andrea Nelson; Jo C Dumville
Journal:  Cochrane Database Syst Rev       Date:  2012-11-14

10.  Effects of supervised exercise training on lower-limb cutaneous microvascular reactivity in adults with venous ulcers.

Authors:  Garry A Tew; Anil Gumber; Emma McIntosh; Sue Kesterton; Brenda King; Jonathan A Michaels; Markos Klonizakis
Journal:  Eur J Appl Physiol       Date:  2017-12-02       Impact factor: 3.078

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  2 in total

1.  Participant experiences in a feasibility trial of supervised exercise training in adults with venous leg ulcers: A qualitative study.

Authors:  Sue Kesterton; Helen J Crank; Garry A Tew; Jonathan Michaels; Anil Gumber; Emma McIntosh; Brenda King; Markos Klonizakis
Journal:  Int Wound J       Date:  2019-10-13       Impact factor: 3.315

Review 2.  Effects of physical activity as an adjunct treatment on healing outcomes and recurrence of venous leg ulcers: A scoping review.

Authors:  Yunjing Qiu; Christian R Osadnik; Victoria Team; Carolina D Weller
Journal:  Wound Repair Regen       Date:  2022-02-10       Impact factor: 3.401

  2 in total

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