Pia Kontos1,2, Romeo Colobong3, Alisa Grigorovich3, Luis Ivan Palma Lazgare3,4, Malcolm Binns5,6, Shabbir Alibhai7,8,9, Trisha Parsons10, Gihad Nesrallah11, Sarbjit Vanita Jassal7,12, Alison Thomas13,14, Gary Naglie3,7,8,6,15. 1. KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada. pia.kontos@uhn.ca. 2. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. pia.kontos@uhn.ca. 3. KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada. 4. Data and Analytic Services, ICES Central, Toronto, ON, Canada. 5. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. 6. Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada. 7. Department of Medicine, University of Toronto, Toronto, ON, Canada. 8. Institute of Health Policy, Management and Evaluation, Toronto, ON, Canada. 9. Department of Medicine, University Health Network, Toronto, ON, Canada. 10. School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada. 11. Department of Nephrology, Humber River Hospital, Toronto, ON, Canada. 12. Division of Nephrology, University Health Network, Toronto, ON, Canada. 13. St. Michael's Hospital, Toronto, ON, Canada. 14. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. 15. Department of Medicine, Baycrest Health Sciences, Toronto, ON, Canada.
Abstract
PURPOSE: The present study aimed to evaluate the impact of a filmed research-based drama-Fit for Dialysis-and an exercise program on patients' physical activity and fitness outcomes. METHODS:Nineteen (10 at the intervention site, 9 at the control site) older patients with a medical diagnosis of hemodialysis-dependent end-stage renal disease were recruited from two acute care hospitals in urban central Canada where they were receiving out-patient hemodialysis care. Participants at the intervention site viewed Fit for Dialysis prior to participating in a 16-week exercise program. Participants at the control site participated only in the 16-week exercise program. Physical activity, measured by total intradialytic exercise time (TIDE), and physical fitness, measured by the Two-Minute Walk Test (2MWT). Secondary measures included: Timed Up and Go (TUG), Grip Strength, Duke Activity Status Index (DASI), Godin Leisure-Time Exerciser Questionnaire (GLTEQ), and pedometer step count. RESULTS:TIDE, TUG, and GLTEQ were better at the intervention site compared to the control site at all time points measured. However, the change over time was not different between the sites. The 2MWT improved over time at the intervention site for those who exercised consistently. No significant differences between sites, or over time were found for any of the other measures. CONCLUSIONS: Further research is needed to determine the effectiveness of this intervention to facilitate the incorporation of exercise into the care and treatment of HD patients.
RCT Entities:
PURPOSE: The present study aimed to evaluate the impact of a filmed research-based drama-Fit for Dialysis-and an exercise program on patients' physical activity and fitness outcomes. METHODS: Nineteen (10 at the intervention site, 9 at the control site) older patients with a medical diagnosis of hemodialysis-dependent end-stage renal disease were recruited from two acute care hospitals in urban central Canada where they were receiving out-patient hemodialysis care. Participants at the intervention site viewed Fit for Dialysis prior to participating in a 16-week exercise program. Participants at the control site participated only in the 16-week exercise program. Physical activity, measured by total intradialytic exercise time (TIDE), and physical fitness, measured by the Two-Minute Walk Test (2MWT). Secondary measures included: Timed Up and Go (TUG), Grip Strength, Duke Activity Status Index (DASI), Godin Leisure-Time Exerciser Questionnaire (GLTEQ), and pedometer step count. RESULTS: TIDE, TUG, and GLTEQ were better at the intervention site compared to the control site at all time points measured. However, the change over time was not different between the sites. The 2MWT improved over time at the intervention site for those who exercised consistently. No significant differences between sites, or over time were found for any of the other measures. CONCLUSIONS: Further research is needed to determine the effectiveness of this intervention to facilitate the incorporation of exercise into the care and treatment of HDpatients.
Entities:
Keywords:
Education; End-stage renal disease; Exercise/physical activity; Film
Authors: Mika L Nonoyama; Dina Brooks; Alexandra Ponikvar; S Vanita Jassal; Pia Kontos; Gerald M Devins; Lily Spanjevic; Carol Heck; Judi Laprade; Gary Naglie Journal: Int Urol Nephrol Date: 2010-03-07 Impact factor: 2.370
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