A group-mediated, home-based physical activity intervention for patients with peripheral artery disease: effects on social and psychological function

Abstract

BackgroundPAD is a disabling, chronic condition of the lower extremities that affects approximately 8 million people in the United States. The purpose of this study was to determine whether an innovative home-based walking exercise program for patients with peripheral artery disease (PAD) improves self-efficacy for walking, desire for physical competence, satisfaction for physical functioning, social functioning, and acceptance of PAD related pain and discomfort.MethodsThe design was a 6-month randomized controlled clinical trial of 194 patients with PAD. Participants were randomized to 1 of 2 parallel groups: a home-based group-mediated cognitive behavioral walking intervention or an attention control condition.ResultsOf the 194 participants randomized, 178 completed the baseline and 6-month follow-up visit. The mean age was 70.66 (±9.44) and was equally represented by men and women. Close to half of the cohort was African American. Following 6-months of treatment, the intervention group experienced greater improvement on self-efficacy (p = .0008), satisfaction with functioning (p = .0003), pain acceptance (p = .0002), and social functioning (p = .0008) than the control group; the effects were consistent across a number of potential moderating variables. Change in these outcomes was essentially independent of change in 6-minute walk performance.Trial registration[ClinicalTrials.gov Identifier: NCT00693940]

The Effect of Supervised Exercise Therapy on Physical Activity and Ambulatory Activities in Patients with Intermittent Claudication

“…This finding was recently confirmed by others reporting that the improvement in self-efficacy, satisfaction with functioning, pain acceptance, and social functioning after 6 months of home based walking exercise compared with a non-exercising control group was independent of walking performance. 42 In combination with the finding of the present study that walking capacity might be of diminished value, a shift in SET treatment paradigm seems necessary. Future research should therefore focus on the optimization of SET programs other than increasing walking capacity alone (intrinsic motivation, lifestyle, patient satisfaction and expectations, social functioning, etc.…”

Physical Function and Pre‐Amputation Characteristics Explain Daily Step Count after Dysvascular Amputation

“…High levels of sedentary time have twice the all‐cause mortality risk when compared to people who have low sedentary time . Greater physical activity for people with DM and PAD is associated with greater physical function, psychosocial functioning, and quality of life . Furthermore, small increases in physical activity can decrease risk of cardiovascular events and all‐cause mortality, suggesting that increased physical activity should be a critical target of rehabilitation interventions for people with dysvascular LLA …”

“…59 Greater physical activity for people with DM and PAD is associated with greater physical function, psychosocial functioning, and quality of life. 13,14,60,61 Furthermore, small increases in physical activity can decrease risk of cardiovascular events and all-cause mortality, suggesting that increased physical activity should be a critical target of rehabilitation interventions for people with dysvascular LLA. 62,63 Use of an assistive device and 2MWT distance outcomes explained nearly 45% of daily step count after dysvascular LLA, which is consistent with previous research.…”

Pengaruh Rehabilitasi: Jalan Kaki Enam Menit terhadap Peningkatan Kadar Hemoglobin pada Pasien Sindroma Koroner Akut

“…Pengaruh terhadap psikologis yaitu, mampu melakukan aktivitas fisik secara mandiri, menunjukkan kemampuan secara kognitif dan emosional. Sedangkan pengaruh terhadap fungsi sosial, yaitu saling mendukung dalam latihan, tumbuh kepercayaan diri, peningkatan status fungsi sosial, merasa berharga untuk orang lain, dapat melakukan aktivitas sosial, dan mendapatkan dukungan sosial yang tinggi dari keluarga maupun lingkungan sekitar (Rejeski et al, 2014;Tully, 2016 Distribusi rata-rata IMT pada kelompok kontrol dan kelompok intervensi adalah 25,0 Kg/m² dan 26,3 Kg/m², dengan standar deviasi 4,9 dan 3,8. Rata-rata tekanan darah sistolik pada kelompok kontrol dan kelompok intervensi adalah 129,8 mmHg dan 138,9 mmHg, dengan standar deviasi 8,8 dan 8,1.…”