Description and implementation of U-Turn Medical, a comprehensive lifestyle intervention programme for chronic disease in the sport and exercise medicine setting: pre–post observations in 210 consecutive patients

Derman, Wayne; Schwellnus, Martin; Hope, Fallon; Jordaan, Esmè; Padayachee, Trishanta

doi:10.1136/bjsports-2014-093814

Cited by 8 publications

(6 citation statements)

References 37 publications

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“…An overview of participant characteristics is detailed in Table 1, and reflect similar demographic trends to related patient populations, as reported in related studies [9] .…”

Section: Participantsmentioning

confidence: 87%

“…Participants were identified and recruited from a cohort of patients with NCDs starting the U Turn Medical [9] lifestyle intervention programme. Convenience sampling was deemed the most suitable strategy for the investigation, based on the availability of new intakes into the programme and referral from biokineticists and doctors at clinics.…”

Section: Participantsmentioning

confidence: 99%

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Experiences of psychosocial and programme-related barriers to recovery in lifestyle interventions for noncommunicable diseases

et al. 2016

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“…An overview of participant characteristics is detailed in Table 1, and reflect similar demographic trends to related patient populations, as reported in related studies [9] .…”

Section: Participantsmentioning

confidence: 87%

Section: Participantsmentioning

confidence: 99%

Experiences of psychosocial and programme-related barriers to recovery in lifestyle interventions for noncommunicable diseases

et al. 2016

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“…Thus, there is a clear need for a patient-centred approach, incorporating the complexity of multiple comorbidities in a single-personalised rehabilitation programme. A study by Derman and colleagues on patient-centred rehabilitation for patients with NCD in a high-resource LMIC setting found significant improvements in a variety of outcomes including lipid profile, muscle strength and walking capacity 27. However, the translation of this programme to a low-resource setting is limited due to the aforementioned quadruple burden of disease, but also setting-specific barriers and facilitators for treatment adherence (patient) and treatment fidelity (therapist).…”

Section: Introductionmentioning

confidence: 99%

Patient-centred rehabilitation for non-communicable disease in a low-resource setting: study protocol for a feasibility and proof-of-concept randomised clinical trial

et al. 2019

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IntroductionNon-communicable diseases (NCDs) are the leading cause of death globally. Even though NCD disproportionally affects low-to-middle income countries, these countries including South Africa, often have limited capacity for the prevention and control of NCDs. The standard evidence-based care for the long-term management of NCDs includes rehabilitation. However, evidence for the effectiveness of rehabilitation for NCDs originates predominantly from high-income countries. Despite the disproportionate disease burden in low-resourced settings, and due to the complex context and constraints in these settings, the delivery and study of evidence-based rehabilitation treatment in a low-resource setting is poorly understood. This study aims to test the design, methodology and feasibility of a minimalistic, patient-centred, rehabilitation programme for patients with NCD specifically designed for and conducted in a low-resource setting.Methods and analysisStable patients with cancer, cardiovascular disease, chronic respiratory disease and/or diabetes mellitus will be recruited over the course of 1 year from a provincial day hospital located in an urban, low-resourced setting (Bishop Lavis, Cape Town, South Africa). A postponed information model will be adopted to allocate patients to a 6-week, group-based, individualised, patient-centred rehabilitation programme consisting of multimodal exercise, exercise education and health education; or usual care (ie, no care). Outcomes include feasibility measures, treatment fidelity, functional capacity (eg, 6 min walking test), physical activity level, health-related quality of life and a patient-perspective economic evaluation. Outcomes are assessed by a blinded assessor at baseline, postintervention and 8-week follow-up. Mixed-method analyses will be conducted to inform future research.Ethics and disseminationThis study has been approved by the Health Research and Ethics Council, Stellenbosch University (M17/09/031). Information gathered in this research will be published in peer-reviewed journals, presented at national and international conferences, as well as local stakeholders.Trial registration numberPACTR201807847711940; Pre-results.

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“…-гимнастические упражнения, направленные на формирование гибкости, ловкости, координации движений, осанки [3,6,7,8].…”

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Basic Principles for the Implementation of Health Training (Lecture)

Власова¹

2020

Acta biomedica scientifica

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Health of the population of the Russian Federation is an indicator of national safety. Therefore, one of the priority directions of state policy organization of events, providing preservation and increase in level of somatic health of citizens of the Russian Federation is considered. In this context, one of powerful methods of management of activity of the person is muscular work, long-term adaptation to which causes formation of a number of the effects having improving and preventive orientation. In this connection in recent years, the attention of experts and patients to the various systems of improving trainings increases, and the need for them in all of age groups of the population stimulates active development of their various forms and the fitness services industry. At the same time, achievement of necessary result demands understanding of both regularities of formation of adaptation reactions of an organism when using of the existing arsenal of physical activities, exercises, and the basic principles of their realization taking into account conclusions and recommendations of evidential medicine. These are organizational and methodical features of planning of training programs and styles of concrete occupations, the choice and dispensing both classical forms of physical activity, and options of technologies of fitness taking into account exercises potentially dangerous to the musculoskeletal device especially at children. Within the above-stated positions, the real material in a format of lecture statement is made and presented.

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Description and implementation of U-Turn Medical, a comprehensive lifestyle intervention programme for chronic disease in the sport and exercise medicine setting: pre–post observations in 210 consecutive patients

Abstract: A 12-week comprehensive, patient-centred LIP can be implemented successfully in the SEM setting in patients with NCDs with multiple comorbidities. Observed results show improvements in the majority of outcome variables.

Cited by 8 publications

References 37 publications

Experiences of psychosocial and programme-related barriers to recovery in lifestyle interventions for noncommunicable diseases

Experiences of psychosocial and programme-related barriers to recovery in lifestyle interventions for noncommunicable diseases

Patient-centred rehabilitation for non-communicable disease in a low-resource setting: study protocol for a feasibility and proof-of-concept randomised clinical trial

Basic Principles for the Implementation of Health Training (Lecture)

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