Exploring physical activity behaviour – needs for and interest                     in a technology-delivered, home-based exercise programme among patients with                     intermittent claudication

Cornelis, Nils; Buys, Roselien; Fourneau, Inge; Dewit, T.; Cornelissen, Véronique

doi:10.1024/0301-1526/a000654

Cited by 16 publications

(23 citation statements)

References 27 publications

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“…Included studies were from a total of eight countries with most from the USA (n = 4), followed by Brazil (n = 3), Netherland (n = 3), United Kingdom (n = 3), Canada (n = 2), Republic of Ireland (n = 1), Belgium (n = 1), and Sweden (n = 1)( Table 1 ). Most of the included studies(n = 10)[ 38 , 39 , 43 , 46 – 48 , 50 , 52 , 54 , 55 ] did not report data on the ethnic background of participants. Where reported, all studies (n = 8) had a majority of white participants[ 40 – 42 , 44 , 49 – 51 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…Participants’ educational background was not reported in the majority (n = 13) of the included studies [ 39 , 40 , 43 , 44 , 46 – 52 , 58 ]. Where reported, most of the participants had completed at least either primary[ 38 , 42 , 54 ], or secondary[ 53 ][ 55 ] education. Only one study reported participants’ income status with most participants of high income[ 42 ].…”

Section: Resultsmentioning

confidence: 99%

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Barriers and enablers to walking in individuals with intermittent claudication: A systematic review to conceptualize a relevant and patient-centered program

et al. 2018

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BackgroundWalking limitation in patients with peripheral arterial disease (PAD) and intermittent claudication (IC) contributes to poorer disease outcomes. Identifying and examining barriers to walking may be an important step in developing a comprehensive patient-centered self-management intervention to promote walking in this population.AimTo systematically review the literature regarding barriers and enablers to walking exercise in individuals with IC.MethodsA systematic review was conducted utilizing integrative review methodology. Five electronic databases and the reference lists of relevant studies were searched. Findings were categorized into personal, walking activity related, and environmental barriers and enablers using a social cognitive framework.ResultsEighteen studies including quantitative (n = 12), qualitative (n = 5), and mixed method (n = 1) designs, and reporting data from a total of 4376 patients with IC, were included in the review. The most frequently reported barriers to engaging in walking were comorbid health concerns, walking induced pain, lack of knowledge (e.g. about the disease pathology and walking recommendations), and poor walking capacity. The most frequently reported enablers were cognitive coping strategies, good support systems, and receiving specific instructions to walk. Findings suggest additionally that wider behavioral and environmental obstacles should be addressed in a patient-centered self-management intervention.ConclusionsThis review has identified multidimensional factors influencing walking in patients with IC. Within the social cognitive framework, these factors fall within patient level factors (e.g. comorbid health concerns), walking related factors (e.g. claudication pain), and environmental factors (e.g. support systems). These factors are worth considering when developing self-management interventions to increase walking in patients with IC. Systematic review registration CRD42018070418.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Barriers and enablers to walking in individuals with intermittent claudication: A systematic review to conceptualize a relevant and patient-centered program

et al. 2018

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“…Second, technology apprehension could play an important role in the adherence of patients to the telemedicine intervention. PAD patients are relatively old, and Cornelis et al reported that only 26% of the PAD patients who owned a mobile phone (92 of 99) used apps [21]. Gunter et al [26] had to exclude 32.5% of the patients in their study if they would not have provided smartphone devices for patients who did not own a suitable one.…”

Section: Discussionmentioning

confidence: 99%

“…Two reviewers (MH, RB) independently evaluated the study quality, and discrepancies were discussed until consensus was reached. The thresholds used to classify study quality were good (9-16), moderate (17)(18)(19)(20)(21)(22)(23), and poor (below 14) [6].…”

Section: Data Collection and Quality Assessmentmentioning

confidence: 99%

Telemedicine in patients with peripheral arterial disease: is it worth the effort?

Haveman

Kleiss

Kirsten

et al. 2019

Expert Review of Medical Devices

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Introduction: For patients with peripheral arterial disease (PAD), the various components of telemedicine, such as telemonitoring, telecoaching, and teleconsultation, could be valuable in daily management. The objective of this review was to give an overview of the current use of telemedicine interventions in PAD. Areas covered: A literature search was performed for studies that evaluated patients with PAD of the aorto-pedal trajectory, who were monitored by telemedicine and acted upon accordingly. The primary outcome was health-related outcomes. The studies that were found focused mainly on wearable activity monitoring and telecoaching in PAD (n = 4) or wound monitoring after vascular surgery (n = 2). Main results indicate that telemedicine interventions are able to detect (post-operative) complications early, improve functional capacity and claudication onset time, and improve PAD patients' quality of life. Expert opinion: The use of telemedicine in PAD patients is still an under-explored area. Studies investigating the use of telemedicine in PAD are very limited and show varying results. Owing to its high potential in improving physical ability, lifestyle coaching, and timely detection of deterioration, future research should focus on proper implementation of telemedicine in PAD patients, including clinical and feasibility outcomes, effect on workload of nurses, and cost-efficiency.

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“…Unfortunately, in our case only half of the subjects from the male group and about a third of women were initially advised to undertake a home-based exercise program, mostly due to the advanced stages of the disease upon presentation. New technology might be of great help when it comes to home-based exercise programmes, as a research by Cornelis et al found that PAD patients show significant interest in technology-delivered exercise [15]. This should be perfected in the future to widen the spectrum of patients benefitting from a form of inexpensive, customised rehabilitation schemes.…”

Section: Discussionmentioning

confidence: 99%

Gender specific differences in peripheral artery disease and their impact on cardiovascular rehabilitation -the experience of a Romanian Rehabilitation Hospital

Comşa¹,

Pharmacy²,

Gușetu³

et al. 2018

Balneo

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Introduction. As the prevalence of peripheral artery disease (PAD) is increasing in developing countries, so are the healthcare and socio-economic costs it brings about. This particular form of atherosclerotic disease is very much age-dependent, and along with the increase in life-expectancy, the lasts decades have seen a sharp rise in PAD prevalence in women. Knowledge regarding genderspecific aspects of the disease are scarce. This has a negative effect on overall outcomes of female PAD patients. Aim. This research aimed to identify gender peculiarities of PAD and evaluate their impact on cardiovascular rehabilitation. Material and methods. This was a retrospective observational study of 104 PAD patients (73 men and 31 women) admitted in 2016 to the Cardiology department of the Rehabilitation Hospital Cluj-Napoca. Demographic, clinical and biological parameters were recorded, as well as the treatment/rehabilitation regimens prescribed. The subjects were divided into to groups according to gender. Statistical analysis was done using the student t-test for unequal variances, hi-square test and the stepwise method for multivariate analysis. Results. The female group had a higher prevalence of diabetes mellitus (45% vs 33%, p=ns), but men were more likely smokers (74% vs 51%-p=0.017). Women had higher median total cholesterol values (p=0.006) and lower HDL-cholesterol levels (p=0.033). More than half of the female patients were already experiencing symptoms of critical limb ischemia on admission (57%), while intermittent claudication was predominant with men (66%). Multivariate analysis identified identified female gender (p=0.028) and ABI (p<0.0001) as sole independent predictors for the severity of the disease. Revascularization using percutaneous techniques was the preferred option for women (35% vs 27%), while surgery was performed more often in men (38% vs 29%)-p=ns. Home-based exercise training was indicated on discharge for more than half of the male group while only 30% of women had physical rehabilitation as a first line of treatment. Discussion. Our research offered similar findings to older studies regarding the genderspecific profile of PAD women, showing they are less exposed to smoking but more likely to experience metabolic disorders. Women had higher rates of critical limb ischemia on admission, suggesting a more advanced disease. Because of a more stable disease in men, this category benefited to a greater extent from exercise training compared to women. Conclusion. Peripheral artery disease has specific gender-related differences that in women have an important impact on both diagnosis and management, impeding rehabilitation and full social reintegration.

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Exploring physical activity behaviour – needs for and interest in a technology-delivered, home-based exercise programme among patients with intermittent claudication

Abstract: PAD patients show significant interest in technology-delivered exercise, offering opportunities to develop a guided home-based exercise programme.

Cited by 16 publications

References 27 publications

Barriers and enablers to walking in individuals with intermittent claudication: A systematic review to conceptualize a relevant and patient-centered program

Barriers and enablers to walking in individuals with intermittent claudication: A systematic review to conceptualize a relevant and patient-centered program

Telemedicine in patients with peripheral arterial disease: is it worth the effort?

Gender specific differences in peripheral artery disease and their impact on cardiovascular rehabilitation -the experience of a Romanian Rehabilitation Hospital

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