Personalised exercise therapy and self-management support for people with multimorbidity: Development of the MOBILIZE intervention

Abstract

Background To our knowledge, there is no intervention which includes personalised exercise therapy and self-management support for people with multimorbidity, although these interventions may be as effective as for people with single chronic conditions. Therefore, we developed a novel intervention, including personalised exercise therapy and self-management support for people with multimorbidity. Methods We followed the Medical Research Council framework and conducted one scoping review, five systematic reviews, two registry-based studies, one qualitative interview study and a mixed-methods feasibility study. Following an iterative approach, together with feedback from people with multimorbidity and relevant stakeholders, we developed the MOBILIZE intervention. Results The intervention included 24 (60 minutes) sessions of personalised exercise therapy and 24 (30 minutes) sessions of self-management support twice a week for 12 weeks, delivered in small groups by specifically trained physiotherapists. The intervention targets physiological, psychosocial, behavioural, and contextual factors to improve health-related quality of life and physical function in people living with multimorbidity. Conclusions We developed a personalised exercise therapy and self-management support programme for people with multimorbidity. The intervention will be tested for its safety and effectiveness in a randomised controlled trial.

Personalised exercise therapy and self-management support for people with multimorbidity: feasibility of the MOBILIZE intervention

“…Finally, the 6 90-min self-management support sessions were changed to 24 30-min sessions immediately before the 24 exercise sessions to adhere to the qualitative findings and to better integrate the two interventions and support long-term adherence by including more topics found relevant by the participants. For further details on the development process and changes to the intervention please refer to Bricca et al [37].…”

“…Participants underwent the 12-week personalised, supervised exercise therapy and self-management support programme developed based on the previous phases of the MOBILIZE project. For further details on the development process, please refer to the intervention development paper [37]. The intervention was facilitated by physiotherapists trained in study procedures at either Slagelse or Naestved Hospital, Denmark.…”

Study protocol for a multicenter randomized controlled trial of personalized exercise therapy and self-management support for people with multimorbidity: The MOBILIZE study

“…It aims to equip the participants with better self-management skills and build motivation and capability to sustain an active life and better quality of life following the 12-week intervention. 37 …”

“…37 The content of the exercise therapy program was guided by existing recommendations for exercise in people with chronic diseases and healthy adults and developed in close collaboration with experienced physical therapists, participants from the feasibility study, patient partners and other relevant stakeholders. 37,38 Each exercise session includes five phases:…”

“…It aims to equip the participants with better self-management skills and build motivation and capability to sustain an active life and better quality of life following the 12-week intervention. 37 The content of the exercise therapy program was guided by existing recommendations for exercise in people with chronic diseases and healthy adults and developed in close collaboration with experienced physical therapists, participants from the feasibility study, patient partners and other relevant stakeholders. 37,38 Each exercise session includes five phases:…”