A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study.
Journal
Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536
Informations de publication
Date de publication:
2020
2020
Historique:
received:
19
11
2019
accepted:
27
01
2020
entrez:
12
2
2020
pubmed:
12
2
2020
medline:
12
2
2020
Statut:
epublish
Résumé
We hypothesise that a physical activity (PA) intervention will improve the quality of life (QoL) of people with a stoma. A feasibility study of the intervention and trial parameters is necessary to inform a future main trial. Participants received a weekly PA consultation by telephone, video conferencing, or face-to-face for 12 weeks with a PA instructor who prescribed physical activities and supported participants by addressing stoma-related concerns and using behaviour change techniques. A feasibility study of the intervention and trial parameters was conducted in three UK sites using mixed methods. The number of eligible patients consenting to the study was 30 out of 174 (17%). Most participants were female (73%); 73% had an ileostomy and 27% a colostomy; mean time since diagnosis was 6 months. A total of 18 (64%) participants completed pre- (baseline) and post-intervention (follow-up) measures. Results show an improvement on all scales measuring QoL and disease-specific fatigue. The median PA consultation rate per participant was eight sessions. Participants reported completing 75% or more of the prescribed PA each week. Eight stoma-related themes were identified from qualitative interviews: fear of hernia, bending down, fatigue, pain, prolapse, surgical wounds, stoma appliance, and stigma. The intervention appeared to address these issues. This feasibility study demonstrated that a novel manualised PA intervention for people with a stoma is safe, feasible, and acceptable, and shows promise for improving outcomes. However, difficulties with recruitment will need to be carefully considered to ensure the success of future studies in this area. ISCTN, ISRCTN58613962; Registered 14/9/2017.
Sections du résumé
BACKGROUND
BACKGROUND
We hypothesise that a physical activity (PA) intervention will improve the quality of life (QoL) of people with a stoma. A feasibility study of the intervention and trial parameters is necessary to inform a future main trial.
METHODS
METHODS
Participants received a weekly PA consultation by telephone, video conferencing, or face-to-face for 12 weeks with a PA instructor who prescribed physical activities and supported participants by addressing stoma-related concerns and using behaviour change techniques. A feasibility study of the intervention and trial parameters was conducted in three UK sites using mixed methods.
RESULTS
RESULTS
The number of eligible patients consenting to the study was 30 out of 174 (17%). Most participants were female (73%); 73% had an ileostomy and 27% a colostomy; mean time since diagnosis was 6 months. A total of 18 (64%) participants completed pre- (baseline) and post-intervention (follow-up) measures. Results show an improvement on all scales measuring QoL and disease-specific fatigue. The median PA consultation rate per participant was eight sessions. Participants reported completing 75% or more of the prescribed PA each week. Eight stoma-related themes were identified from qualitative interviews: fear of hernia, bending down, fatigue, pain, prolapse, surgical wounds, stoma appliance, and stigma. The intervention appeared to address these issues.
CONCLUSION
CONCLUSIONS
This feasibility study demonstrated that a novel manualised PA intervention for people with a stoma is safe, feasible, and acceptable, and shows promise for improving outcomes. However, difficulties with recruitment will need to be carefully considered to ensure the success of future studies in this area.
TRIAL REGISTRATION
BACKGROUND
ISCTN, ISRCTN58613962; Registered 14/9/2017.
Identifiants
pubmed: 32042438
doi: 10.1186/s40814-020-0560-0
pii: 560
pmc: PMC7001297
doi:
Types de publication
Journal Article
Langues
eng
Pagination
12Subventions
Organisme : Cancer Research UK
ID : 14133
Pays : United Kingdom
Informations de copyright
© The Author(s). 2020.
Déclaration de conflit d'intérêts
Competing interestsThe authors declare that they have no competing interests.
Références
Support Care Cancer. 2019 Apr;27(4):1481-1489
pubmed: 30368673
Pilot Feasibility Stud. 2019 Jun 17;5:78
pubmed: 31236285
Trials. 2012 Jun 28;13:95
pubmed: 22742939
Qual Life Res. 1999 May;8(3):181-95
pubmed: 10472150
BMC Public Health. 2019 May 15;19(1):574
pubmed: 31092219
Int J Behav Nutr Phys Act. 2012 Mar 02;9:20
pubmed: 22385751
J Cancer Surviv. 2018 Oct;12(5):679-690
pubmed: 30097853
Colorectal Dis. 2010 Oct;12(10):958-64
pubmed: 19604288
Lancet. 2002 Mar 2;359(9308):781-5
pubmed: 11888606
Clin Colon Rectal Surg. 2008 Feb;21(1):31-40
pubmed: 20011394
Am Psychol. 2000 Jan;55(1):68-78
pubmed: 11392867
BMJ. 2011 Oct 18;343:d5928
pubmed: 22008217
Int J Behav Med. 2013 Sep;20(3):413-24
pubmed: 23012159
J Clin Epidemiol. 1999 Dec;52(12):1143-56
pubmed: 10580777
Psychooncology. 2018 Jun;27(6):1565-1571
pubmed: 29508500
Qual Life Res. 2017 Jan;26(1):55-64
pubmed: 27444778
PLoS One. 2014 Mar 07;9(3):e90354
pubmed: 24609004
J Crohns Colitis. 2014 Nov;8(11):1351-61
pubmed: 24951261
Health Expect. 2017 Dec;20(6):1421-1427
pubmed: 28675608
J Clin Epidemiol. 2005 Dec;58(12):1241-51
pubmed: 16291468
Pilot Feasibility Stud. 2019 Aug 28;5:107
pubmed: 31485336
Hernia. 2018 Feb;22(1):183-198
pubmed: 29134456
Health Psychol. 2013 Jun;32(6):616-26
pubmed: 23730723
Inflamm Bowel Dis. 2016 Dec;22(12):2933-2942
pubmed: 27824653
BMC Med Res Methodol. 2010 Jul 16;10:67
pubmed: 20637084
BMC Cancer. 2018 Apr 10;18(1):402
pubmed: 29636012
Circulation. 2009 Apr 7;119(13):1694-6
pubmed: 19349331
Dis Colon Rectum. 2006 Feb;49(2):205-12
pubmed: 16392025
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
Pilot Feasibility Stud. 2018 Jun 1;4:108
pubmed: 29881639
Am J Gastroenterol. 2001 Oct;96(10):2921-8
pubmed: 11693327
Med Sci Sports Exerc. 1998 May;30(5):777-81
pubmed: 9588623
J Eval Clin Pract. 2004 May;10(2):307-12
pubmed: 15189396
Br J Nurs. 2017 Mar 9;26(5):S20-S26
pubmed: 28328269
Qual Life Res. 2016 Jan;25(1):125-33
pubmed: 26123983
Psychooncology. 2013 Jan;22(1):54-64
pubmed: 21905158
Health Qual Life Outcomes. 2003 Dec 16;1:79
pubmed: 14678568
J Clin Epidemiol. 2007 Oct;60(10):990-1001
pubmed: 17884592
Pilot Feasibility Stud. 2015 Apr 14;1:15
pubmed: 27965794
J Pain Symptom Manage. 2002 Dec;24(6):547-61
pubmed: 12551804
Health Psychol. 2009 Nov;28(6):690-701
pubmed: 19916637
Oncol Nurs Forum. 2013 Nov;40(6):587-94
pubmed: 24161637
Eur J Appl Physiol. 2018 Apr;118(4):829-836
pubmed: 29411129
Surg Laparosc Endosc Percutan Tech. 2012 Oct;22(5):420-3
pubmed: 23047385
Nurs Times. 2005 Jul 19-25;101(29):63-4
pubmed: 16052949
Health Res Policy Syst. 2015 Mar 12;13:8
pubmed: 25971302
BMJ. 1999 Sep 11;319(7211):670-4
pubmed: 10480822
Pilot Feasibility Stud. 2016 Aug 24;2:51
pubmed: 27965868