The development of PAT-HD: A co-designed tool to promote physical activity in people with Huntington's disease.
Huntington's disease
acceptability
co-design
physical activity
Journal
Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
revised:
30
10
2020
received:
22
05
2020
accepted:
21
01
2021
pubmed:
14
2
2021
medline:
2
10
2021
entrez:
13
2
2021
Statut:
ppublish
Résumé
Huntington's disease (HD) is a genetic condition resulting in movement, behavioural and cognitive impairments. People with HD have low levels of physical activity which may be compounded by insufficient support from health-care professionals. To evaluate the initial acceptability of a co-designed tool used within a HD clinic to promote physical activity. Co-design of a physical activity tool; acceptability evaluation. Co-design included people with HD and health-care professionals. Acceptability was evaluated in a HD clinic in the UK. A physical activity tool was co-designed and used within a HD clinic. Acceptability as assessed by semi-structured interviews with members of the HD clinic. Forty people visited the HD clinic; 19 were given physical activity advice. Themes around who, where and how promotion of physical activity could take place were identified; concepts of benefits and barriers were threads through each theme. We describe for the first time the co-design of a HD specific physical activity tool. Our associated acceptability study emphasizes the importance of individualized planning of physical activities in complex neurodegenerative conditions. Perceived barriers were time and lack of knowledge of local resources. A simple tool can support conversations about physical activity with people with HD and is an aid to individualized goal setting. Exploring the use of PAT-HD within a community setting and development of support systems for health-care professionals and support workers who are in regular contact with people with HD is required.
Sections du résumé
BACKGROUND
Huntington's disease (HD) is a genetic condition resulting in movement, behavioural and cognitive impairments. People with HD have low levels of physical activity which may be compounded by insufficient support from health-care professionals.
OBJECTIVE
To evaluate the initial acceptability of a co-designed tool used within a HD clinic to promote physical activity.
DESIGN
Co-design of a physical activity tool; acceptability evaluation.
SETTING AND PARTICIPANTS
Co-design included people with HD and health-care professionals. Acceptability was evaluated in a HD clinic in the UK.
MAIN VARIABLES STUDIED
A physical activity tool was co-designed and used within a HD clinic.
MAIN OUTCOME MEASURE
Acceptability as assessed by semi-structured interviews with members of the HD clinic.
RESULTS
Forty people visited the HD clinic; 19 were given physical activity advice. Themes around who, where and how promotion of physical activity could take place were identified; concepts of benefits and barriers were threads through each theme.
DISCUSSION
We describe for the first time the co-design of a HD specific physical activity tool. Our associated acceptability study emphasizes the importance of individualized planning of physical activities in complex neurodegenerative conditions. Perceived barriers were time and lack of knowledge of local resources.
CONCLUSIONS
A simple tool can support conversations about physical activity with people with HD and is an aid to individualized goal setting. Exploring the use of PAT-HD within a community setting and development of support systems for health-care professionals and support workers who are in regular contact with people with HD is required.
Identifiants
pubmed: 33580995
doi: 10.1111/hex.13210
pmc: PMC8077143
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
638-647Subventions
Organisme : HCRW_
ID : HCRW_NIHR-FS-2012
Pays : United Kingdom
Informations de copyright
© 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.
Références
Neuroepidemiology. 2016;46(2):144-53
pubmed: 26824438
BMJ Qual Saf. 2020 Sep;29(9):711-716
pubmed: 31488570
J Neurol Phys Ther. 2013 Dec;37(4):149-58
pubmed: 24232362
Neurology. 2020 Feb 4;94(5):217-228
pubmed: 31907286
Parkinsonism Relat Disord. 2016 Oct;31:46-52
pubmed: 27423921
Phys Ther. 2017 Jun 1;97(6):625-639
pubmed: 28371942
J Huntingtons Dis. 2012;1(2):155-73
pubmed: 25063329
Lancet. 2010 Jul 3;376(9734):18-9
pubmed: 20626094
Disabil Rehabil. 2019 Oct 7;:1-11
pubmed: 31588808
Physiother Theory Pract. 2009 Jul;25(5-6):330-53
pubmed: 19842862
J Public Health (Oxf). 2018 Dec 1;40(4):e586-e593
pubmed: 29688551
Health Expect. 2019 Feb;22(1):93-101
pubmed: 30289592
Br J Sports Med. 2016 Sep;50(18):1109-14
pubmed: 27335208
Health Expect. 2018 Feb;21(1):327-335
pubmed: 28929554
Phys Ther. 2012 Jan;92(1):69-82
pubmed: 21960468
Br J Sports Med. 2018 Jan;52(2):122-127
pubmed: 28003241
Int J Behav Med. 2015 Feb;22(1):32-50
pubmed: 24788314
Health Expect. 2017 Aug;20(4):531-542
pubmed: 27669682
Physiother Theory Pract. 2011 Aug;27(6):399-410
pubmed: 20946071
BMC Med Res Methodol. 2013 Sep 18;13:117
pubmed: 24047204
Eur J Neurol. 2018 Jan;25(1):24-34
pubmed: 28817209
Parkinsonism Relat Disord. 2018 Jan;46:56-61
pubmed: 29128164
Eur Respir J. 2016 Aug;48(2):585-8
pubmed: 27338194
Health Expect. 2021 Apr;24(2):638-647
pubmed: 33580995
Front Sociol. 2019 Apr 05;4:23
pubmed: 33869348
Med One. 2019;4(5):e190022
pubmed: 31720375
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
Int J Nurs Stud. 2017 Nov;76:62-77
pubmed: 28938104
Br J Sports Med. 2009 Feb;43(2):99-101
pubmed: 18838405
J Huntingtons Dis. 2017;6(3):217-235
pubmed: 28968244
BMC Health Serv Res. 2014 Sep 17;14:395
pubmed: 25227988
BMJ Open. 2017 Jul 11;7(7):e014650
pubmed: 28701409
Disabil Rehabil. 2018 Jan;40(1):52-61
pubmed: 27917686