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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Lessons learned from a pilot implementation of physical activity recommendations in axial spondyloarthritis exercise group therapy
Authors: Rausch, Anne-Kathrin
Vliet Vlieland, Theodora P. M.
Meichtry, André
van Bodegom-Vos, Leti
Topalidis, Beatrice
Büchi, Stefan
Nast, Irina
Ciurea, Adrian
Niedermann Schneider, Karin
et. al: No
DOI: 10.1186/s41927-021-00233-z
Published in: BMC Rheumatology
Volume(Issue): 6
Issue: 12
Issue Date: 2022
Publisher / Ed. Institution: BioMed Central
ISSN: 2520-1026
Language: English
Subjects: Ankylosing spondylitis; Assessment; Coaching; Counselling; Group exercise; Physical therapy
Subject (DDC): 615.82: Physical therapy
616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Background: The Ankylosing Spondylitis Association of Switzerland (SVMB) aimed to implement physical activity recommendations (PAR) within their exercise groups (EGs). The PAR promote exercise in all fitness dimensions at the correct dose. To implement the PAR within EGs, they were translated into a new EG concept with five key activities: (a) training for supervising physiotherapists (PTs), (b) correctly dosed exercises in all fitness dimensions, (c) exercise counselling, (d) bi-annual fitness assessments, and (e) individual exercise training, in addition to EG. All these activities were realized in close coordination with SVMB management. Objectives: To analyse the implementation success by evaluating adherence/fidelity, feasibility, and satisfaction at the patient, PTs, and organisational level. Methods: The five key activities of the new EG concept were developed, executed, and assessed after 6 months. The primary outcomes for implementation success were adherence of patients to the recommended exercise behaviour, self-reported by electronic diary; fidelity of PTs to the new concept, self-reported by diary; SVMB organisational changes. Secondary outcomes were feasibility and satisfaction with the new EG concept at all three levels. The tertiary outcome, to evaluate the effectiveness of PAR, was patient fitness, assessed through fitness assessments. Results: 30 patients with axSpA (ten women, mean age 58 ± 9 years) and four PTs (three women, mean age 46 ± 9 years) participated. The patients' self-reporting of adherence to the PAR was insufficient (43%), possibly due to technical problems with the electronic dairy. The PTs' fidelity to the new EG concept was satisfactory. On all levels, the new concept was generally perceived as feasible and useful for supporting personalised exercise.The frequency of exercise counselling and the fitness assessments was found by patients and PTs to be too high and rigid. Patients' cardiorespiratory fitness [ES 1.21 (95%CI 0.59, 1.89)] and core strength [ES 0.61 (95%CI 0.18, 1.06)] improved over the 6 months. Conclusions: The pilot implementation of PAR showed acceptance and satisfaction to be sufficient, thus confirming the need for evidence-based EGs, provided by a patient organisation in order to support active PA behaviour. However, adaptations are necessary to increase its feasibility for nationwide implementation. Trial Registration: SNCTP, SNCTP000002880. Registered 31 May 2018,
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Published as part of the ZHAW project: Etablierung der internationalen Bewegungsempfehlungen für Rheuma-Betroffene in den Bechterew-Bewegungsgruppen
Appears in collections:Publikationen Gesundheit

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