The Library
A longitudinal, qualitative study exploring sustained adherence to a hand exercise programme for Rheumatoid Arthritis evaluated in the SARAH Trial
Tools
Nichols, Vivien P., Williamson, Esther M., Toye, Francine and Lamb, S. E. (Sallie E.) (2017) A longitudinal, qualitative study exploring sustained adherence to a hand exercise programme for Rheumatoid Arthritis evaluated in the SARAH Trial. Disability and Rehabilitation, 39 (18). pp. 1856-1863. doi:10.1080/09638288.2016.1212111 ISSN 0963-8288.
PDF
WRAP_FINAL Main paper.pdf - Accepted Version - Requires a PDF viewer. Download (1929Kb) |
Official URL: http://dx.doi.org/10.1080/09638288.2016.1212111
Abstract
Purpose:
This study explores the experience of participants taking part in a hand exercise programme for people with rheumatoid arthritis with a focus on adherence. The exercise programme was tested in a randomised controlled trial. This parallel qualitative study will inform future implementation into clinical practice.
Method:
Twenty-seven semi-structured interviews from 14 participants were undertaken at 2 time points (4 and 12 months after randomisation). We collected data of participants’ experiences over time. This was guided by an interview schedule. Interview data were analysed using interpretative phenomenological analysis which is informed by phenomenological and hermeneutic theory. We recruited participants from National Health Service rheumatology and therapy departments.
Results:
At 4 months, 11/14 participants reported continuing with the exercises. By 12 months, 7/13 participants still reported exercising. The ability to establish a routine determined whether participants adhered to the exercise programme. This was sometimes influenced by practical issues. We also identified facilitators and barriers to regular exercise in the themes of – the therapeutic encounter, perceived benefit of exercises, attitude of mind, confidence and unpredictability.
Conclusions:
Establishing a routine was an important step towards participants being able to exercise independently. Therapists provided participants with skills to continue to exercise while dealing with changes in symptoms and schedules. Potential barriers to long term exercise adherence need to be taken into account and addressed for successful implementation of this programme.
Item Type: | Journal Article | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RC Internal medicine | ||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||||
Library of Congress Subject Headings (LCSH): | Rheumatoid arthritis | ||||||||||
Journal or Publication Title: | Disability and Rehabilitation | ||||||||||
Publisher: | Taylor & Francis Ltd. | ||||||||||
ISSN: | 0963-8288 | ||||||||||
Official Date: | 2017 | ||||||||||
Dates: |
|
||||||||||
Volume: | 39 | ||||||||||
Number: | 18 | ||||||||||
Page Range: | pp. 1856-1863 | ||||||||||
DOI: | 10.1080/09638288.2016.1212111 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||
Date of first compliant deposit: | 9 September 2016 | ||||||||||
Date of first compliant Open Access: | 24 August 2017 | ||||||||||
Funder: | National Institute for Health Research (Great Britain) (NIHR) |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year