Feasibility and acceptability of a brief physiotherapist-led behaviour-change intervention to facilitate walking in older people with intermittent claudication.

Melissa Galea Holmes; John Alfred Weinman; Lindsay Mary Bearne

Feasibility and acceptability of a brief physiotherapist-led behaviour-change intervention to facilitate walking in older people with intermittent claudication.

Melissa Galea Holmes, John Alfred Weinman, Lindsay Mary Bearne

Institute of Pharmaceutical Science

Research output: Chapter in Book/Report/Conference proceeding › Meeting abstract › peer-review

Abstract

Background: Walking is a recommended but underused treatment for people with intermittent claudication (IC). This study investigated the feasibility and acceptability of a randomised controlled trial (RCT) evaluating a novel physiotherapist-led intervention targeting walking in people with IC.
Methods: Qualitative semi-structured individual interviews were conducted with a purposive sample people with IC and a physiotherapist who participated in a feasibility RCT comparing MOtivating Structured walking Activity in Intermittent Claudication (MOSAIC) to an attention-control. Audio-recorded, transcribed data were analysed using the Framework Method.
Results: 12 Participants with IC (n=5 female, mean age 68 ±10years) and 1 physiotherapist (female, Agenda to Change Band 6) were included. Four themes were identified: 1) Acceptability of the research process and protocol (i.e., experiences of assessments and appointments, and suggestions for improving the study conduct); 2) Acceptability of the treatment and attention-control interventions (i.e., format and content of interventions, including mode of delivery, information provision, and materials); 3) Perceived expectations and outcomes of the treatment and attention-control interventions (i.e., prior expectations and outcomes including cognitions, behaviour-change, and walking ability); 4) Physiotherapist role as a person and professional (i.e., participant expectations of physiotherapy, individual qualities, expertise, consistency and relationship building).
Discussion: Participants and the physiotherapist supported the feasibility and acceptability of the RCT and MOSAIC, and highlighted the importance of the therapeutic relationship. Refinements to the trial process and MOSAIC were made.
Conclusion: This study demonstrated the feasibility and acceptability of an RCT evaluating a behaviour-change intervention targeting walking to participants with IC and a physiotherapist.

Original language	English
Title of host publication	Clinical Rehabilitation
Publication status	Accepted/In press - 6 Feb 2018
Event	The Society for Research in Rehabilitation Winter Meeting - Bristol, United Kingdom Duration: 6 Feb 2018 → 6 Feb 2018 Conference number: 40th

Conference

Conference	The Society for Research in Rehabilitation Winter Meeting
Abbreviated title	40th SRR
Country/Territory	United Kingdom
City	Bristol
Period	6/02/2018 → 6/02/2018

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@inbook{cf9dcb8fbb01457db8c59d3ccccae60d,

title = "Feasibility and acceptability of a brief physiotherapist-led behaviour-change intervention to facilitate walking in older people with intermittent claudication.",

abstract = "Background: Walking is a recommended but underused treatment for people with intermittent claudication (IC). This study investigated the feasibility and acceptability of a randomised controlled trial (RCT) evaluating a novel physiotherapist-led intervention targeting walking in people with IC. Methods: Qualitative semi-structured individual interviews were conducted with a purposive sample people with IC and a physiotherapist who participated in a feasibility RCT comparing MOtivating Structured walking Activity in Intermittent Claudication (MOSAIC) to an attention-control. Audio-recorded, transcribed data were analysed using the Framework Method.Results: 12 Participants with IC (n=5 female, mean age 68 ±10years) and 1 physiotherapist (female, Agenda to Change Band 6) were included. Four themes were identified: 1) Acceptability of the research process and protocol (i.e., experiences of assessments and appointments, and suggestions for improving the study conduct); 2) Acceptability of the treatment and attention-control interventions (i.e., format and content of interventions, including mode of delivery, information provision, and materials); 3) Perceived expectations and outcomes of the treatment and attention-control interventions (i.e., prior expectations and outcomes including cognitions, behaviour-change, and walking ability); 4) Physiotherapist role as a person and professional (i.e., participant expectations of physiotherapy, individual qualities, expertise, consistency and relationship building). Discussion: Participants and the physiotherapist supported the feasibility and acceptability of the RCT and MOSAIC, and highlighted the importance of the therapeutic relationship. Refinements to the trial process and MOSAIC were made.Conclusion: This study demonstrated the feasibility and acceptability of an RCT evaluating a behaviour-change intervention targeting walking to participants with IC and a physiotherapist.",

author = "{Galea Holmes}, Melissa and Weinman, {John Alfred} and Bearne, {Lindsay Mary}",

year = "2018",

month = feb,

day = "6",

language = "English",

booktitle = "Clinical Rehabilitation",

note = "The Society for Research in Rehabilitation Winter Meeting, 40th SRR ; Conference date: 06-02-2018 Through 06-02-2018",

}

TY - CHAP

T1 - Feasibility and acceptability of a brief physiotherapist-led behaviour-change intervention to facilitate walking in older people with intermittent claudication.

AU - Galea Holmes, Melissa

AU - Weinman, John Alfred

AU - Bearne, Lindsay Mary

N1 - Conference code: 40th

PY - 2018/2/6

Y1 - 2018/2/6

N2 - Background: Walking is a recommended but underused treatment for people with intermittent claudication (IC). This study investigated the feasibility and acceptability of a randomised controlled trial (RCT) evaluating a novel physiotherapist-led intervention targeting walking in people with IC. Methods: Qualitative semi-structured individual interviews were conducted with a purposive sample people with IC and a physiotherapist who participated in a feasibility RCT comparing MOtivating Structured walking Activity in Intermittent Claudication (MOSAIC) to an attention-control. Audio-recorded, transcribed data were analysed using the Framework Method.Results: 12 Participants with IC (n=5 female, mean age 68 ±10years) and 1 physiotherapist (female, Agenda to Change Band 6) were included. Four themes were identified: 1) Acceptability of the research process and protocol (i.e., experiences of assessments and appointments, and suggestions for improving the study conduct); 2) Acceptability of the treatment and attention-control interventions (i.e., format and content of interventions, including mode of delivery, information provision, and materials); 3) Perceived expectations and outcomes of the treatment and attention-control interventions (i.e., prior expectations and outcomes including cognitions, behaviour-change, and walking ability); 4) Physiotherapist role as a person and professional (i.e., participant expectations of physiotherapy, individual qualities, expertise, consistency and relationship building). Discussion: Participants and the physiotherapist supported the feasibility and acceptability of the RCT and MOSAIC, and highlighted the importance of the therapeutic relationship. Refinements to the trial process and MOSAIC were made.Conclusion: This study demonstrated the feasibility and acceptability of an RCT evaluating a behaviour-change intervention targeting walking to participants with IC and a physiotherapist.

AB - Background: Walking is a recommended but underused treatment for people with intermittent claudication (IC). This study investigated the feasibility and acceptability of a randomised controlled trial (RCT) evaluating a novel physiotherapist-led intervention targeting walking in people with IC. Methods: Qualitative semi-structured individual interviews were conducted with a purposive sample people with IC and a physiotherapist who participated in a feasibility RCT comparing MOtivating Structured walking Activity in Intermittent Claudication (MOSAIC) to an attention-control. Audio-recorded, transcribed data were analysed using the Framework Method.Results: 12 Participants with IC (n=5 female, mean age 68 ±10years) and 1 physiotherapist (female, Agenda to Change Band 6) were included. Four themes were identified: 1) Acceptability of the research process and protocol (i.e., experiences of assessments and appointments, and suggestions for improving the study conduct); 2) Acceptability of the treatment and attention-control interventions (i.e., format and content of interventions, including mode of delivery, information provision, and materials); 3) Perceived expectations and outcomes of the treatment and attention-control interventions (i.e., prior expectations and outcomes including cognitions, behaviour-change, and walking ability); 4) Physiotherapist role as a person and professional (i.e., participant expectations of physiotherapy, individual qualities, expertise, consistency and relationship building). Discussion: Participants and the physiotherapist supported the feasibility and acceptability of the RCT and MOSAIC, and highlighted the importance of the therapeutic relationship. Refinements to the trial process and MOSAIC were made.Conclusion: This study demonstrated the feasibility and acceptability of an RCT evaluating a behaviour-change intervention targeting walking to participants with IC and a physiotherapist.

M3 - Meeting abstract

BT - Clinical Rehabilitation

T2 - The Society for Research in Rehabilitation Winter Meeting

Y2 - 6 February 2018 through 6 February 2018

ER -

Feasibility and acceptability of a brief physiotherapist-led behaviour-change intervention to facilitate walking in older people with intermittent claudication.

Abstract

Conference

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