Participants' experiences and acceptability of a home-based walking exercise behaviour-change intervention (MOtivating Structure walking Activity in people with Intermittent Claudication (MOSAIC))

TY - JOUR

T1 - Participants' experiences and acceptability of a home-based walking exercise behaviour-change intervention (MOtivating Structure walking Activity in people with Intermittent Claudication (MOSAIC))

AU - Volkmer, Brittannia

AU - Sekhon, Mandeep

AU - Bieles, Julie

AU - Fisher, Graham

AU - Galea Holmes, Melissa N

AU - Quirke-McFarlane, Sophia

AU - Modarai, Bijan

AU - Peacock, Janet

AU - Sackley, Catherine

AU - Weinman, John

AU - Bearne, Lindsay M

N1 - Funding Information: This study was supported by a grant from the Dunhill Medical Trust , United Kingdom ( R477/0516 ). Publisher Copyright: © 2023 The Author(s)

PY - 2024/3

Y1 - 2024/3

N2 - Objectives: This study explored the experiences and acceptability of a novel, home-based, walking exercise behaviour-change intervention (MOtivating Structured walking Activity in people with Intermittent Claudication (MOSAIC)) in adults with Peripheral Arterial Disease (PAD). Design and setting: Individual semi-structured audio-recorded interviews were conducted with adults with Peripheral Arterial Disease who had completed the MOSAIC intervention as part of a randomised clinical trial. Data were analysed using inductive reflexive thematic analysis and interpreted using the seven-construct theoretical framework of acceptability of healthcare interventions (TFA). Participants: Twenty participants (mean age (range) 67(54−80) years, 70% male, 55% White British) were interviewed. Results: One central theme was identified: Acceptability of walking exercise as a treatment. This theme was explained by four linked themes: Exploring walking exercise with a knowledgeable professional, Building confidence with each step, Towards self-management-learning strategies to continue walking and The impact of walking exercise. These themes were interpreted using six of the seven TFA constructs: affective attitude, burden, perceived effectiveness, intervention coherence, opportunity costs, and self-efficacy. Conclusions: Participants perceived MOSAIC as an effective, acceptable, and low burden intervention. Physiotherapists were regarded as knowledgeable and supportive professionals who helped participants understand PAD and walking exercise as a treatment. Participants developed confidence to self-manage their condition and their symptoms. As participants confidence and walking capacity improved, they expanded their activities and gained a more positive outlook on their future. MOSAIC is an acceptable intervention that may facilitate adoption of and access to exercise for people with PAD. Implications for practice: • The MOtivating Structured walking Activity in people with Intermittent Claudication (MOSAIC) intervention was perceived as an effective, low burden and acceptable intervention by participants. • Physiotherapists were regarded as knowledgeable and supportive professionals who helped participants understand PAD and walking exercise as a treatment. • MOSAIC helped participants improve their confidence to self-manage their condition and as their walking capacity improved participants expanded their activities and gained a more positive outlook on their future. • Implementation of MOSAIC may facilitate adoption of and access to exercise therapy for people with PAD.

AB - Objectives: This study explored the experiences and acceptability of a novel, home-based, walking exercise behaviour-change intervention (MOtivating Structured walking Activity in people with Intermittent Claudication (MOSAIC)) in adults with Peripheral Arterial Disease (PAD). Design and setting: Individual semi-structured audio-recorded interviews were conducted with adults with Peripheral Arterial Disease who had completed the MOSAIC intervention as part of a randomised clinical trial. Data were analysed using inductive reflexive thematic analysis and interpreted using the seven-construct theoretical framework of acceptability of healthcare interventions (TFA). Participants: Twenty participants (mean age (range) 67(54−80) years, 70% male, 55% White British) were interviewed. Results: One central theme was identified: Acceptability of walking exercise as a treatment. This theme was explained by four linked themes: Exploring walking exercise with a knowledgeable professional, Building confidence with each step, Towards self-management-learning strategies to continue walking and The impact of walking exercise. These themes were interpreted using six of the seven TFA constructs: affective attitude, burden, perceived effectiveness, intervention coherence, opportunity costs, and self-efficacy. Conclusions: Participants perceived MOSAIC as an effective, acceptable, and low burden intervention. Physiotherapists were regarded as knowledgeable and supportive professionals who helped participants understand PAD and walking exercise as a treatment. Participants developed confidence to self-manage their condition and their symptoms. As participants confidence and walking capacity improved, they expanded their activities and gained a more positive outlook on their future. MOSAIC is an acceptable intervention that may facilitate adoption of and access to exercise for people with PAD. Implications for practice: • The MOtivating Structured walking Activity in people with Intermittent Claudication (MOSAIC) intervention was perceived as an effective, low burden and acceptable intervention by participants. • Physiotherapists were regarded as knowledgeable and supportive professionals who helped participants understand PAD and walking exercise as a treatment. • MOSAIC helped participants improve their confidence to self-manage their condition and as their walking capacity improved participants expanded their activities and gained a more positive outlook on their future. • Implementation of MOSAIC may facilitate adoption of and access to exercise therapy for people with PAD.

KW - Adult

KW - Humans

KW - Male

KW - Aged

KW - Female

KW - Intermittent Claudication/therapy

KW - Exercise Therapy

KW - Walking

KW - Exercise

KW - Peripheral Arterial Disease/diagnosis

UR - http://www.scopus.com/inward/record.url?scp=85183636141&partnerID=8YFLogxK

U2 - 10.1016/j.physio.2023.09.002

DO - 10.1016/j.physio.2023.09.002

M3 - Article

C2 - 38266395

SN - 0031-9406

VL - 122

SP - 70

EP - 79

JO - PHYSIOTHERAPY

JF - PHYSIOTHERAPY

ER -