Abstract: SA-PO450

“It’s Opened Up My Eyes to How Much I Can Actually Do”: A Mixed Methods Study Exploring the Feasibility of a Physical Activity Education Programme in CKD

Session Information

Category: Chronic Kidney Disease (Non-Dialysis)

  • 306 CKD: Cognitive Dysfunction, Depression, Quality of Life

Authors

  • Clarke, Amy L., University of Leicester, Leicester, United Kingdom
  • Mackinnon, Heather J, University of Leicester, Leicester, United Kingdom
  • Burton, James, University of Leicester, Leicester, United Kingdom
  • Smith, Alice C., University of Leicester, Leicester, United Kingdom
Background

Physical activity (PA) can improve the quality of life (QoL) and health of patients with chronic kidney disease (CKD). However, patients exhibit minimal PA, and currently, no specific pathways exist to target physical inactivity in CKD. “PACT” is a 3.5-hour structured group education programme designed to initiate PA by eliciting illness perceptions, providing basic disease education, highlighting health risks, and promoting the benefits of PA and self-regulation.

Methods

A mixed methods ‘before and after’ feasibility study of the PACT intervention to explore recruitment, retention and engagement; and patient acceptability of intervention and outcome measures. Semi-structured interviews were conducted to gain an understanding of patient experience.

Results

Overall, 75 non-dialysis CKD patients were approached and 19 (25%) were consented. 17 (90%) attended the group session, and 4 withdrew due to unrelated reasons, resulting in a 68% completion rate. Engagement with step monitoring was good during the 8 weeks of walking;11 returned PA diaries completed at a rate of 61-100%. There was a mean (CI 95%) increase in daily steps from pre-to post-intervention of 1947(-445, 4349) which produced a small-moderate effect (d=0.47). Positive changes were observed for: physical function, QoL, activation and knowledge. Our qualitative analysis found that participants enjoyed the interactive session and would recommended it; outcome assessments were for the most acceptable, and self-monitoring steps enhanced engagement. However, some participants felt that real time monitoring on a mobile app, further guidance for exercise intensity, and a greater emphasis on psychological strategies related to disease adjustment and PA motivation could improve the intervention.

Conclusion

The purpose of this trial was to determine acceptability of and engagement with the PACT protocol. Findings were positive, with some areas for refinement indicated. The trial was not powered to assess efficacy, but demonstrated potential to improve PA, and domains related to QoL. This approach to lifestyle management has great promise in CKD and deserves further attention.