Developing and Refining an Acceptable Nordic Walking Intervention for People with Inflammatory Rheumatic Diseases
PHE ePoster Library. Domaille M. Sep 12, 2019; 274462; 256
Mrs. Melissa Domaille
Mrs. Melissa Domaille
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Abstract BackgroundPeople with inflammatory rheumatic diseases (IRD) find it difficult to stay physically active. Nordic Walking (NW) is a whole-body physical activity involving walking with poles. This study explored the acceptability of tailored NW in people with IRD. MethodsThe NW intervention involved a 30-minute training session provided by a NW instructor and rheumatology physiotherapist, followed by ten, one-hour group sessions over ten weeks. A rest point was provided and flexible walking routes enabled participants to self-select pace and distance. Inclusion: adults with a confirmed diagnosis of IRD from University Hospitals Bristol NHS Foundation Trust following informed consent.The self-reported 36-item RAND Health Survey was completed at baseline and post-intervention. All participants took part in a semi-structured audio-recorded focus group or interview post-intervention. Audio-recordings were transcribed verbatim and analysed thematically.
Target recruitment was achieved (n=24: 18F:6M; mean age 60 years, range 35-82) N=13 rheumatoid arthritis (RA), n=5 axial spondyloarthropathy, n=3 systemic vasculitis. n=1 psoriatic arthritis, n=1 connective tissue disease (CTD) and n=1 both RA and CTD. Mean attendance was 8/10 sessions. RAND data suggested a trend towards improvement in energy/fatigue, emotional well-being and role functioning due to emotional limitations. Qualitative data provided insights into the acceptability of the intervention with emerging themes of ‘enjoyment', ‘learning a new skill', ‘support from group', ‘improvements in well-being' and ‘physical benefits'.
This tailored delivery of NW has the potential to offer an acceptable, beneficial and sustainable physical activity for people with inflammatory rheumatic diseases. External funding details Research Capability Funding
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