| Title |
Fit for Dialysis: a qualitative exploration of the impact of a research-based film for the promotion of exercise in hemodialysis
|
|---|---|
| Published in |
BMC Nephrology, August 2018
|
| DOI | 10.1186/s12882-018-0984-4 |
| Pubmed ID | |
| Authors |
Pia Kontos, Alisa Grigorovich, Romeo Colobong, Karen-Lee Miller, Gihad E. Nesrallah, Malcolm A. Binns, Shabbir M. H. Alibhai, Trisha Parsons, Sarbjit Vanita Jassal, Alison Thomas, Gary Naglie |
| Abstract |
Exercise improves functional outcomes and quality of life of older patients with end-stage renal disease undergoing hemodialysis. Yet exercise is not promoted as part of routine care. Health care providers and family carers rarely provide encouragement for patients to exercise, and the majority of older patients remain largely inactive. There is thus the need for a shift in the culture of hemodialysis care towards the promotion of exercise for wellness, including expectations of exercise participation by older patients, and encouragement by health care providers and family carers. Film-based educational initiatives hold promise to effect cultures of best practice, but have yet to be utilized in this population. We developed a research-based film, Fit for Dialysis, to promote exercise for wellness in hemodialysis care. Using a qualitative approach, we evaluated the effects that resulted from engagement with this film (e.g. knowledge/attitudes regarding the importance of exercise-based principles of wellness) as well as the generative mechanisms of these effects (e.g. realism, aesthetics). We also explored the factors related to patients, family carers, and health care providers that influenced engagement with the film, and the successful uptake of the key messages of Fit for Dialysis. We conducted qualitative interviews with 10 patients, 10 health care providers, and 10 family carers. Data were analyzed using thematic analysis. The film was perceived to be effective in increasing patients', family carers' and health care providers' understanding of the importance of exercise and its benefits, motivating patients to exercise, and in increasing encouragement by family carers and health care providers of patient exercise. Realism (e.g. character identification) and aesthetic qualities of the film (e.g. dialogue) were identified as central generative mechanisms. Fit for Dialysis is well-positioned to optimize the health and wellbeing of older adults undergoing hemodialysis. NCT02754271 ( ClinicalTrials.gov ), retroactively registered on April 21, 2016. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 1 | 50% |
| Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 170 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 170 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 24 | 14% |
| Student > Bachelor | 20 | 12% |
| Student > Doctoral Student | 10 | 6% |
| Researcher | 8 | 5% |
| Student > Ph. D. Student | 8 | 5% |
| Other | 22 | 13% |
| Unknown | 78 | 46% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 38 | 22% |
| Medicine and Dentistry | 15 | 9% |
| Sports and Recreations | 7 | 4% |
| Biochemistry, Genetics and Molecular Biology | 4 | 2% |
| Psychology | 4 | 2% |
| Other | 17 | 10% |
| Unknown | 85 | 50% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 August 2018.
All research outputs
#16,048,159
of 23,881,329 outputs
Outputs from BMC Nephrology
#1,507
of 2,550 outputs
Outputs of similar age
#212,284
of 332,376 outputs
Outputs of similar age from BMC Nephrology
#38
of 61 outputs
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