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Increasing the uptake of exercise programs in the dialysis unit: a protocol for a realist synthesis

Overview of attention for article published in Systematic Reviews, April 2016
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Title
Increasing the uptake of exercise programs in the dialysis unit: a protocol for a realist synthesis
Published in
Systematic Reviews, April 2016
DOI 10.1186/s13643-016-0224-6
Pubmed ID
Authors

Stephanie Thompson, Alex Clark, Anita Molzahn, Scott Klarenbach, Marcello Tonelli

Abstract

For people with end-stage kidney disease on hemodialysis, exercise during the dialysis treatment (intradialytic exercise) may promote exercise adherence and enhance aspects of the dialysis treatment. However, intradialytic exercise programs are complex and how to adapt program components to local context so that the program is more likely to attain its intended health outcomes have not been well described. To increase the uptake of exercise in clinical practice, more evidence is needed on how contextual factors influence the program's impact. Using the realist approach, we aim to understand how the processes and structures of intradialytic exercise programs work to influence patient participation according to different contextual factors. The focus of a realist review is explanatory and aims to develop and test theory on how contextual factors trigger specific processes or behaviors (or "mechanisms") to produce outcomes. Using the realist context-mechanism-outcome configuration of theory development, we will use a range of sources to develop initial candidate theories: a scoping review of published papers and the gray literature, and discussion with stakeholders. To provide a theoretical basis for how contextual factors could work to influence patient participation in intradialytic exercise (IDE), several of our preliminary theories will be based on dominant theories of exercise adherence and behavior change. To support or refute these initial theories, we will synthesize data from a systematic literature review and semi-structured interviews with intradialytic exercise program stakeholders, sampled from a range of programs worldwide. The complexity of intradialytic exercise programs poses challenges to their implementation. Using the "context, mechanism, outcome" approach, the knowledge gained from this study will be used to develop general recommendations for renal care providers and administration on how to adapt components of an intradialytic exercise programs according to different contextual factors in order to promote patient participation. PROSPERO CRD42016033335.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 60 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 60 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 9 15%
Student > Master 8 13%
Researcher 5 8%
Student > Doctoral Student 4 7%
Student > Bachelor 3 5%
Other 12 20%
Unknown 19 32%
Readers by discipline Count As %
Nursing and Health Professions 13 22%
Medicine and Dentistry 11 18%
Sports and Recreations 4 7%
Social Sciences 4 7%
Unspecified 3 5%
Other 7 12%
Unknown 18 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 02 May 2016.
All research outputs
#14,278,028
of 25,374,917 outputs
Outputs from Systematic Reviews
#1,466
of 2,229 outputs
Outputs of similar age
#144,776
of 313,614 outputs
Outputs of similar age from Systematic Reviews
#28
of 45 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,229 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.2. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 313,614 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.