scholarly journals An Exercise Programme for Smoking Cessation: Perceptions of the Fit2quit Trial Intervention

2014 ◽  
Vol 11 (3) ◽  
pp. 135-142 ◽  
Author(s):  
Vaughan Roberts ◽  
Leila Pfaeffli Dale ◽  
Enid Dorey ◽  
Christopher Bullen ◽  
Ralph Maddison
Keyword(s):  
Smoking Cessation ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Qualitative Evaluation ◽  
Exercise Programme ◽  
Telephone Counselling ◽  
Exercise Interventions ◽  
Support Person ◽  
Face To Face ◽  
Call Schedule

Introduction: Few trials of exercise interventions for smoking cessation have included a qualitative evaluation of the intervention from the participants' perspective.Aims: To determine the perceptions of participants who received a 6-month telephone counselling exercise intervention to aid smoking cessation.Methods: Participants in the Fit2Quit study intervention group were asked to take part in a semi-structured phone interview. All interviews were digitally recorded and transcribed verbatim, and a general inductive approach to data analysis was followed.Results/Findings: Twenty participants from the intervention group completed an interview. The following themes emerged from the analyses: (1) The support people were genuinely interested in what I was achieving, (2) new awareness, new attitude, new lifestyle: I could see the benefits, (3) lack of time, willpower and money stopped me from changing and (4) I would have preferred a “more hands on” approach: Recommendations for future programmes.Conclusions: A telephone counselling intervention to enhance exercise for smoking cessation was well received. Aspects of the intervention, particularly the provision of support and encouragement from the participant support person, were beneficial. Suggested improvements were greater tailoring of the call schedule, greater face-to-face contact and provision of a buddy system or support group. Such improvements may increase adherence and, therefore, effectiveness of exercise interventions for smoking cessation.

scholarly journals Effectiveness of a self-managed digital exercise programme to prevent falls in older community-dwelling adults: study protocol for the Safe Step randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e036194 ◽  
Author(s):  
Beatrice Pettersson ◽  
Lillemor Lundin-Olsson ◽  
Dawn A Skelton ◽  
Per Liv ◽  
Magnus Zingmark ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Exercise Intervention ◽  
Controlled Trial ◽  
Exercise Programme ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Ethical Review ◽  
Exercise Interventions ◽  
Educational Videos ◽  
Randomised Controlled

IntroductionExercise interventions have a strong evidence base for falls prevention. However, exercise can be challenging to implement and often has limited reach and poor adherence. Digital technology provides opportunities for both increased access to the intervention and support over time. Further knowledge needs to be gained regarding the effectiveness of completely self-managed digital exercise interventions. The main objective of this study is to compare the effectiveness of a self-managed digital exercise programme, Safe Step, in combination with monthly educational videos with educational videos alone, on falls over 1 year in older community-dwelling adults.Methods and analysisA two-arm parallel randomised controlled trial will be conducted with at least 1400 community-living older adults (70+ years) who experience impaired balance. Participants will be recruited throughout Sweden with enrolment through the project website. They will be randomly allocated to either the Safe Step exercise programme with additional monthly educational videos about healthy ageing and fall prevention, or the monthly education videos alone. Participants receiving the exercise intervention will be asked to exercise at home for at least 30 min, 3 times/week with support of the Safe Step application. The primary outcome will be rate of falls (fall per person year). Participants will keep a fall calendar and report falls at the end of each month through a digital questionnaire. Further assessments of secondary outcomes will be made through self-reported questionnaires and a self-test of 30 s chair stand test at baseline and 3, 6, 9 and 12 months after study start. Data will be analysed according to the intention-to-treat principle.Ethics and disseminationEthical approval was obtained by The Regional Ethical Review Board in Umeå (Dnr 2018/433-31). Findings will be disseminated through the project web-site, peer-reviewed journals, national and international conferences and through senior citizen organisations’ newsletters.Trial registration numberNCT03963570.

scholarly journals “It was just for us”: qualitative evaluation of an exercise intervention for African-American couples

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lyndsey M. Hornbuckle ◽  
Cristina S. Barroso ◽  
Amy Rauer ◽  
Chloe S. Jones ◽  
Kerri M. Winters-Stone
Keyword(s):  
African American ◽  
Health Disparities ◽  
Exercise Intervention ◽  
Exercise Adherence ◽  
Qualitative Evaluation ◽  
Romantic Partners ◽  
Gradual Transition ◽  
Cardiometabolic Health ◽  
Exercise Interventions

Abstract Background Promoting long-term exercise adherence should be a key focus for health and fitness professionals working to reduce obesity and cardiometabolic health disparities, and all-cause mortality in inactive African-American (AA) adults. Data have suggested that romantic partners can improve long-term exercise adherence and that this dyadic approach should be examined in exercise interventions. Therefore, the purpose of this study was to conduct a qualitative evaluation of a pilot exercise intervention conducted in older AA couples. Methods Two semi-structured focus groups were utilized to compare participants’ perceptions of and experiences during the pilot intervention across two randomly assigned treatment conditions (exercising together with partner [ET; n = 8] versus exercising separately [ES: n = 6]). Participants (mean age: 64.7 ± 6.8 years) of a previous 12-week pilot exercise intervention (walking ≥3 days/week, 30 min/day plus supervised resistance training 2 days/week) were interviewed. Verbatim transcripts were coded using an open coding approach. Results Three key themes (intervention value/benefits, intervention difficulties, and suggested improvements) emerged. Although all couples identified health and relationship benefits of the intervention, some differences surfaced within themes across the two intervention groups. Conclusions Overall, these qualitative data suggest that couples had a positive experience while participating in the pilot study. In addition, key learning points to improve the intervention were identified including a more gradual transition to independent exercise, more flexibility training, and the incorporation of tangential education. These data will help investigators continue to develop the intervention, which is ultimately designed to promote long-term exercise adherence to reduce cardiometabolic health disparities in the AA community.

scholarly journals Using a theoretical approach to identify factors influencing adherence to an exercise programme for adults with venous leg ulcers

2016 ◽  
Vol 23 (5) ◽  
pp. 691-700 ◽  
Author(s):  
Jane O’Brien ◽  
Kathleen Finlayson ◽  
Graham Kerr ◽  
Lillie Shortridge-Baggett ◽  
Helen Edwards
Keyword(s):  
Self Efficacy ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Outcome Expectations ◽  
Exercise Programme ◽  
Care Group ◽  
Leg Ulcers ◽  
Fear Avoidance Beliefs ◽  
Venous Leg Ulcers ◽  
Home Based

This study assessed the relationships between self-efficacy, outcome expectations, fear-avoidance beliefs and adherence to an exercise for a home-based exercise programme for adults with venous leg ulcers. Patients ( n=63) were randomised to receive either an intervention or usual care group. Of those in the exercise intervention group, 59per cent adhered to the exercise protocol more than 75per cent of the time. There was a significant relationship between self-efficacy and outcome expectations, and both of these constructs were significantly related to adherence to the leg exercise programme. Adherence significantly correlated with wound healing indicating a possible pathway to healing.

scholarly journals Precision-Exercise-Prescription in patients with lung cancer undergoing surgery: rationale and design of the PEP study trial

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e024672 ◽  
Author(s):  
Cornelia M Ulrich ◽  
Caroline Himbert ◽  
Kenneth Boucher ◽  
David W Wetter ◽  
Rachel Hess ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Problem Solving ◽  
Exercise Intervention ◽  
Exercise Prescription ◽  
Controlled Trial ◽  
Clinical Care ◽  
Intervention Group ◽  
Exercise Programme ◽  
Behavioural Treatment ◽  
Patient Reported

IntroductionLung cancer is a significant burden on societies worldwide, and the most common cause of death in patients with cancer overall. Exercise intervention studies in patients with lung cancer have consistently shown benefits with respect to physical and emotional functioning. However, to date, exercise training has not been consistently implemented into clinical practice given that interventions have been costly and not aligned with clinical care.Methods/designThe Precision-Exercise-Prescription (PEP) study is a prospective randomised controlled trial comparing the effectiveness and feasibility of a personalised intervention exercise programme among patients with lung cancer undergoing surgery. Two-hundred patients who are diagnosed with stage primary or secondary lung cancer and are eligible to undergo surgical treatment at Huntsman Cancer Institute comprise the target population. Patients are randomised to either the (1) outpatient precision-exercise intervention group or (2) delayed intervention group. The intervention approach uses Motivation and Problem Solving, a hybrid behavioural treatment based on motivational interviewing and practical problem solving. The dosage of the exercise intervention is personalised based on the individual’s Activity Measure for Post-Acute-Care outpatient basic mobility score, and incorporates four exercise modes: mobility, callisthenics, aerobic and resistance. Exercise is implemented by physical therapists at study visits from presurgery until 6 months postsurgery. The primary endpoint is the level of physical function assessed by 6 min walk distance at 2 months postsurgery. Secondary outcomes include patient-reported outcomes (eg, quality of life, fatigue and self-efficacy) and other clinical outcomes, including length of stay, complications, readmission, pulmonary function and treatment-related costs up to 6 months postsurgery.Ethics/disseminationThe PEP study will test the clinical effectiveness and feasibility of a personalised exercise intervention in patients with lung cancer undergoing surgery. Outcomes of this clinical trial will be presented at national and international conferences and symposia and will be published in international, peer-reviewed journals. Ethics approval was obtained at the University of Utah (IRB 00104671).Trial registration numberNCT03306992.

Mortality and Incidence of Chest Pain after an Exercise Intervention Programme

1980 ◽  
Vol 8 (3) ◽  
pp. 99-104
Author(s):  
Pekka Oja ◽  
Kalevi Pyörälä ◽  
Risto Kärävä ◽  
Sven Punsar
Keyword(s):  
Physical Activity ◽  
Chest Pain ◽  
Exercise Intervention ◽  
Reference Group ◽  
Intervention Group ◽  
Exercise Programme ◽  
Control Group ◽  
Intervention Programme ◽  
Pain Symptoms

One hundred and sixty-six middle-aged Finnish men free of clinical coronary heart disease (CHD), but having at least one CHD risk factor, participated in an 18-month controlled exercise intervention study, one-half as an exercising group and the other half as a matched control group; thereafter all 166 followed a partially controlled exercise programme for the next year. These men formed the intervention group for the present follow-up study covering the subsequent 6 years. The reference group for the follow-up comprised 152 men who fulfilled the same inclusion critera for the original study as the intervention subjects, but who had been excluded from the study for non-medical reasons, mainly because they could not be pair-matched. Mortality statistics were collected, and a postal questionnaire on chest pain symptoms and physical activity was sent to all of the men 8 years after the start of the study. One CHD death and four other deaths occurred in the reference group, and one CHD and no other deaths in the intervention group. Severe chest pain possibly suggestive of myocardial infarction was more common in the reference group than in the intervention group, but no difference was found in angina pectoris symptoms. The level of recent physical activity or smoking did not affect the chest pain symptoms independently.

scholarly journals Determining the effects of exercise after smoking cessation therapy completion on continuous abstinence from smoking: Japanese study protocol

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Yuka Ozaki ◽  
Maki Komiyama ◽  
Kenji Ueshima ◽  
Hiroyasu Iso ◽  
Satoko Sakata ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Developed Countries ◽  
Abstinence Rate ◽  
Psychological State ◽  
Control Group ◽  
Randomized Controlled ◽  
Continuous Abstinence ◽  
Smoking Cessation Therapy

Abstract Background Despite a steady world-wide decline over recent decades, rates of smoking remain high in developed countries. In Japan, 30% of men and 10% of women are smokers. Based on these rates, 18.8 million (14.06 million men and 4.74 million women) in Japan are smokers. The rate of success for smoking cessation has recently improved due to the widespread availability of drug therapy; however, the success rate for quitting smoking one year after beginning therapy is only around 50%. Previous studies have demonstrated that exercise can relieve mental stress during continuous abstinence from smoking and curb smoking resumption. To date, no large-scale, randomized controlled trials have examined the effects of exercise on smoking cessation. The present study aims to determine the effects of exercise instruction on continuous abstinence from smoking after completion of smoking cessation therapy. Methods This is a multicenter, prospective, parallel-group, randomized controlled trial in Japan. We will enroll 300 individuals visiting a smoking cessation clinic (over 3 months) who have abstained from smoking in the second month after their initial visit as potential participants. Participants will not habitually exercise and will need to consent to participate. Participants will be randomly assigned to the exercise intervention group or control group. The intervention group will receive instruction on exercises that can be incorporated into their daily lives. The control group will be followed during the standard smoking cessation support program. The primary endpoint will be the continuous abstinence rate, and secondary endpoints will be weight, blood pressure, exhaled carbon monoxide concentration, psychological state, and blood test results. These indices will be compared between the intervention and control groups, with follow-up periods of 9 months in both groups. Discussion By examining the effects of exercise instruction after completion of 12-week smoking cessation therapy, this study should yield quality information that can be used to develop protocols to improve the continuous abstinence rate and inhibit weight gain after smoking cessation therapy. Trial registration UMIN Clinical Trials Registry, UMIN000014615. Registered on 1 October 2014.

Abstract P186: “It Was Just For Us”: Qualitative Evaluation Of An Exercise Intervention For Older African-american Couples

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Lyndsey M Hornbuckle ◽  
Cristina S Barroso ◽  
Amy Rauer ◽  
Chloe S Jones ◽  
Kerri M Winters-Stone
Keyword(s):  
African American ◽  
Health Disparities ◽  
Process Evaluation ◽  
Exercise Intervention ◽  
Exercise Adherence ◽  
Qualitative Evaluation ◽  
Romantic Partners ◽  
Cardiometabolic Health ◽  
Exercise Interventions

Introduction: Promoting long-term exercise adherence should be a key focus for health and fitness professionals working to reduce obesity and cardiometabolic health disparities, and all-cause mortality in inactive African-American (AA) adults. Data have suggested that romantic partners can improve long-term exercise adherence and that this dyadic approach should be examined in exercise interventions. Therefore, the purpose of this study was to conduct a qualitative process evaluation of a pilot exercise intervention conducted in older AA couples. The intervention itself examined whether exercising together influenced exercise adherence and cardiometabolic risk. Methods: Two semi-structured focus groups were utilized to compare experiences across two randomly assigned treatment conditions (exercising together with partner [ET: n=8] versus exercising separately [ES: n=6]). Participants (mean age: 64.7±6.8 years; body mass index 30.4±4.8 kg/m 2 ) of a previous 12-week pilot exercise intervention (walking ≥3 days/week, 30 minutes/day plus supervised resistance training 2 days/week) were interviewed. Investigators used guidelines for process evaluation and the context of the intervention to design the focus group guide. Verbatim transcripts were coded using an open coding approach. Results: Three key themes emerged (Table 1). Although all couples identified health and relationship benefits of the intervention, some differences surfaced within themes across the two intervention groups. Conclusions: These data will help investigators continue to develop the intervention, which is ultimately designed to promote long-term exercise adherence to reduce cardiometabolic health disparities in the AA community.

The Effect of Exercise and Distraction on Blood Pressure Recovery Following an Anger-Provoking Stressor in Normotensive Young Adults

2015 ◽  
Vol 29 (2) ◽  
pp. 45-54 ◽  
Author(s):  
Faye S. Routledge ◽  
Judith A. McFetridge-Durdle ◽  
Marilyn Macdonald ◽  
Lynn Breau ◽  
Tavis Campbell
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Health ◽  
Exercise Intervention ◽  
Recovery Period ◽  
Intervention Group ◽  
Exercise Group ◽  
State Anger ◽  
Increased Risk ◽  
Anger Reactivity ◽  
Quiet Sitting

Ruminating about a prior anger provoking event is found to elevate blood pressure (BP) and delay BP recovery. Delayed BP recovery may be associated with increased risk of hypertension. Interventions that improve BP recovery may be beneficial for cardiovascular health. The purposes of this study were to evaluate the influence of rumination and anger on BP reactivity and recovery, to compare the effect of an exercise intervention or distraction intervention on BP recovery and to explore if exercise improved BP recovery by distracting participants from stressor-related rumination and anger. Healthy, normotensive participants (n = 79, mean age 22.2 ± 4.0 years) underwent an anger-recall interview stressor task, 3 min of exercise (walking), distraction (reading) or no-intervention (quiet sitting) and a 15 min recovery period. State anger reactivity was associated with Δ diastolic (D) BP reactivity and approached significance with Δ systolic (S) BP reactivity. Trait rumination was associated with greater SBP during recovery. Δ SBP recovery did not differ between the exercise, distraction and no-intervention groups. Although there were no differences in Δ DBP recovery between the exercise and no-intervention groups, distraction improved Δ DBP recovery compared to the exercise intervention but not the no-intervention. The proportion of anger-related thoughts (state rumination) in the exercise group did not differ from the distraction or no-intervention groups. However, a smaller proportion of participants in the distraction intervention reported an anger-related thought during recovery compared to the no-intervention group with 76% of their thoughts relating to the provided distraction. Overall, post-stressor exercise was not found to improve BP recovery while reading was effective at distracting individuals from angry thoughts (state rumination) but had no effect on BP compared to no-intervention.

scholarly journals Telephone counselling for smoking cessation

2019 ◽  
Author(s):  
William Matkin ◽  
José M. Ordóñez-Mena ◽  
Jamie Hartmann-Boyce
Keyword(s):  
Smoking Cessation ◽  
Telephone Counselling
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