A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study

Abstract Background We hypothesise that a physical activity (PA) intervention will improve the quality of life (QoL) of people with a stoma. A feasibility study of the intervention and trial parameters is necessary to inform a future main trial. Methods Participants received a weekly PA consultation...

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Main Authors: Gill Hubbard, Claire Taylor, Angus J. M. Watson, Julie Munro, William Goodman, Rebecca J. Beeken
Format: Article
Language:English
Published: BMC 2020-02-01
Series:Pilot and Feasibility Studies
Online Access:https://doi.org/10.1186/s40814-020-0560-0
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spelling doaj-03c42ee18d4c4661a944acd15a90a9362021-02-07T12:16:46ZengBMCPilot and Feasibility Studies2055-57842020-02-016111510.1186/s40814-020-0560-0A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility studyGill Hubbard0Claire Taylor1Angus J. M. Watson2Julie Munro3William Goodman4Rebecca J. Beeken5Department of Nursing and Midwifery, Centre for Health Science, University of the Highlands and IslandsSt Mark’s Hospital, London North West University Healthcare NHS TrustDepartment of Surgery, Raigmore Hospital, NHS HighlandDepartment of Nursing and Midwifery, Centre for Health Science, University of the Highlands and IslandsLeeds Institute of Health Sciences, University of LeedsLeeds Institute of Health Sciences, University of LeedsAbstract Background We hypothesise that a physical activity (PA) intervention will improve the quality of life (QoL) of people with a stoma. A feasibility study of the intervention and trial parameters is necessary to inform a future main trial. Methods Participants received a weekly PA consultation by telephone, video conferencing, or face-to-face for 12 weeks with a PA instructor who prescribed physical activities and supported participants by addressing stoma-related concerns and using behaviour change techniques. A feasibility study of the intervention and trial parameters was conducted in three UK sites using mixed methods. Results The number of eligible patients consenting to the study was 30 out of 174 (17%). Most participants were female (73%); 73% had an ileostomy and 27% a colostomy; mean time since diagnosis was 6 months. A total of 18 (64%) participants completed pre- (baseline) and post-intervention (follow-up) measures. Results show an improvement on all scales measuring QoL and disease-specific fatigue. The median PA consultation rate per participant was eight sessions. Participants reported completing 75% or more of the prescribed PA each week. Eight stoma-related themes were identified from qualitative interviews: fear of hernia, bending down, fatigue, pain, prolapse, surgical wounds, stoma appliance, and stigma. The intervention appeared to address these issues. Conclusion This feasibility study demonstrated that a novel manualised PA intervention for people with a stoma is safe, feasible, and acceptable, and shows promise for improving outcomes. However, difficulties with recruitment will need to be carefully considered to ensure the success of future studies in this area. Trial registration ISCTN, ISRCTN58613962 ; Registered 14/9/2017.https://doi.org/10.1186/s40814-020-0560-0
collection DOAJ
language English
format Article
sources DOAJ
author Gill Hubbard
Claire Taylor
Angus J. M. Watson
Julie Munro
William Goodman
Rebecca J. Beeken
spellingShingle Gill Hubbard
Claire Taylor
Angus J. M. Watson
Julie Munro
William Goodman
Rebecca J. Beeken
A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study
Pilot and Feasibility Studies
author_facet Gill Hubbard
Claire Taylor
Angus J. M. Watson
Julie Munro
William Goodman
Rebecca J. Beeken
author_sort Gill Hubbard
title A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study
title_short A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study
title_full A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study
title_fullStr A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study
title_full_unstemmed A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study
title_sort physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study
publisher BMC
series Pilot and Feasibility Studies
issn 2055-5784
publishDate 2020-02-01
description Abstract Background We hypothesise that a physical activity (PA) intervention will improve the quality of life (QoL) of people with a stoma. A feasibility study of the intervention and trial parameters is necessary to inform a future main trial. Methods Participants received a weekly PA consultation by telephone, video conferencing, or face-to-face for 12 weeks with a PA instructor who prescribed physical activities and supported participants by addressing stoma-related concerns and using behaviour change techniques. A feasibility study of the intervention and trial parameters was conducted in three UK sites using mixed methods. Results The number of eligible patients consenting to the study was 30 out of 174 (17%). Most participants were female (73%); 73% had an ileostomy and 27% a colostomy; mean time since diagnosis was 6 months. A total of 18 (64%) participants completed pre- (baseline) and post-intervention (follow-up) measures. Results show an improvement on all scales measuring QoL and disease-specific fatigue. The median PA consultation rate per participant was eight sessions. Participants reported completing 75% or more of the prescribed PA each week. Eight stoma-related themes were identified from qualitative interviews: fear of hernia, bending down, fatigue, pain, prolapse, surgical wounds, stoma appliance, and stigma. The intervention appeared to address these issues. Conclusion This feasibility study demonstrated that a novel manualised PA intervention for people with a stoma is safe, feasible, and acceptable, and shows promise for improving outcomes. However, difficulties with recruitment will need to be carefully considered to ensure the success of future studies in this area. Trial registration ISCTN, ISRCTN58613962 ; Registered 14/9/2017.
url https://doi.org/10.1186/s40814-020-0560-0
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