Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/22384
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: The development and pilot randomised controlled trial of a group education programme for promoting walking in people with intermittent claudication
Authors: Tew, Garry A
Humphreys, Liam
Crank, Helen
Hewitt, Catherine
Nawaz, Shah
Al-Jundi, Wissam
Trender, Hazel
Michaels, Jonathan
Gorely, Trish
Contact Email: trish.gorely@stir.ac.uk
Keywords: peripheral arterial disease
walking
exercise
self-management
Issue Date: Aug-2015
Publisher: SAGE
Citation: Tew GA, Humphreys L, Crank H, Hewitt C, Nawaz S, Al-Jundi W, Trender H, Michaels J & Gorely T (2015) The development and pilot randomised controlled trial of a group education programme for promoting walking in people with intermittent claudication, Vascular Medicine, 20 (4), pp. 348-357.
Abstract: The aim of this study was to develop and pilot a group education programme for promoting walking in people with intermittent claudication. Patient focus groups (n=24) and literature reviews were conducted to inform the development of the education programme, which involves a three-hour group-based education workshop and follow-up telephone support. A pilot study was subsequently conducted in which 23 new patients (Rutherford category 1–3) were randomly assigned to usual care (control) or usual care plus the education programme. Outcomes were assessed at baseline and six weeks including daily steps (tri-axial accelerometer), walking capacity (six-minute walk test and Gardner treadmill test), and quality of life (Intermittent Claudication Questionnaire [ICQ]). Exit interviews were conducted to assess the acceptability and usefulness of the programme. Compared with controls, the intervention group had superior walking capacity and quality of life at six weeks. Mean differences in six-minute walk distance, treadmill maximum walking distance and ICQ score were 44.9 m (95% confidence interval [CI], 6.9 to 82.9), 173 m (95% CI, 23 to 322), and −10.6 (95% CI, −18.9 to −2.3), respectively. The daily step count did not differ between groups. The exit interviews indicated that participants valued attending the programme, that it gave them a greater understanding of their condition, and that they had been walking more for exercise since attending. The results suggest that the education programme is feasible, acceptable, and potentially useful for improving walking capacity and quality of life. A fully-powered trial exploring clinical and cost effectiveness is needed.
Type: Journal Article
URI: http://hdl.handle.net/1893/22384
DOI Link: http://dx.doi.org/10.1177/1358863X15577857
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of York
Sheffield Hallam University
Sheffield Hallam University
University of York
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
University of Sheffield
Sport

Files in This Item:
File Description SizeFormat 
TEW 2015 Vasc Med sedric pilot.pdf493.21 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.