Move more: Development and testing of a novel, patient-centered physical activity program in hemodialysis patients

King, Alexis C

Permalink

https://hdl.handle.net/2142/120239 Copy

Description

Title

Move more: Development and testing of a novel, patient-centered physical activity program in hemodialysis patients

Author(s)

King, Alexis C

Issue Date

2023-04-14

Director of Research (if dissertation) or Advisor (if thesis)

Wilund, Ken

Doctoral Committee Chair(s)

Wilund, Ken

Committee Member(s)

• Chiu, Chung-Yi
• Burd, Nick
• Wilkinson, Tom

Department of Study

Kinesiology & Community Health

Discipline

Kinesiology

Degree Granting Institution

University of Illinois at Urbana-Champaign

Degree Name

Ph.D.

Degree Level

Dissertation

Keyword(s)

physical activity, hemodialysis

Abstract

This dissertation is a comprised of four studies that examine the effectiveness of an innovative patient-centered physical activity (PA) program for individuals undergoing hemodialysis (HD) treatment. Previous research has established the importance of PA for HD, and exercise interventions have demonstrated modest improvements in physical function, quality of life (QOL), and patient-reported outcomes (PROMs). Many interventions, however, have only included a limited number of prescribed exercises, which may not allow patients to participate in activities they or would benefit from the most. The purpose of this dissertation was to test the effectiveness of an individualized PA program in a HD setting to enhance overall wellness, physical function, and PROMs. Study 1 assessed the feasibility and initial efficacy of an 8-week MOVE MORE program in in HD patients by tracking PA participation using a point system that is based on the MET-minutes associated with different activities. The study found that the program increased estimated energy expenditure, reduced sedentary behavior, and alleviated depressive symptoms. Study 2 compared the effectiveness of MOVE MORE program to a more targeted exercise program consisting of standard intradialytic cycling (IDC) and demonstrated that the individualized program was effective in increasing PA minutes. Study 3 examined the sustainability of the program during a 12-week maintenance phase, finding that patients continued to engage in PA without external motivation. Study 4 investigated the impact of PA program on the dimensions of wellness, finding that participation in exercise had positive impacts on physical, social, emotional, and intellectual wellness. These studies underscore the importance of implementing a personalized approach to increase PA participation and reduce sedentary time in individualized undergoing HD treatment. The studies’ limitations include small sample sizes and self-reported data, which can be addressed in future research to minimize bias.

Graduation Semester

2023-05

Type of Resource

Thesis

Copyright and License Information

Copyright 2023 Alexis King

Owning Collections