{"title":"KEeP ACTIVe Club Study: Kidney Transplant Recipients' Experiences of a Physical Activity and Social Interaction Virtual Group.","authors":"Marie-Françoise Malo, Tania Janaudis-Ferreira, Aliya Affdal, Fabián-Andrés Ballesteros Gallego, Janie Boulianne-Gref, Marcelo Cantarovich, Elizabeth Ingram, Lloyd Mangahas, Catherine M Tansey, Ruth Sapir-Pichhadze, Marie-Chantal Fortin","doi":"10.1177/20543581241229254","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>It can be difficult for kidney transplant recipients (KTRs) to be physically active after their transplantation. Physical inactivity is a risk factor for cardiovascular disease, one of the leading cause of death among KTRs. To help KTRs start and maintain a physical activity routine, we developed the KEeP ACTIVe Club, a 6-month online intervention with access to a kinesiologist, a patient partner, and a private support group with an online platform (Facebook).</p><p><strong>Objective: </strong>The objective of this study was to capture the participants' experiences of the KEeP ACTIVe Club.</p><p><strong>Design: </strong>Individual interviews.</p><p><strong>Setting: </strong>The Center hospitalier de l'Université de Montréal (CHUM) and the McGill University Health Center (MUHC) kidney transplant programs.</p><p><strong>Participants: </strong>Kidney transplant recipients who participated in the KEeP ACTIVe Club.</p><p><strong>Methods: </strong>Between October and December 2021, we conducted 11 individual semi-directed interviews with KTRs from 2 urban kidney transplant programs who participated in the KEeP ACTIVe Club. The interviews were digitally recorded and transcribed. Thematic analysis was conducted.</p><p><strong>Results: </strong>Participants' principal motivation to participate in the KEeP ACTIVe Club was to improve their physical fitness following their transplant in a pandemic period. One of the main benefits of the KEeP ACTIVe Club was the improvement of participant's self-confidence and the knowledge gained regarding exercises adapted to their reality as KTRs. However, the small number of participants and the schedules of classes offered were viewed as a pitfall of the current intervention. Finally, the peer mentoring and support gained by other participants were important and viewed as highly impactful aspects of the KEeP ACTIVe Club.</p><p><strong>Limitations: </strong>Only 11 of the 18 patients who participated in the KEeP ACTIVe Club took part in the interviews.</p><p><strong>Conclusion: </strong>Participants reported a positive experience with the KEeP ACTIVe Club. Peer mentoring and support gained from other participants seem to be essential aspects of the experience within the KEeP ACTIVe Club. This program is a good avenue to offer in post-transplant care to help KTRs to be more active and to connect with other patients.</p>","PeriodicalId":9426,"journal":{"name":"Canadian Journal of Kidney Health and Disease","volume":"11 ","pages":"20543581241229254"},"PeriodicalIF":1.6000,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10854381/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Kidney Health and Disease","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/20543581241229254","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: It can be difficult for kidney transplant recipients (KTRs) to be physically active after their transplantation. Physical inactivity is a risk factor for cardiovascular disease, one of the leading cause of death among KTRs. To help KTRs start and maintain a physical activity routine, we developed the KEeP ACTIVe Club, a 6-month online intervention with access to a kinesiologist, a patient partner, and a private support group with an online platform (Facebook).
Objective: The objective of this study was to capture the participants' experiences of the KEeP ACTIVe Club.
Design: Individual interviews.
Setting: The Center hospitalier de l'Université de Montréal (CHUM) and the McGill University Health Center (MUHC) kidney transplant programs.
Participants: Kidney transplant recipients who participated in the KEeP ACTIVe Club.
Methods: Between October and December 2021, we conducted 11 individual semi-directed interviews with KTRs from 2 urban kidney transplant programs who participated in the KEeP ACTIVe Club. The interviews were digitally recorded and transcribed. Thematic analysis was conducted.
Results: Participants' principal motivation to participate in the KEeP ACTIVe Club was to improve their physical fitness following their transplant in a pandemic period. One of the main benefits of the KEeP ACTIVe Club was the improvement of participant's self-confidence and the knowledge gained regarding exercises adapted to their reality as KTRs. However, the small number of participants and the schedules of classes offered were viewed as a pitfall of the current intervention. Finally, the peer mentoring and support gained by other participants were important and viewed as highly impactful aspects of the KEeP ACTIVe Club.
Limitations: Only 11 of the 18 patients who participated in the KEeP ACTIVe Club took part in the interviews.
Conclusion: Participants reported a positive experience with the KEeP ACTIVe Club. Peer mentoring and support gained from other participants seem to be essential aspects of the experience within the KEeP ACTIVe Club. This program is a good avenue to offer in post-transplant care to help KTRs to be more active and to connect with other patients.
背景：肾移植受者（KTR）在接受移植手术后很难进行体育锻炼。缺乏运动是心血管疾病的一个危险因素，而心血管疾病是导致肾移植受者死亡的主要原因之一。为了帮助肾移植患者开始并保持日常体育锻炼，我们开发了 KEeP ACTIVe 俱乐部，这是一个为期 6 个月的在线干预项目，患者可以通过在线平台（Facebook）接触到一名运动学专家、一名患者伙伴和一个私人支持小组：本研究旨在了解参与者在 KEeP ACTIVe 俱乐部中的体验：设计：个人访谈：地点：蒙特利尔大学医院中心（CHUM）和麦吉尔大学健康中心（MUHC）肾移植项目：参加 KEeP ACTIVe 俱乐部的肾移植受者：2021 年 10 月至 12 月期间，我们对参加 KEeP ACTIVe 俱乐部的两个城市肾移植项目的肾移植受者进行了 11 次半定向访谈。对访谈进行了数字录音和转录。对访谈进行了主题分析：参与者参加 KEeP ACTIVe 俱乐部的主要动机是在大流行病时期进行移植手术后增强体质。KEeP ACTIVe 俱乐部的主要益处之一是提高了参与者的自信心，并使他们获得了适合其作为 KTR 现实情况的锻炼知识。然而，参与者人数较少和课程时间安排被视为当前干预措施的一个缺陷。最后，其他参与者提供的同伴指导和支持非常重要，并被视为 KEeP ACTIVe 俱乐部极具影响力的方面：18 名参加 KEeP ACTIVe 俱乐部的患者中只有 11 人参加了访谈：参与者在KEeP ACTIVe俱乐部中获得了积极的体验。同伴指导和来自其他参与者的支持似乎是 KEeP ACTIVe 俱乐部体验的重要方面。该计划是在移植后护理中提供的一个很好的途径，可以帮助 KTR 更积极地与其他患者建立联系。
期刊介绍：
Canadian Journal of Kidney Health and Disease, the official journal of the Canadian Society of Nephrology, is an open access, peer-reviewed online journal that encourages high quality submissions focused on clinical, translational and health services delivery research in the field of chronic kidney disease, dialysis, kidney transplantation and organ donation. Our mandate is to promote and advocate for kidney health as it impacts national and international communities. Basic science, translational studies and clinical studies will be peer reviewed and processed by an Editorial Board comprised of geographically diverse Canadian and international nephrologists, internists and allied health professionals; this Editorial Board is mandated to ensure highest quality publications.
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