Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulge
Abstract Background Parastomal bulging/hernia is a common complication associated with a stoma. Strengthening of the abdominal muscles via exercise may be a useful self-management strategy. The aim of this feasibility work was to address uncertainties around testing a Pilates-based exercise interven...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-023-01329-8 |
| _version_ | 1827905655475798016 |
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| author | Julie Munro William Goodman Raymond Oliphant Sarah Russell Claire Taylor Rebecca J. Beeken Gill Hubbard |
| author_facet | Julie Munro William Goodman Raymond Oliphant Sarah Russell Claire Taylor Rebecca J. Beeken Gill Hubbard |
| author_sort | Julie Munro |
| collection | DOAJ |
| description | Abstract Background Parastomal bulging/hernia is a common complication associated with a stoma. Strengthening of the abdominal muscles via exercise may be a useful self-management strategy. The aim of this feasibility work was to address uncertainties around testing a Pilates-based exercise intervention for people with parastomal bulging. Methods An exercise intervention was developed and tested in a single-arm trial (n = 17 recruited via social media) followed by a feasibility randomised controlled trial RCT (n = 19 recruited from hospitals). Adults with an ileostomy or colostomy with a bulge or diagnosed hernia around their stoma were eligible. The intervention involved a booklet, videos, and up to 12 online sessions with an exercise specialist. Feasibility outcomes included intervention acceptability, fidelity, adherence, and retention. Acceptability of self-report measures for quality of life, self-efficacy, and physical activity were assessed based on missing data within surveys pre- and post-intervention. Interviews (n = 12) explored participants’ qualitative experiences of the intervention. Results Nineteen of 28 participants referred to the intervention completed the programme (67%) and received an average of 8 sessions, lasting a mean of 48 min. Sixteen participants completed follow-up measures (44% retention), with low levels of missing data across the different measures, apart from body image and work/social function quality of life subscales (50% and 56% missing, respectively). Themes from qualitative interviews related to the benefits of being involved, including behavioural and physical changes in addition to improved mental health. Identified barriers included time constraints and health issues. Conclusions The exercise intervention was feasible to deliver, acceptable to participants, and potentially helpful. Qualitative data suggests physical and psycholosical benefits. Strategies to improve retention need to be included in a future study. Trial registration ISRCTN, ISRCTN15207595 . Registered on 11 July 2019 |
| first_indexed | 2024-03-13T00:44:18Z |
| format | Article |
| id | doaj.art-35504f336f1444bb8f014257c7909091 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-03-13T00:44:18Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-35504f336f1444bb8f014257c79090912023-07-09T11:06:47ZengBMCPilot and Feasibility Studies2055-57842023-07-019112110.1186/s40814-023-01329-8Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulgeJulie Munro0William Goodman1Raymond Oliphant2Sarah Russell3Claire Taylor4Rebecca J. Beeken5Gill Hubbard6Department of Nursing & Midwifery, Centre for Health Sciences, University of the Highlands and IslandsLeeds Institute of Health Sciences, University of LeedsNHS Highland, Raigmore HospitalThe Ostomy StudioLondon North West University Healthcare NHS Trust & Visiting Lecturer, Chief Nursing Officer Macmillan Cancer saupport King’s CollegeLeeds Institute of Health Sciences, University of LeedsDepartment of Nursing & Midwifery, Centre for Health Sciences, University of the Highlands and IslandsAbstract Background Parastomal bulging/hernia is a common complication associated with a stoma. Strengthening of the abdominal muscles via exercise may be a useful self-management strategy. The aim of this feasibility work was to address uncertainties around testing a Pilates-based exercise intervention for people with parastomal bulging. Methods An exercise intervention was developed and tested in a single-arm trial (n = 17 recruited via social media) followed by a feasibility randomised controlled trial RCT (n = 19 recruited from hospitals). Adults with an ileostomy or colostomy with a bulge or diagnosed hernia around their stoma were eligible. The intervention involved a booklet, videos, and up to 12 online sessions with an exercise specialist. Feasibility outcomes included intervention acceptability, fidelity, adherence, and retention. Acceptability of self-report measures for quality of life, self-efficacy, and physical activity were assessed based on missing data within surveys pre- and post-intervention. Interviews (n = 12) explored participants’ qualitative experiences of the intervention. Results Nineteen of 28 participants referred to the intervention completed the programme (67%) and received an average of 8 sessions, lasting a mean of 48 min. Sixteen participants completed follow-up measures (44% retention), with low levels of missing data across the different measures, apart from body image and work/social function quality of life subscales (50% and 56% missing, respectively). Themes from qualitative interviews related to the benefits of being involved, including behavioural and physical changes in addition to improved mental health. Identified barriers included time constraints and health issues. Conclusions The exercise intervention was feasible to deliver, acceptable to participants, and potentially helpful. Qualitative data suggests physical and psycholosical benefits. Strategies to improve retention need to be included in a future study. Trial registration ISRCTN, ISRCTN15207595 . Registered on 11 July 2019https://doi.org/10.1186/s40814-023-01329-8Physical activityExerciseStomaParastomal herniaFeasibility |
| spellingShingle | Julie Munro William Goodman Raymond Oliphant Sarah Russell Claire Taylor Rebecca J. Beeken Gill Hubbard Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulge Pilot and Feasibility Studies Physical activity Exercise Stoma Parastomal hernia Feasibility |
| title | Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulge |
| title_full | Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulge |
| title_fullStr | Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulge |
| title_full_unstemmed | Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulge |
| title_short | Hernia Active Living Trial (HALT): a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia/bulge |
| title_sort | hernia active living trial halt a feasibility study of a physical activity intervention for people with a bowel stoma who have a parastomal hernia bulge |
| topic | Physical activity Exercise Stoma Parastomal hernia Feasibility |
| url | https://doi.org/10.1186/s40814-023-01329-8 |
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