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Fit for Dialysis: a prospective 2-site parallel intervention trial of a filmed research-based drama to increase exercise amongst older hemodialysis patients

  • Nephrology - Original Paper
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Abstract

Purpose

The present study aimed to evaluate the impact of a filmed research-based drama—Fit for Dialysis—and an exercise program on patients’ physical activity and fitness outcomes.

Methods

Nineteen (10 at the intervention site, 9 at the control site) older patients with a medical diagnosis of hemodialysis-dependent end-stage renal disease were recruited from two acute care hospitals in urban central Canada where they were receiving out-patient hemodialysis care. Participants at the intervention site viewed Fit for Dialysis prior to participating in a 16-week exercise program. Participants at the control site participated only in the 16-week exercise program. Physical activity, measured by total intradialytic exercise time (TIDE), and physical fitness, measured by the Two-Minute Walk Test (2MWT). Secondary measures included: Timed Up and Go (TUG), Grip Strength, Duke Activity Status Index (DASI), Godin Leisure-Time Exerciser Questionnaire (GLTEQ), and pedometer step count.

Results

TIDE, TUG, and GLTEQ were better at the intervention site compared to the control site at all time points measured. However, the change over time was not different between the sites. The 2MWT improved over time at the intervention site for those who exercised consistently. No significant differences between sites, or over time were found for any of the other measures.

Conclusions

Further research is needed to determine the effectiveness of this intervention to facilitate the incorporation of exercise into the care and treatment of HD patients.

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Funding

The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: The study was funded by the Canadian Institutes of Health Research Operating Grant MOP–133433. G. Naglie is supported by the George, Margaret and Gary Hunt Family Chair in Geriatric Medicine, University of Toronto. A. Grigorovich was supported by a CIHR postdoctoral fellowship (Health System Impact).

Author information

Authors and Affiliations

  1. KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada

    Pia Kontos, Romeo Colobong, Alisa Grigorovich, Luis Ivan Palma Lazgare & Gary Naglie

  2. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

    Pia Kontos & Malcolm Binns

  3. Data and Analytic Services, ICES Central, Toronto, ON, Canada

    Luis Ivan Palma Lazgare

  4. Department of Medicine, University of Toronto, Toronto, ON, Canada

    Shabbir Alibhai, Sarbjit Vanita Jassal & Gary Naglie

  5. Institute of Health Policy, Management and Evaluation, Toronto, ON, Canada

    Shabbir Alibhai & Gary Naglie

  6. Department of Medicine, University Health Network, Toronto, ON, Canada

    Shabbir Alibhai

  7. School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada

    Trisha Parsons

  8. Department of Nephrology, Humber River Hospital, Toronto, ON, Canada

    Gihad Nesrallah

  9. Division of Nephrology, University Health Network, Toronto, ON, Canada

    Sarbjit Vanita Jassal

  10. St. Michael’s Hospital, Toronto, ON, Canada

    Alison Thomas

  11. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada

    Alison Thomas

  12. Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada

    Malcolm Binns & Gary Naglie

  13. Department of Medicine, Baycrest Health Sciences, Toronto, ON, Canada

    Gary Naglie

Authors
  1. Pia Kontos
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  2. Romeo Colobong
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  8. Gihad Nesrallah
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  9. Sarbjit Vanita Jassal
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  10. Alison Thomas
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Contributions

All authors contributed to the study conception and design. Material preparation and data collection were conducted by PK and RC. Analysis was performed by LIPL and MB. The first draft of the manuscript was written by PK, RC, AG, MB, SA, TP, and GN, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Pia Kontos.

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The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

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Kontos, P., Colobong, R., Grigorovich, A. et al. Fit for Dialysis: a prospective 2-site parallel intervention trial of a filmed research-based drama to increase exercise amongst older hemodialysis patients. Int Urol Nephrol 53, 1223–1230 (2021). https://doi.org/10.1007/s11255-020-02745-y

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