Clinicians' priorities for exercise programming for people receiving peritoneal dialysis: Qualitative content analysis from an international survey

Exercise and physical activity have been shown to improve health outcomes among people receiving peritoneal dialysis (PD), however, little is known about PD clinicians' perceptions and practices regarding exercise counselling. To inform exercise program design and implementation, we distributed...

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Bibliographic Details
Published in:Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis Vol. 45; no. 4; p. 234
Main Authors: Harasemiw, Oksana, Ford, Emilie, Gabrys, Iwona, Getachew, Ruth, MacRae, Jennifer, Thompson, Stephanie, Bennett, Paul N, Bohm, Clara
Format: Journal Article
Language:English
Published: United States 01.07.2025
Subjects:
Adult
Attitude of Health Personnel
Cross-Sectional Studies
Exercise
Exercise Therapy - methods
Female
Humans
Kidney Failure, Chronic - therapy
Male
Middle Aged
Peritoneal Dialysis - methods
Qualitative Research
Surveys and Questionnaires
exercise
qualitative methods
Peritoneal dialysis
physical activity
ISSN:1718-4304, 1718-4304
Online Access:Get more information
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Summary:Exercise and physical activity have been shown to improve health outcomes among people receiving peritoneal dialysis (PD), however, little is known about PD clinicians' perceptions and practices regarding exercise counselling. To inform exercise program design and implementation, we distributed a cross-sectional online questionnaire to PD clinicians between July and December 2021 through professional nephrology societies and networks. As part of this survey, participants were asked, "What are the most important aspects you would like to see incorporated in an exercise program for PD patients?" Six hundred and nine respondents provided 1249 unique perspectives. Responses were coded using summative content analysis and grouped into themes. The overarching theme identified was the need for individualized and accessible programming. Under this umbrella, the four main sub-themes identified were: promotion of specific exercises, overcoming common barriers to exercise, perceived cornerstones of exercise prescriptions, and program design to address patient-relevant outcomes. Overall, PD clinicians believed that PD does not preclude exercise participation and recognized the potential for exercise to improve physical, mental, and social well-being. The involvement of exercise professionals was valued in PD clinical programs. However, additional education for practitioners and patients regarding safety and the benefits of exercise is required to assist in widespread implementation and acceptance of exercise programming in the PD population.
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ISSN:1718-4304
1718-4304
DOI:10.1177/08968608241288999