Publications by authors named "R E Billany"

Introduction: The Kidney BEAM randomized controlled trial reported clinically meaningful and statistically significant improvements in mental health-related quality of life (HRQoL), physical function (sit-to-stand-60, but not the physical component of HRQoL) and patient activation after a 12-week physical activity digital health intervention (DHI). This study explores factors that contributed to the effectiveness of Kidney BEAM through mixed methods analyses.

Methods: Quantitative data analysis was obtained from the recently published primary manuscript.

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Article Synopsis
  • This scoping review focused on physical activity and sedentary behavior interventions for individuals with frailty and multiple long-term conditions (MLTCs), including their caregivers.
  • Researchers examined ten databases from 2000 to October 2023, ultimately retaining 155 papers from 144 studies, most of which were randomized controlled trials with participants averaging 73 years old.
  • The findings highlighted that most interventions centered on structured exercise, had a high adherence rate, and yielded positive outcomes, but emphasized the need for more research on habitual activity, caregiver involvement, and a deeper understanding of individual characteristics like MLTCs and ethnicity.
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Introduction: There is inequity in the provision of physical rehabilitation services for people living with chronic kidney disease (CKD). The Kidney BEAM trial evaluated the clinical value and cost effectiveness of a physical activity digital health intervention (DHI) in CKD.

Methods: In a single-blind, 11 center, randomized controlled trial, 340 adult participants with CKD were randomly assigned to either the Kidney BEAM physical activity DHI or a waitlist control.

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Article Synopsis
  • - Chronic kidney disease (CKD) is linked to an increased risk of cardiovascular disease (CVD), and as kidney function worsens, CVD prevalence, events, and mortality rates rise.
  • - Recent studies highlight the positive impact of physical activity and exercise in preventing CKD and slowing kidney function decline, while also reducing CVD risk and improving overall health.
  • - Although exercise interventions show promise for improving cardiorenal health, there's a need for more comprehensive clinical trials and better integration of these findings into patient care.
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Background: Psychological distress can be exacerbated by micro (personal) and macro (societal) worries, especially during challenging times. Exploration of this relationship in people with chronic kidney disease is limited.

Objectives: (1) To identify the types and levels of worries concerning people with chronic kidney disease in the context of the COVID-19 pandemic; (2) to explore the association of worries with psychological distress including depression, stress, anxiety, and health anxiety.

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