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High INtensity Interval Training in pATiEnts with Intermittent Claudication: A Qualitative Acceptability Study. | LitMetric

AI Article Synopsis

  • A new high-intensity interval training (HIIT) program for patients with intermittent claudication (IC) was found to be feasible and beneficial, prompting researchers to gather patient feedback for further development.
  • Semi-structured interviews were conducted with patients who either completed the program, declined participation, or discontinued early; the analysis revealed three main themes: personal reflections, barriers and facilitators, and perceived benefits of the program.
  • Participants who completed the HIIT program reported positive experiences and health improvements, highlighting the need for program adjustments to address logistical and motivational challenges, which supports the idea of conducting further research through a larger randomized controlled trial.

Article Abstract

Background: A novel high-intensity interval training (HIIT) program has demonstrated feasibility for patients with intermittent claudication (IC). The aim of this study was to explore patient perspectives of the HIIT program to inform refinement and future research.

Methods: All patients screened and eligible for the 'high intensity interval training in patients with intermittent claudication (INITIATE)' study were eligible to take part in a semistructured interview. A convenience subsample of patients was selected from 3 distinct groups: 1) those who completed the HIIT program, 2) those who prematurely discontinued the HIIT program, and 3) those who declined the HIIT program. Interviews considered patients views of the program and experiences of undertaking and/or being invited to undertake it. Interviews were audio recorded, transcribed verbatim, and analyzed via thematic analysis.

Results: Eleven out of 31 participants who completed the program and 12 out of 38 decliners were interviewed. No participants who withdrew from the program agreed to interview. The 3 key themes were; personal reflections of the program; program facilitators and barriers; and perceived benefits. Completers enjoyed taking part, reported symptomatic improvement and would complete it again. Practical and psychological barriers exist, such as transport and motivation. Changes to the program were suggested.

Conclusions: Findings support the acceptability of this novel HIIT program, which in combination with the feasibility findings, suggest that a fully powered randomized controlled trial, comparing HIIT to usual-care supervised exercise programs is warranted.

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Source
http://dx.doi.org/10.1016/j.avsg.2023.11.043DOI Listing

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