Experiences of foot and ankle mobilisations combined with home stretches in people with diabetes: a qualitative study embedded in a proof-of-concept randomised controlled trial
dc.contributor.author | Lepesis, V. | |
dc.contributor.author | Marsden, J. | |
dc.contributor.author | Paton, J. | |
dc.contributor.author | Rickard, A. | |
dc.contributor.author | Latour, Jos | |
dc.date.accessioned | 2023-12-26T06:26:40Z | |
dc.date.available | 2023-12-26T06:26:40Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Lepesis, V. and Marsden, J. and Paton, J. and Rickard, A. and Latour, J.M. 2022. Experiences of foot and ankle mobilisations combined with home stretches in people with diabetes: a qualitative study embedded in a proof-of-concept randomised controlled trial. Journal of Foot and Ankle Research. 15 (1): 7. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/94030 | |
dc.identifier.doi | 10.1186/s13047-022-00512-z | |
dc.description.abstract |
Background: The benefits of exercise and staying active are widely reported in the literature, however adherence and engagement with exercise amongst people with long-term illness and diabetes is poor. Physiotherapy aims to promote independence and physical activity using a range of strategies, including manual therapy and education/advice on exercises. However, low adherence impacts negatively on treatment outcomes. In this study, the practicality of physiotherapy interventions in patients who participate in a proof-of-concept (PoC) randomised controlled trial (RCT) will be considered. Aim: To explore the experiences of people with diabetes who received an intervention package of foot and ankle mobilisations combined with home stretches for a 6-week period. Design: An embedded qualitative study in a proof-of-concept RCT using semi-structured interviews and thematic analysis. Participants: Purposive sample of 16 participants (mean age 73 years) with a diagnosis of diabetes (mean duration 13.4 years) were recruited. Results: Analysis revealed seven themes informing the adherence and non-adherence to the exercise intervention. Themes describing the positive experiences were: 1) support from others to do the exercises; 2) psychological factors to motivate exercise adherence; 2) physical factors contributing to exercise adherence; 4) acceptability of home exercises during and beyond the study. Other themes described barriers: 5) social factors that contributed to exercise disengagement; 6) emotional limitations that influence exercise avoidance; 7) physical circumstances that made exercise participation burdensome. Themes highlighted positive influences by physiotherapists, the motivation of doing exercises while participating in a study, improving the perceived range of motion in their foot and ankle and reducing discomfort in these joints whilst being more active with daily activities. Conclusion: Our findings highlighted that the intervention of foot and ankle mobilisations combined with home stretches is feasible for study participants. Psycho-social support, self-efficacy, and physiotherapy support are motivational to adhere to the study intervention and might contribute to the success of a full-scale RCT. | |
dc.language | eng | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Adherence | |
dc.subject | Barriers | |
dc.subject | Diabetes | |
dc.subject | Exercise | |
dc.subject | Mobilisations | |
dc.subject | Physiotherapy | |
dc.subject | Aged | |
dc.subject | Ankle | |
dc.subject | Diabetes Mellitus | |
dc.subject | Exercise Therapy | |
dc.subject | Humans | |
dc.subject | Patient Compliance | |
dc.subject | Physical Therapy Modalities | |
dc.subject | Ankle | |
dc.subject | Humans | |
dc.subject | Diabetes Mellitus | |
dc.subject | Exercise Therapy | |
dc.subject | Patient Compliance | |
dc.subject | Aged | |
dc.subject | Physical Therapy Modalities | |
dc.title | Experiences of foot and ankle mobilisations combined with home stretches in people with diabetes: a qualitative study embedded in a proof-of-concept randomised controlled trial | |
dc.type | Journal Article | |
dcterms.source.volume | 15 | |
dcterms.source.number | 1 | |
dcterms.source.issn | 1757-1146 | |
dcterms.source.title | Journal of Foot and Ankle Research | |
dc.date.updated | 2023-12-26T06:26:37Z | |
curtin.department | Curtin School of Nursing | |
curtin.accessStatus | Open access | |
curtin.faculty | Faculty of Health Sciences | |
curtin.contributor.orcid | Latour, Jos [0000-0001-9677-8340] [0000-0002-8087-6461] | |
curtin.contributor.researcherid | Latour, Jos [ABE-9521-2020] | |
curtin.identifier.article-number | 7 | |
dcterms.source.eissn | 1757-1146 | |
curtin.contributor.scopusauthorid | Latour, Jos [23019310400] [57218590755] | |
curtin.repositoryagreement | V3 |