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
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, incl...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2022
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| Online Access: | http://hdl.handle.net/20.500.11937/94030 |
| _version_ | 1848765833690480640 |
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| author | Lepesis, V. Marsden, J. Paton, J. Rickard, A. Latour, Jos |
| author_facet | Lepesis, V. Marsden, J. Paton, J. Rickard, A. Latour, Jos |
| author_sort | Lepesis, V. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T11:41:32Z |
| format | Journal Article |
| id | curtin-20.500.11937-94030 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:41:32Z |
| publishDate | 2022 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-940302024-01-24T00:27:26Z 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 Lepesis, V. Marsden, J. Paton, J. Rickard, A. Latour, Jos Adherence Barriers Diabetes Exercise Mobilisations Physiotherapy Aged Ankle Diabetes Mellitus Exercise Therapy Humans Patient Compliance Physical Therapy Modalities Ankle Humans Diabetes Mellitus Exercise Therapy Patient Compliance Aged Physical Therapy Modalities 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. 2022 Journal Article http://hdl.handle.net/20.500.11937/94030 10.1186/s13047-022-00512-z eng http://creativecommons.org/licenses/by/4.0/ fulltext |
| spellingShingle | Adherence Barriers Diabetes Exercise Mobilisations Physiotherapy Aged Ankle Diabetes Mellitus Exercise Therapy Humans Patient Compliance Physical Therapy Modalities Ankle Humans Diabetes Mellitus Exercise Therapy Patient Compliance Aged Physical Therapy Modalities Lepesis, V. Marsden, J. Paton, J. Rickard, A. Latour, Jos 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 |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Adherence Barriers Diabetes Exercise Mobilisations Physiotherapy Aged Ankle Diabetes Mellitus Exercise Therapy Humans Patient Compliance Physical Therapy Modalities Ankle Humans Diabetes Mellitus Exercise Therapy Patient Compliance Aged Physical Therapy Modalities |
| url | http://hdl.handle.net/20.500.11937/94030 |