Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment.
In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Giuseppe Regolisti [verfasserIn] Umberto Maggiore [verfasserIn] Alice Sabatino [verfasserIn] Ilaria Gandolfini [verfasserIn] Sarah Pioli [verfasserIn] Claudia Torino [verfasserIn] Filippo Aucella [verfasserIn] Adamasco Cupisti [verfasserIn] Valentina Pistolesi [verfasserIn] Alessandro Capitanini [verfasserIn] Giorgia Caloro [verfasserIn] Mariacristina Gregorini [verfasserIn] Yuri Battaglia [verfasserIn] Marcora Mandreoli [verfasserIn] Lucia Dani [verfasserIn] Giovanni Mosconi [verfasserIn] Vincenzo Bellizzi [verfasserIn] Biagio Raffaele Di Iorio [verfasserIn] Paolo Conti [verfasserIn] Enrico Fiaccadori [verfasserIn] Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Übergeordnetes Werk: |
In: PLoS ONE - Public Library of Science (PLoS), 2007, 13(2018), 4, p e0196313 |
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| Übergeordnetes Werk: |
volume:13 ; year:2018 ; number:4, p e0196313 |
| Links: |
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| DOI / URN: |
10.1371/journal.pone.0196313 |
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| Katalog-ID: |
DOAJ03840513X |
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| 520 | |a In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. | ||
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10.1371/journal.pone.0196313 doi (DE-627)DOAJ03840513X (DE-599)DOAJ58fd4cf5d08a41068ebfca7dbe04d995 DE-627 ger DE-627 rakwb eng Giuseppe Regolisti verfasserin aut Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment. 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. Medicine R Science Q Umberto Maggiore verfasserin aut Alice Sabatino verfasserin aut Ilaria Gandolfini verfasserin aut Sarah Pioli verfasserin aut Claudia Torino verfasserin aut Filippo Aucella verfasserin aut Adamasco Cupisti verfasserin aut Valentina Pistolesi verfasserin aut Alessandro Capitanini verfasserin aut Giorgia Caloro verfasserin aut Mariacristina Gregorini verfasserin aut Yuri Battaglia verfasserin aut Marcora Mandreoli verfasserin aut Lucia Dani verfasserin aut Giovanni Mosconi verfasserin aut Vincenzo Bellizzi verfasserin aut Biagio Raffaele Di Iorio verfasserin aut Paolo Conti verfasserin aut Enrico Fiaccadori verfasserin aut Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 13(2018), 4, p e0196313 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:13 year:2018 number:4, p e0196313 https://doi.org/10.1371/journal.pone.0196313 kostenfrei https://doaj.org/article/58fd4cf5d08a41068ebfca7dbe04d995 kostenfrei http://europepmc.org/articles/PMC5922547?pdf=render kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2018 4, p e0196313 |
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10.1371/journal.pone.0196313 doi (DE-627)DOAJ03840513X (DE-599)DOAJ58fd4cf5d08a41068ebfca7dbe04d995 DE-627 ger DE-627 rakwb eng Giuseppe Regolisti verfasserin aut Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment. 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. Medicine R Science Q Umberto Maggiore verfasserin aut Alice Sabatino verfasserin aut Ilaria Gandolfini verfasserin aut Sarah Pioli verfasserin aut Claudia Torino verfasserin aut Filippo Aucella verfasserin aut Adamasco Cupisti verfasserin aut Valentina Pistolesi verfasserin aut Alessandro Capitanini verfasserin aut Giorgia Caloro verfasserin aut Mariacristina Gregorini verfasserin aut Yuri Battaglia verfasserin aut Marcora Mandreoli verfasserin aut Lucia Dani verfasserin aut Giovanni Mosconi verfasserin aut Vincenzo Bellizzi verfasserin aut Biagio Raffaele Di Iorio verfasserin aut Paolo Conti verfasserin aut Enrico Fiaccadori verfasserin aut Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 13(2018), 4, p e0196313 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:13 year:2018 number:4, p e0196313 https://doi.org/10.1371/journal.pone.0196313 kostenfrei https://doaj.org/article/58fd4cf5d08a41068ebfca7dbe04d995 kostenfrei http://europepmc.org/articles/PMC5922547?pdf=render kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2018 4, p e0196313 |
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10.1371/journal.pone.0196313 doi (DE-627)DOAJ03840513X (DE-599)DOAJ58fd4cf5d08a41068ebfca7dbe04d995 DE-627 ger DE-627 rakwb eng Giuseppe Regolisti verfasserin aut Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment. 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. Medicine R Science Q Umberto Maggiore verfasserin aut Alice Sabatino verfasserin aut Ilaria Gandolfini verfasserin aut Sarah Pioli verfasserin aut Claudia Torino verfasserin aut Filippo Aucella verfasserin aut Adamasco Cupisti verfasserin aut Valentina Pistolesi verfasserin aut Alessandro Capitanini verfasserin aut Giorgia Caloro verfasserin aut Mariacristina Gregorini verfasserin aut Yuri Battaglia verfasserin aut Marcora Mandreoli verfasserin aut Lucia Dani verfasserin aut Giovanni Mosconi verfasserin aut Vincenzo Bellizzi verfasserin aut Biagio Raffaele Di Iorio verfasserin aut Paolo Conti verfasserin aut Enrico Fiaccadori verfasserin aut Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 13(2018), 4, p e0196313 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:13 year:2018 number:4, p e0196313 https://doi.org/10.1371/journal.pone.0196313 kostenfrei https://doaj.org/article/58fd4cf5d08a41068ebfca7dbe04d995 kostenfrei http://europepmc.org/articles/PMC5922547?pdf=render kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2018 4, p e0196313 |
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10.1371/journal.pone.0196313 doi (DE-627)DOAJ03840513X (DE-599)DOAJ58fd4cf5d08a41068ebfca7dbe04d995 DE-627 ger DE-627 rakwb eng Giuseppe Regolisti verfasserin aut Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment. 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. Medicine R Science Q Umberto Maggiore verfasserin aut Alice Sabatino verfasserin aut Ilaria Gandolfini verfasserin aut Sarah Pioli verfasserin aut Claudia Torino verfasserin aut Filippo Aucella verfasserin aut Adamasco Cupisti verfasserin aut Valentina Pistolesi verfasserin aut Alessandro Capitanini verfasserin aut Giorgia Caloro verfasserin aut Mariacristina Gregorini verfasserin aut Yuri Battaglia verfasserin aut Marcora Mandreoli verfasserin aut Lucia Dani verfasserin aut Giovanni Mosconi verfasserin aut Vincenzo Bellizzi verfasserin aut Biagio Raffaele Di Iorio verfasserin aut Paolo Conti verfasserin aut Enrico Fiaccadori verfasserin aut Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 13(2018), 4, p e0196313 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:13 year:2018 number:4, p e0196313 https://doi.org/10.1371/journal.pone.0196313 kostenfrei https://doaj.org/article/58fd4cf5d08a41068ebfca7dbe04d995 kostenfrei http://europepmc.org/articles/PMC5922547?pdf=render kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2018 4, p e0196313 |
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10.1371/journal.pone.0196313 doi (DE-627)DOAJ03840513X (DE-599)DOAJ58fd4cf5d08a41068ebfca7dbe04d995 DE-627 ger DE-627 rakwb eng Giuseppe Regolisti verfasserin aut Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment. 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. Medicine R Science Q Umberto Maggiore verfasserin aut Alice Sabatino verfasserin aut Ilaria Gandolfini verfasserin aut Sarah Pioli verfasserin aut Claudia Torino verfasserin aut Filippo Aucella verfasserin aut Adamasco Cupisti verfasserin aut Valentina Pistolesi verfasserin aut Alessandro Capitanini verfasserin aut Giorgia Caloro verfasserin aut Mariacristina Gregorini verfasserin aut Yuri Battaglia verfasserin aut Marcora Mandreoli verfasserin aut Lucia Dani verfasserin aut Giovanni Mosconi verfasserin aut Vincenzo Bellizzi verfasserin aut Biagio Raffaele Di Iorio verfasserin aut Paolo Conti verfasserin aut Enrico Fiaccadori verfasserin aut Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 13(2018), 4, p e0196313 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:13 year:2018 number:4, p e0196313 https://doi.org/10.1371/journal.pone.0196313 kostenfrei https://doaj.org/article/58fd4cf5d08a41068ebfca7dbe04d995 kostenfrei http://europepmc.org/articles/PMC5922547?pdf=render kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2018 4, p e0196313 |
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Giuseppe Regolisti @@aut@@ Umberto Maggiore @@aut@@ Alice Sabatino @@aut@@ Ilaria Gandolfini @@aut@@ Sarah Pioli @@aut@@ Claudia Torino @@aut@@ Filippo Aucella @@aut@@ Adamasco Cupisti @@aut@@ Valentina Pistolesi @@aut@@ Alessandro Capitanini @@aut@@ Giorgia Caloro @@aut@@ Mariacristina Gregorini @@aut@@ Yuri Battaglia @@aut@@ Marcora Mandreoli @@aut@@ Lucia Dani @@aut@@ Giovanni Mosconi @@aut@@ Vincenzo Bellizzi @@aut@@ Biagio Raffaele Di Iorio @@aut@@ Paolo Conti @@aut@@ Enrico Fiaccadori @@aut@@ Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia @@aut@@ |
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interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: a quantitative assessment |
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Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment. |
| abstract |
In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. |
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In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. |
| abstract_unstemmed |
In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ03840513X</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230308021720.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230227s2018 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1371/journal.pone.0196313</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ03840513X</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ58fd4cf5d08a41068ebfca7dbe04d995</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Giuseppe Regolisti</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Interaction of healthcare staff's attitude with barriers to physical activity in hemodialysis patients: A quantitative assessment.</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. 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