“It's put a routine and regimen in my life” – participant experiences with a programme of community walking and home-based circuit training for intermittent claudication

Waddell, Alexander ORCID: https://orcid.org/0000-0002-9880-655X, Denton, Francesca, Powell, Richard ORCID: https://orcid.org/0000-0001-6746-6778, Broom, David R, Birkett, Stefan T, McGregor, Gordon ORCID: https://orcid.org/0000-0001-8963-9107 and Harwood, Amy E ORCID: https://orcid.org/0000-0002-5745-2564 (2024) “It's put a routine and regimen in my life” – participant experiences with a programme of community walking and home-based circuit training for intermittent claudication. Journal of Vascular Nursing, 42 (4). pp. 276-281. ISSN 1062-0303

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Abstract

Introduction: The WALKSTRONG trial includes a programme of community walking and home-based circuit training which has been developed for people with intermittent claudication (IC). The aim of the present study was to determine the acceptability of the programme for those who took part, by gleaning their opinions and experiences. Methods: All participants eligible for the WALKSTRONG trial were approached regarding completing a semi-structured interview, selected from three groups: A) programme completers, B) programme withdrawers and C) programme decliners. Interviewers were interested in participants’ views on the programme structure, willingness to participate, and the experiences of those who did take part. Interviews were audio recorded, transcribed verbatim and thematic analysis was undertaken. Results: Five of the 14 participants in the intervention group and four of the 20 programme decliners agreed to an interview. The one who withdrew from the exercise programme did not consent to be interviewed. The three themes that emerged from the interviews were: 1) ‘overall positive experiences with the programme, 2) ‘importance of guidance and pain management’, and 3) ‘barriers are both similar to supervised exercise and unique to home-based programmes’. The programme was well received by programme completers, with some aspects preferred over others. Some participants reported improvements in both physical activity behaviour and IC symptoms, and would recommend the programme to others. Conclusion: The home-based circuit programme received several recommendations for further improvement. Along with the feasibility findings, a fully powered, randomised controlled trial of this intervention is warranted. Trial registration: NCT05059899.