Move more: Development and testing of a novel, patient-centered physical activity program in hemodialysis patients

This dissertation is a comprised of four studies that examine the effectiveness of an innovative patient-centered physical activity (PA) program for individuals undergoing hemodialysis (HD) treatment. Previous research has established the importance of PA for HD, and exercise interventions have demonstrated modest improvements in physical function, quality of life (QOL), and patient-reported outcomes (PROMs). Many interventions, however, have only included a limited number of prescribed exercises, which may not allow patients to participate in activities they or would benefit from the most. The purpose of this dissertation was to test the effectiveness of an individualized PA program in a HD setting to enhance overall wellness, physical function, and PROMs. Study 1 assessed the feasibility and initial efficacy of an 8-week MOVE MORE program in in HD patients by tracking PA participation using a point system that is based on the MET-minutes associated with different activities. The study found that the program increased estimated energy expenditure, reduced sedentary behavior, and alleviated depressive symptoms. Study 2 compared the effectiveness of MOVE MORE program to a more targeted exercise program consisting of standard intradialytic cycling (IDC) and demonstrated that the individualized program was effective in increasing PA minutes. Study 3 examined the sustainability of the program during a 12-week maintenance phase, finding that patients continued to engage in PA without external motivation. Study 4 investigated the impact of PA program on the dimensions of wellness, finding that participation in exercise had positive impacts on physical, social, emotional, and intellectual wellness. These studies underscore the importance of implementing a personalized approach to increase PA participation and reduce sedentary time in individualized undergoing HD treatment. The studies’ limitations include small sample sizes and self-reported data, which can be addressed in future research to minimize bias.

Name thesis:degree_name

Ph.D.

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Kinesiology

Grantor

University of Illinois at Urbana-Champaign

Year dc:date

2023

Author dc:creator

• King, Alexis C

Contributors dc:contributor

• Wilund, Ken
• Chiu, Chung-Yi
• Burd, Nick
• Wilkinson, Tom

• Physical Activity
• Hemodialysis

Statement dc:rights

• Copyright 2023 Alexis King

Language dc:language

en, eng

Handle dc:identifier

https://hdl.handle.net/2142/120239

OAI record oai:identifier

https://www.ideals.illinois.edu/oai-pmh?verb=GetRecord&metadataPrefix=etdms&identifier=oai%3Awww.ideals.illinois.edu%3A2142%2F120239