High INtensity Interval Training in pATiEnts with Intermittent Claudication:  A Qualitative Acceptability Study

Sean A Pymer; Amy E Harwood; Saïd  Ibeggazene; Gordon McGregor; Chao Huang; Adam R Nicholls; Lee Ingle; Judith  Long; Marjorie Rooms; Ian C  Chetter; Maureen  Twiddy

doi:10.1016/j.avsg.2023.11.043

High INtensity Interval Training in pATiEnts with Intermittent Claudication: A Qualitative Acceptability Study

Sean A Pymer
, Amy E Harwood
, Saïd Ibeggazene
, Gordon McGregor
, Chao Huang
, Adam R Nicholls
, Lee Ingle
, Judith Long
, Marjorie Rooms
, Ian C Chetter
, Maureen Twiddy

University of Warwick
Hull York Medical School
University Hospital Coventry
University of Hull
University Hospitals Coventry and Warwickshire NHS Trust

Research output: Contribution to journal › Article › peer-review

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Abstract

INTRODUCTION: A novel high-intensity interval training (HIIT) programme has demonstrated feasibility for patients with intermittent claudication (IC). The aim of this study was to explore patient perspectives of the HIIT programme to inform refinement and future research.

METHODS: All patients screened and eligible for the 'high intensity interval training in patients with intermittent claudication (INITIATE)' study, were eligible to take part in a semi-structured interview. A convenience subsample of patients was selected from three distinct groups: 1) those who completed the HIIT programme, 2) those who prematurely discontinued the HIIT programme and 3) those who declined the HIIT programme. Interviews considered patients views of the programme and experiences of undertaking and/or being invited to undertake it. Interviews were audio recorded, transcribed verbatim and analysed via thematic analysis.

RESULTS: Eleven out of 31 participants who completed the programme and twelve out of 38 decliners were interviewed. No participants who withdrew from the programme agreed to interview. The three key themes were; personal reflections of the programme; programme facilitators and barriers; and perceived benefits. Completers enjoyed taking part, reported symptomatic improvement and would complete it again. Practical and psychological barriers exist, such as transport and motivation. Changes to the programme were suggested.

CONCLUSION: Findings support the acceptability of this novel HIIT programme, which in combination with the feasibility findings, suggest that a fully powered randomised controlled trial, comparing HIIT to usual-care supervised exercise programmes is warranted.

Original language	English
Pages (from-to)	17-24
Number of pages	8
Journal	Annals of Vascular Surgery
Volume	102
Early online date	30 Jan 2024
DOIs	https://doi.org/10.1016/j.avsg.2023.11.043
Publication status	Published - 1 May 2024

Bibliographical note

2024 The Author(s). Published by Elsevier Inc. This is an open access
article under the CC BY license (http://creativecommons.org/licenses/by/
4.0/).

Funder

This study is funded by the NIHR [Research for Patient Benefit program ( PB-PG-0418-20014 )].

Funding

This study is funded by the NIHR [Research for Patient Benefit program ( PB-PG-0418-20014 )].

Funders	Funder number
National Institute for Health and Care Research	PB-PG-0418-20014

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Cite this

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title = "High INtensity Interval Training in pATiEnts with Intermittent Claudication: A Qualitative Acceptability Study",

abstract = "INTRODUCTION: A novel high-intensity interval training (HIIT) programme has demonstrated feasibility for patients with intermittent claudication (IC). The aim of this study was to explore patient perspectives of the HIIT programme to inform refinement and future research.METHODS: All patients screened and eligible for the 'high intensity interval training in patients with intermittent claudication (INITIATE)' study, were eligible to take part in a semi-structured interview. A convenience subsample of patients was selected from three distinct groups: 1) those who completed the HIIT programme, 2) those who prematurely discontinued the HIIT programme and 3) those who declined the HIIT programme. Interviews considered patients views of the programme and experiences of undertaking and/or being invited to undertake it. Interviews were audio recorded, transcribed verbatim and analysed via thematic analysis.RESULTS: Eleven out of 31 participants who completed the programme and twelve out of 38 decliners were interviewed. No participants who withdrew from the programme agreed to interview. The three key themes were; personal reflections of the programme; programme facilitators and barriers; and perceived benefits. Completers enjoyed taking part, reported symptomatic improvement and would complete it again. Practical and psychological barriers exist, such as transport and motivation. Changes to the programme were suggested.CONCLUSION: Findings support the acceptability of this novel HIIT programme, which in combination with the feasibility findings, suggest that a fully powered randomised controlled trial, comparing HIIT to usual-care supervised exercise programmes is warranted.",

author = "Pymer, \{Sean A\} and Harwood, \{Amy E\} and Sa{\"i}d Ibeggazene and Gordon McGregor and Chao Huang and Nicholls, \{Adam R\} and Lee Ingle and Judith Long and Marjorie Rooms and Chetter, \{Ian C\} and Maureen Twiddy",

note = " 2024 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/ 4.0/).",

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doi = "10.1016/j.avsg.2023.11.043",

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T1 - High INtensity Interval Training in pATiEnts with Intermittent Claudication

T2 - A Qualitative Acceptability Study

AU - Pymer, Sean A

AU - Harwood, Amy E

AU - Ibeggazene, Saïd

AU - McGregor, Gordon

AU - Huang, Chao

AU - Nicholls, Adam R

AU - Ingle, Lee

AU - Long , Judith

AU - Rooms, Marjorie

AU - Chetter, Ian C

AU - Twiddy, Maureen

N1 - 2024 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/ 4.0/).

PY - 2024/5/1

Y1 - 2024/5/1

N2 - INTRODUCTION: A novel high-intensity interval training (HIIT) programme has demonstrated feasibility for patients with intermittent claudication (IC). The aim of this study was to explore patient perspectives of the HIIT programme to inform refinement and future research.METHODS: All patients screened and eligible for the 'high intensity interval training in patients with intermittent claudication (INITIATE)' study, were eligible to take part in a semi-structured interview. A convenience subsample of patients was selected from three distinct groups: 1) those who completed the HIIT programme, 2) those who prematurely discontinued the HIIT programme and 3) those who declined the HIIT programme. Interviews considered patients views of the programme and experiences of undertaking and/or being invited to undertake it. Interviews were audio recorded, transcribed verbatim and analysed via thematic analysis.RESULTS: Eleven out of 31 participants who completed the programme and twelve out of 38 decliners were interviewed. No participants who withdrew from the programme agreed to interview. The three key themes were; personal reflections of the programme; programme facilitators and barriers; and perceived benefits. Completers enjoyed taking part, reported symptomatic improvement and would complete it again. Practical and psychological barriers exist, such as transport and motivation. Changes to the programme were suggested.CONCLUSION: Findings support the acceptability of this novel HIIT programme, which in combination with the feasibility findings, suggest that a fully powered randomised controlled trial, comparing HIIT to usual-care supervised exercise programmes is warranted.

AB - INTRODUCTION: A novel high-intensity interval training (HIIT) programme has demonstrated feasibility for patients with intermittent claudication (IC). The aim of this study was to explore patient perspectives of the HIIT programme to inform refinement and future research.METHODS: All patients screened and eligible for the 'high intensity interval training in patients with intermittent claudication (INITIATE)' study, were eligible to take part in a semi-structured interview. A convenience subsample of patients was selected from three distinct groups: 1) those who completed the HIIT programme, 2) those who prematurely discontinued the HIIT programme and 3) those who declined the HIIT programme. Interviews considered patients views of the programme and experiences of undertaking and/or being invited to undertake it. Interviews were audio recorded, transcribed verbatim and analysed via thematic analysis.RESULTS: Eleven out of 31 participants who completed the programme and twelve out of 38 decliners were interviewed. No participants who withdrew from the programme agreed to interview. The three key themes were; personal reflections of the programme; programme facilitators and barriers; and perceived benefits. Completers enjoyed taking part, reported symptomatic improvement and would complete it again. Practical and psychological barriers exist, such as transport and motivation. Changes to the programme were suggested.CONCLUSION: Findings support the acceptability of this novel HIIT programme, which in combination with the feasibility findings, suggest that a fully powered randomised controlled trial, comparing HIIT to usual-care supervised exercise programmes is warranted.

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