Perceptions of physical activity and technology enabled exercise interventions among people with advanced chronic kidney disease: a qualitative study

• Published in: BMC nephrology Vol. 22; no. 1; p. 373
• Main Authors: Weber, Mary Beth, Ziolkowski, Susan, Bootwala, Ahad, Bienvenida, Alan, Anand, Shuchi, Lobelo, Felipe
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 10.11.2021; BioMed Central; BMC
• Subjects: Adult; Aged; Arthritis; Beliefs, opinions and attitudes; Care and treatment; Chronic kidney failure; Chronically ill; CKD; Diabetes; Dialysis; Ethnic and Racial Minorities - psychology; Exercise; Exercise therapy; Exercise Therapy - methods; Female; Females; Fitness Trackers; Health Knowledge, Attitudes, Practice; Hemodialysis; Humans; Interviews; Kidney diseases; Male; Males; Middle Aged; Mobile Applications; Motivation; Nephrology; Perceptions; Physical activity; Physical fitness; Physical training; Pre-dialysis; Psychological aspects; Qualitative Research; Quality of Life; Rehabilitation technology; Renal Insufficiency, Chronic - complications; Renal Insufficiency, Chronic - ethnology; Renal Insufficiency, Chronic - psychology; Renal Insufficiency, Chronic - rehabilitation; Technology application; Type 2 Diabetes; United States; Exercise; Physical activity; CKD; Type 2 Diabetes; Pre-dialysis
• ISSN: 1471-2369; 1471-2369
• DOI: 10.1186/s12882-021-02591-9

Exercise improves health outcomes and quality of life in persons with chronic kidney disease (CKD). The numbers of persons with advanced CKD meeting physical activity guidelines however is low. We undertook a qualitative study of men and women aged 36-74 from various race/ethnic populations with advanced CKD not requiring dialysis to describe their experiences and opinions around prior physical activity, motivating factors for and barriers to exercise, and perceptions of exercise-promoting technology and group-based programming designed to improve physical activity levels. Nineteen persons with advanced CKD not requiring dialysis were interviewed at two high volume nephrology clinics enriched with racial/ethnic minority patients (Emory University and Santa Clara Valley Medical Center). We used thematic analysis to identify dominant themes (n = 4) and subthemes (n = 19) around exercise experience, barriers, motivators, views, and preferences. Four dominant themes and 19 subthemes were identified. The most common motivators to exercise included physical and mental health benefits, appearance, improvement in energy levels, and potential social interaction in group-based programs. Common barriers included health concerns, particularly complications related to other co-morbidities, as well as time and transportation constraints. Participants were skeptical of exercise programs solely reliant on technology. The use of group-based exercise programs may motivate persons with CKD to increase exercise levels, while programs entirely based on technology may be less effective.