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Maintenance phase of a physical activity intervention in older kidney transplant recipients: A 12-month follow-up.

Geriatric nursing (New York, N.Y.)
January 1, 2021
Tara O'Brien et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the feasibility of a walking intervention (SystemCHANGE™ + activity tracker) compared to an activity tracker alone in improving physical activity adherence and cardiovascular outcomes in older kidney transplant recipients.

Results Summary

The intervention group showed high adherence (96.5%) and within-group improvements in blood pressure, but both groups experienced a decrease in average daily steps over time, suggesting the need for additional boosters during maintenance.

Population

Older kidney transplant recipients (age 60 and older).

Effective Dosage

Not specified (activity tracker use was monitored).

Duration

12 months (maintenance period evaluated from 7-12 months).

Interactions

None mentioned.

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Daily walking activities
increase
cardiovascular outcomes
older kidney transplant recipients
-
are associated with improving
#1
SystemCHANGE™ + activity tracker
increase
adherence rates for wearing the activity tracker daily
older kidney recipients (age 60 and older)
96.5%
feasibility of the intervention
#2
activity tracker only
increase
adherence rates for wearing the activity tracker daily
older kidney recipients (age 60 and older)
80.8%
adherence rates for wearing the activity tracker daily
#3
SystemCHANGE™ + activity tracker
decrease
blood pressure
older kidney recipients (age 60 and older)
-
demonstrated within-group improvements for
#4
SystemCHANGE™ + activity tracker
decrease
average daily steps
older kidney recipients (age 60 and older)
-
decrease in the average daily steps
#5
activity tracker only
decrease
average daily steps
older kidney recipients (age 60 and older)
-
decrease in the average daily steps
#6
Abstract

Daily walking activities are associated with improving cardiovascular outcomes in older kidney transplant recipients. However, little is known regarding physical activity adherence outcomes in older kidney recipients. The purpose of this randomized controlled trial 12-month follow-up study was to evaluate the feasibility of the intervention (SystemCHANGE™ + activity tracker) during the maintenance period (7-12 months), compared to an attention-control group (activity tracker only) in older kidney recipients (age 60 and older). The sample included 60 participants (n = 30 IG; n = 30 ACG). Adherence rates for wearing the activity tracker daily were 96.5% in the IG and 80.8% in the ACG. The IG demonstrated within-group improvements for blood pressure at 12 months. Overall, there was a decrease in the average daily steps observed in both groups. These data suggest this intervention is feasible and additional boosters should be considered during the maintenance period to encourage physical activity.

Medical Subject Headings (MeSH)
AgedExerciseFitness TrackersFollow-Up StudiesHumansKidney TransplantationTransplant Recipients
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality85/10
Citation Metrics
Total Citations5
Citations/Year1.3
Relative Citation Ratio0.63
NIH Percentile33.8%
Research Impact Scores
APT Score0.50
Weight Score2.44
Normalized Score0.65
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