HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia
Abstract Background Parastomal hernia (PSH) can be repaired surgically, but results to date have been disappointing, with reported recurrence rates of 30 to 76%. Other types of intervention are therefore needed to improve the quality of life of people with PSH. One potential intervention is physical...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-09-01
|
Series: | Pilot and Feasibility Studies |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s40814-020-00674-2 |
id |
doaj-a5fcb5589d7045e6a1e397335cee0656 |
---|---|
record_format |
Article |
spelling |
doaj-a5fcb5589d7045e6a1e397335cee06562020-11-25T03:47:25ZengBMCPilot and Feasibility Studies2055-57842020-09-016111410.1186/s40814-020-00674-2HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal herniaGill Hubbard0Rebecca J. Beeken1Claire Taylor2Raymond Oliphant3Angus J. M. Watson4Julie Munro5Sarah Russell6William Goodman7Department of Nursing and Midwifery, University of the Highlands and Islands, Centre for Health ScienceLeeds Institute of Health Sciences, University of LeedsSt Mark’s Hospital, London North West University Healthcare NHS TrustDepartment of Surgery, Raigmore HospitalDepartment of Surgery, Raigmore HospitalDepartment of Nursing and Midwifery, University of the Highlands and Islands, Centre for Health ScienceFarmside HouseResearch Department of Behavioural Science and Health, University College LondonAbstract Background Parastomal hernia (PSH) can be repaired surgically, but results to date have been disappointing, with reported recurrence rates of 30 to 76%. Other types of intervention are therefore needed to improve the quality of life of people with PSH. One potential intervention is physical activity. We hypothesise that the intervention will increase core activation and control across the abdominal wall at a site of potential weakness and thus reduce the risk of PSH progression. Increases in physical activity will improve body image and quality of life (QoL). Methods Subjects and sample There were approximately 20 adults with a bowel stoma and PSH. People with previous PSH repair will be excluded as well as people who already do core training. Study design This is a feasibility study of a randomised controlled trial with 2 months follow-up, in 2 sites using mixed methods. Stage 1 involves intervention development and in stage 2, intervention and trial parameters will be assessed. Intervention A theoretically informed physical activity intervention was done, targeting people with PSH. Main outcome of feasibility study The main outcome is the decision by an independent Study Steering Committee whether to proceed to a full randomised controlled trial of the intervention. Other outcomes We will evaluate 4 intervention parameters—fidelity, adherence, acceptability and safety and 3 trial parameters (eligible patients’ consent rate, acceptability of study design and data availability rates for following endpoints): I. Diagnosis and classification of PSH II. Muscle activation III. Body composition (BMI, waist circumference) IV. Patient reported outcomes: QoL, body image and physical functioning V. Physical activity; VI. Psychological determinants of physical activity Other data Included are other data such as interviews with all participants about the intervention and trial procedures. Data analysis and statistical power As this is a feasibility study, the quantitative data will be analysed using descriptive statistics. Audio-recorded qualitative data from interviews will be transcribed verbatim and analysed thematically. Discussion The feasibility and acceptability of key intervention and trial parameters will be used to decide whether to proceed to a full trial of the intervention, which aims to improve body image, quality of life and PSH progression. Trial registration ISRCTN15207595http://link.springer.com/article/10.1186/s40814-020-00674-2Parastomal herniaColostomyIleostomyBowel diseaseFeasibility study |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gill Hubbard Rebecca J. Beeken Claire Taylor Raymond Oliphant Angus J. M. Watson Julie Munro Sarah Russell William Goodman |
spellingShingle |
Gill Hubbard Rebecca J. Beeken Claire Taylor Raymond Oliphant Angus J. M. Watson Julie Munro Sarah Russell William Goodman HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia Pilot and Feasibility Studies Parastomal hernia Colostomy Ileostomy Bowel disease Feasibility study |
author_facet |
Gill Hubbard Rebecca J. Beeken Claire Taylor Raymond Oliphant Angus J. M. Watson Julie Munro Sarah Russell William Goodman |
author_sort |
Gill Hubbard |
title |
HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia |
title_short |
HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia |
title_full |
HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia |
title_fullStr |
HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia |
title_full_unstemmed |
HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia |
title_sort |
halt (hernia active living trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia |
publisher |
BMC |
series |
Pilot and Feasibility Studies |
issn |
2055-5784 |
publishDate |
2020-09-01 |
description |
Abstract Background Parastomal hernia (PSH) can be repaired surgically, but results to date have been disappointing, with reported recurrence rates of 30 to 76%. Other types of intervention are therefore needed to improve the quality of life of people with PSH. One potential intervention is physical activity. We hypothesise that the intervention will increase core activation and control across the abdominal wall at a site of potential weakness and thus reduce the risk of PSH progression. Increases in physical activity will improve body image and quality of life (QoL). Methods Subjects and sample There were approximately 20 adults with a bowel stoma and PSH. People with previous PSH repair will be excluded as well as people who already do core training. Study design This is a feasibility study of a randomised controlled trial with 2 months follow-up, in 2 sites using mixed methods. Stage 1 involves intervention development and in stage 2, intervention and trial parameters will be assessed. Intervention A theoretically informed physical activity intervention was done, targeting people with PSH. Main outcome of feasibility study The main outcome is the decision by an independent Study Steering Committee whether to proceed to a full randomised controlled trial of the intervention. Other outcomes We will evaluate 4 intervention parameters—fidelity, adherence, acceptability and safety and 3 trial parameters (eligible patients’ consent rate, acceptability of study design and data availability rates for following endpoints): I. Diagnosis and classification of PSH II. Muscle activation III. Body composition (BMI, waist circumference) IV. Patient reported outcomes: QoL, body image and physical functioning V. Physical activity; VI. Psychological determinants of physical activity Other data Included are other data such as interviews with all participants about the intervention and trial procedures. Data analysis and statistical power As this is a feasibility study, the quantitative data will be analysed using descriptive statistics. Audio-recorded qualitative data from interviews will be transcribed verbatim and analysed thematically. Discussion The feasibility and acceptability of key intervention and trial parameters will be used to decide whether to proceed to a full trial of the intervention, which aims to improve body image, quality of life and PSH progression. Trial registration ISRCTN15207595 |
topic |
Parastomal hernia Colostomy Ileostomy Bowel disease Feasibility study |
url |
http://link.springer.com/article/10.1186/s40814-020-00674-2 |
work_keys_str_mv |
AT gillhubbard haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia AT rebeccajbeeken haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia AT clairetaylor haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia AT raymondoliphant haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia AT angusjmwatson haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia AT juliemunro haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia AT sarahrussell haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia AT williamgoodman haltherniaactivelivingtrialprotocolforafeasibilitystudyofarandomisedcontrolledtrialofaphysicalactivityinterventiontoimprovequalityoflifeinpeoplewithbowelstomawithabulgeparastomalhernia |
_version_ |
1724501979401551872 |