DOI: 10.5061/dryad.1j3s0
title: Data from: Patient and staff perceptions of intradialytic exercise before and after implementation: a qualitative study

description: Introduction: Despite guidance and evidence for the beneficial effects of
 intradialytic exercise (IDE), such programmes are rarely adopted within
 practice and little is known about how they may best be sustained. The
 Theoretical Domains Framework (TDF) was used to guide the understanding of
 the barriers and facilitators to initial and ongoing IDE participation and
 to understand how these are influential at each stage. Materials and
 Methods: Focus groups explored patient (n=24) and staff (n=9) perceptions
 of IDE prior to the introduction of a programme and, six months later,
 face to face semi-structured interviews captured exercising patients
 (n=11) and staffs’ (n=8) actual experiences. Data were collected at
 private and NHS haemodialysis units within the UK. All data were
 audio-recorded, translated where necessary, transcribed verbatim and
 subject to framework analysis. Results: IDE initiation can be facilitated
 by addressing the pre-existing beliefs about IDE through the influence of
 peers (for patients) and training (for staff). Participation was sustained
 through the observation of positive outcomes and through social influences
 such as teamwork and collaboration. Despite this, environment and resource
 limitations remained the greatest barrier perceived by both groups.
 Conclusions: Novel methods of staff training and patient education should
 enhance engagement. Programmes that clearly highlight the benefits of IDE
 should be more successful in the longer term. The barrier of staff
 workload needs to be addressed through specific guidance that includes
 recommendations on staffing levels, roles, training and skill mix.
description: Pre patient focus group
 1pre
 IDE implementation patient focus group no1PFG1.docPFG2pre IDE implementation patient focus group no2PF2.docPFG3pre IDE implementation patient focus group no 3PFG4pre IDE implementation patient focus group no 4pre ex interview p2pre IDE implementation patient interview no 2pre exercise interview patient 1pre IDE implementation patient interview no 1sFG1.wpspre IDE implementation staff focus group no1sFG2.wpspre IDE implementation staff focus group 2P1 interviewpost IDE implementation patient interview no 1P2 interviewpost IDE implementation patient interview no 2P3 interviewpost IDE implementation patient interview no 3P4 interviewpost IDE implementation patient interview no 4P5 Interviewpost IDE implementation patient interview no 5P6 interviewpost IDE implementation patient interview no 6P7 interviewpost IDE implementation patient interview no 7P8 Interviewpost IDE implementation patient interview no 8P9 Interviewpost IDE implementation patient interview no 9P10 interview .wpspost IDE implementation patient interview no 10P11 interview.wpspost IDE implementation patient interview no 11S1 Interview.wpspost IDE implementation staff interview no 1S2 interview .wpspost IDE implementation staff interview no 2S3 interview.wpspost IDE implementation staff interview no 3S4 interviewpost IDE implementation staff interview no 4s5 interviewpost IDE implementation staff interview no 5S6interviewpost IDE implementation staff interview no 6S7 interviewpost IDE implementation staff interview no 7S8interview.wpspost IDE implementation staff interview no 8