Spondyloarthritis & psoriatic arthritis

Implementing enhancements in supervised group exercise for people with axial spondyloarthritis: a hybrid effectiveness–implementation study

Scand J RheumatolPublished Hybrid effectiveness–implementation study

Authors' conclusion

After this pilot implementation, SGE enhancements were only partially implemented. Nevertheless, aerobic capacity improved significantly and satisfaction with accomplished changes was high.

Study context

Population
People with axial spondyloarthritis (axSpA) in supervised group exercise, four regions in the Netherlandsplus 4 supervised group exercise (SGE) supervisors interviewed
Participants
60 people
Comparison
Baseline vs one year after implementing enhancements in axSpA-specific supervised group exercise
  • SGEn = 60
Outcome
Effects of SGE enhancements: aerobic capacity (6MWT), physical functioning (ASPI), health status (ASAS HI) and home exercise engagement (SQUASH), baseline vs 1 year
Follow-up
After one year
Methodological detailspilot implementation study, single-group pre–post, four regions in the Netherlands, Implementation strategy: one-day supervisor training course and telephone support
  • Pilot implementation study
  • Single-group pre–post
  • Four regions in the Netherlands
  • Implementation strategy: one-day supervisor training course and telephone support

Main finding

As reported in the abstract

Participants who improved functioning (ASPI)

35%

Further findings

Feasibility: implementation of enhancements

High-intensity aerobic exercise implemented successfully
Exercise personalization and periodic assessments implemented partially
Patient education not implemented at all
Most participants satisfied with the changes

Original publication

Implementing enhancements in supervised group exercise for people with axial spondyloarthritis: a hybrid effectiveness–implementation study. Scand J Rheumatol. Published 17 November 2021. doi:10.1080/03009742.2021.1992845

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