Personalised exercise rehabilitation for people with multiple long-term conditions: a feasibility study

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 60

Inclusion Criteria

Current exclusion criteria as of 24/07/2023:

1. Adults =18 years old
2. Able and willing to provide informed consent
3. To be mobile (including the use of walking aids)
4. 2 or more long terms conditions from the lists below– with at least one LTC identified from work package 1 as having evidence of the beneficial benefits of exercise. The data identified that individuals must have a diagnosis of at least one of the following:
4.1. Arthritis
4.2. Asthma
4.3. Atrial fibrillation
4.4. Bronchiectasis
4.5. Cancer
4.6. Chronic kidney disease
4.7. Chronic obstructive pulmonary disease (COPD)
4.8. Connective tissue disease (pain)
4.9. Coronary heart disease
4.10. Dementia
4.11. Depression
4.12. Diabetes mellitus
4.13. Heart failure
4.14. Hypertension
4.15. Long-COVID
4.16. Multiple sclerosis
4.17. Osteoporosis
4.18. Painful condition
4.19. Parkinson’s disease
4.20. Peripheral vascular disease
4.21. Polycystic ovarian syndrome
4.22. Psychoactive substance misuse
4.23. Stroke or transient ischaemic attack
4.24. Patients could also have one of the following conditions from the list below:
4.25. Anorexia nervosa or bulimia
4.26. Anxiety
4.27. Atrial fibrillation
4.28. Chronic fatigue syndrome
4.29. Chronic liver disease
4.30. Chronic sinusitis
4.31. Diverticular disease
4.32. Endometriosis
4.33. Epilepsy
4.34. Glaucoma
4.35. Inflammatory bowel disease
4.36. Irritable bowel syndrome
4.37. Meniere’s disease
4.38. Migraines
4.39. Pernicious anaemia
4.40. Prostate disorders
4.41. Psoriasis or eczema
4.42. Schizophrenia or bipolar affective disorder
4.43. Thyroid disease
4.44. Treated constipation
4.45. Treated dyspepsia
4.46. Viral hepatitis

_____

Previous inclusion criteria:

1. Adults =18 years old
2. Able and willing to provide informed consent
3. To be mobile (including the use of walking aids)
4. Two or more long terms conditions (LTC), with at least one LTC identified from work package 1 as having evidence of the beneficial benefits of exercise
5. The data identified that individuals must have a diagnosis of at least one of the following:
5.1. Arthritis
5.2. Asthma
5.3. Atrial fibrillation
5.4. Bronchiectasis
5.5. Cancer
5.6. Chronic kidney disease
5.7. Chronic obstructive pulmonary disease
5.8. Connective tissue disease (pain)
5.9. Coronary heart disease
5.10. Dementia
5.11. Depression
5.12. Diabetes mellitus
5.13. Heart failure
5.14. Hypertension
5.15. Long-COVID
5.16. Multiple sclerosis
5.17. Osteoporosis
5.18. Painful condition
5.19. Parkinson’s disease
5.20. Peripheral vascular disease
5.21. Polycystic ovarian syndrome
5.22. Psychoactive substance misuse
5.23. Stroke or transient ischaemic attack

Exclusion Criteria

Current exclusion criteria as of 24/07/2023:

1. Unable to give consent for the study
2. Unable to communicate in English (carer or support worker may be available)
3. Known contraindications to exercise (as defined by the American College of Sports Medicine)
4. (ACSM’s guidelines for exercise testing and prescription 11th Ed. 2021.) to include:
4.1. Unstable cardiac disease
4.2. Current fever
4.3. Significant aortic aneurysm (more than 5.5 cm)
5. Unable to attend in-person training sessions
6. Participation in a exercised rehabilitation programme in the last 6 months.
7. Unstable psychiatric disorder that limits or disrupts group based interventions.
8. On an End of Life pathway with a prognosis of less than 12 months survival.
9. Active malignancy (on chemotherapy/radiotherapy/planned urgent surgery)
10. For people on a surgical waiting list a pragmatic decision will be made on a case by case basis of the type of surgery, urgency and likely wait times.
11. Pregnant women
12. Under 18’s
13. Living in a Nursing Home.
14. Unsafe to exercise in a group without 1:1 supervision (e.g. significant risk of falls)

_____

Previous exclusion criteria:

1. Unable to give consent for the study
2. Unable to communicate in English (carer or support worker may be available)
3. Known contraindications to exercise (as defined by the American College of Sports Medicine) (ACSM’s guidelines for exercise testing and prescription 9th Ed. 2014.) to include:
3.1. Unstable cardiac disease
3.2. Current fever
3.3. Significant aortic aneurysm (more than 5.5 cm)
4. Unable to attend in-person training sessions
5. Unstable psychiatric disorder that limits or disrupts group-based interventions
6. On an End of Life pathway with a prognosis of fewer than 12 months of survival
7. Active malignancy (on chemotherapy/radiotherapy/planned urgent surgery)
8. For people on a surgical waiting list a pragmatic decision will be made on a case-by-case basis of the type of surgery, urgency and likely wait times
9. Pregnant women
10. Aged under 18 years old
11. Living in a nursing home
12. Unsafe to exercise in a group without 1:1 supervision (e.g. significant risk of falls)