The co‐design of an exercise‐based, lifestyle intervention for people with venous leg ulcers; a self‐care, expert‐supported strategy for a chronic condition

MCINTOSH, Emma, HORSPOOL, Michelle, LEVESLEY, Maria, LOGAN, Pip and KLONIZAKIS, Markos (2023). The co‐design of an exercise‐based, lifestyle intervention for people with venous leg ulcers; a self‐care, expert‐supported strategy for a chronic condition. International Wound Journal.

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Abstract

Exercise is recommended as an adjunct treatment, alongside compression therapy to increase venous leg ulcer (VLU) wound healing times, however, there are no published programmes available that support patients to exercise at home on their own. To develop an exercise‐based lifestyle intervention that is feasible and acceptable to people with VLUs, a participatory approach was utilised. Clinicians, researchers, and people living with VLUs collaborated in the design of “FISCU Home”. Two focus groups and nine interviews were conducted with people living with a VLU. Tissue viability nurses provided clinical expertise. Data was analysed through thematic analysis. Ten key themes were identified and incorporated into FISCU Home: (I) a condition‐specific flexible programme, (II) personal assessment and tailored exercises, (III) tapered individualised support, (IV) short lower‐intensity sessions, (V) chair‐based options, (VI) falls prevention, (VII) accessible resources, (VIII) functional, compact, self‐managed exercises, (IX) a behaviour change strategy, and (X) education. FISCU Home has integrated patients' needs and preferences with evidence‐based principles and theory to create an exercise‐based lifestyle intervention for people with VLUs. FISCU Home could provide a mainstream adjunct therapy in wound care and support the movement towards self‐management.

Item Type:	Article
Additional Information:	** Article version: VoR ** From Wiley via Jisc Publications Router ** Licence for VoR version of this article: http://creativecommons.org/licenses/by-nc/4.0/ **Journal IDs: issn 1742-4801; issn 1742-481X **Article IDs: publisher-id: iwj14117 **History: published_online 08-03-2023; accepted 27-01-2023; submitted 11-12-2022
Uncontrolled Keywords:	ORIGINAL ARTICLE, ORIGINAL ARTICLES, Co‐design, home‐based exercise, lifestyle intervention, participatory research, venous leg ulcers
Identification Number:	https://doi.org/10.1111/iwj.14117
SWORD Depositor:	Colin Knott
Depositing User:	Colin Knott
Date Deposited:	10 Mar 2023 11:40
Last Modified:	11 Oct 2023 16:45
URI:	https://shura.shu.ac.uk/id/eprint/31634

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