Barrieren und Förderfaktoren für Herzkreislauf-Training bei Bechterew-Betroffenen
At a glance
- Project leader : Prof. Dr. Karin Niedermann Schneider
- Project team : Dr. Irina Nast, Anne-Kathrin Rausch Osthoff
- Project budget : CHF 3'000
- Project status : completed
- Funding partner : Foundation (Zürcher Rheumastiftung)
- Project partner : Schweizerische Vereinigung Morbus Bechterew (SVMB), Leiden University Medical Center
- Contact person : Karin Niedermann Schneider
Description
Studies show an increased risk for cardiovascular diseases in
patients with ankylosing spondylitis (AS/Bechterew), a severe
inflammatory rheumatic disease. There is also strong evidence that
intensive cardiovascular training (CVT) is effective and safe, i.e.
feasible and not increasing disease activity in these patients.
However, classic AS exercise classes, nationally and
internationally, focus on spinal mobility exercised, but not on
CVT. In the current study, the framework from Grol & Wensing for
implementation of change is applied, performing the first two
steps:
A) Analysis of the current clinical practice: instructors of AS
exercise classes (physiotherapists, PTs) report their actual
components of AS exercise classes.
B) Exploration and ranking of barriers and facilitators for the
implementation of CVT among the most important stakeholders: in
interviews with PTs and in group discussions with patients,
potential barriers and facilitators will be explored. These
barriers and facilitators are prioritized by PTs, patients, and
rheumatologists in an online questionnaire survey.
Based on the results of this study, following the approach of Grol
& Wensing), a national strategy for the implementation of CVT in AS
exercise classes will be developed and realized.