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Feasibility of Intradialytic Cycling Program in a Remote Community Hemodialysis Unit: Mixed-Methods Analysis of
Malgorzata E Kaminska1,2, Robin K Roots1,3, Anurag Singh4
1Northern Medical Program, University of Northern British Columbia, Prince George, Canada.
Canadian Journal of Kidney Health and Disease
|November 15, 2021
Summary
Intradialytic cycling is feasible and acceptable in remote northern dialysis units. This safe, year-round physical activity improves quality of life for patients on kidney replacement therapy.
Area of Science:
- Nephrology
- Cardiovascular Health
- Rehabilitation
Background:
- Growing evidence supports intradialytic cycling benefits.
- Limited adoption in rural, remote, and northern hemodialysis units.
- Inclement weather and lack of resources hinder mobility for remote northern dialysis patients.
Purpose of the Study:
- Assess feasibility and acceptability of intradialytic cycling.
- Implement intradialytic cycling in a remote northern context.
Main Methods:
- Mixed-methods explanatory design.
- Study conducted in a community-based dialysis unit in Prince George, British Columbia.
- Quantitative data from cycling logbooks and quality of life surveys; qualitative data from semi-structured interviews.
Main Results:
- 43% of eligible patients used leg ergometers for a median of 2.5 months, cycling 65 minutes per session.
- Patient and health professional interviews identified key implementation themes: supportive unit, shared responsibility, patient/provider knowledge, and engagement benefits.
- Acceptability linked to trust, connection, and shared values.
Conclusions:
- Demonstrates feasibility of implementing best practices in remote settings.
- Provides insights into context and participation factors for intradialytic cycling acceptability.
- Small participant numbers due to dialysis unit size were a limitation.
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