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Increasing the uptake of exercise programs in the dialysis unit: a protocol for a realist synthesis

Overview of attention for article published in Systematic Reviews, January 2016
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  • Good Attention Score compared to outputs of the same age (65th percentile)
  • Average Attention Score compared to outputs of the same age and source

Mentioned by

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4 tweeters

Citations

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6 Dimensions

Readers on

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51 Mendeley
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1 CiteULike
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Title
Increasing the uptake of exercise programs in the dialysis unit: a protocol for a realist synthesis
Published in
Systematic Reviews, January 2016
DOI 10.1186/s13643-016-0224-6
Pubmed ID
Authors

Stephanie Thompson, Alex Clark, Anita Molzahn, Scott Klarenbach, Marcello Tonelli

Abstract

For people with end-stage kidney disease on hemodialysis, exercise during the dialysis treatment (intradialytic exercise) may promote exercise adherence and enhance aspects of the dialysis treatment. However, intradialytic exercise programs are complex and how to adapt program components to local context so that the program is more likely to attain its intended health outcomes have not been well described. To increase the uptake of exercise in clinical practice, more evidence is needed on how contextual factors influence the program's impact. Using the realist approach, we aim to understand how the processes and structures of intradialytic exercise programs work to influence patient participation according to different contextual factors. The focus of a realist review is explanatory and aims to develop and test theory on how contextual factors trigger specific processes or behaviors (or "mechanisms") to produce outcomes. Using the realist context-mechanism-outcome configuration of theory development, we will use a range of sources to develop initial candidate theories: a scoping review of published papers and the gray literature, and discussion with stakeholders. To provide a theoretical basis for how contextual factors could work to influence patient participation in intradialytic exercise (IDE), several of our preliminary theories will be based on dominant theories of exercise adherence and behavior change. To support or refute these initial theories, we will synthesize data from a systematic literature review and semi-structured interviews with intradialytic exercise program stakeholders, sampled from a range of programs worldwide. The complexity of intradialytic exercise programs poses challenges to their implementation. Using the "context, mechanism, outcome" approach, the knowledge gained from this study will be used to develop general recommendations for renal care providers and administration on how to adapt components of an intradialytic exercise programs according to different contextual factors in order to promote patient participation. PROSPERO CRD42016033335.

Twitter Demographics

The data shown below were collected from the profiles of 4 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 51 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 51 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 9 18%
Student > Master 8 16%
Researcher 5 10%
Student > Doctoral Student 4 8%
Student > Bachelor 2 4%
Other 8 16%
Unknown 15 29%
Readers by discipline Count As %
Nursing and Health Professions 12 24%
Medicine and Dentistry 11 22%
Sports and Recreations 4 8%
Business, Management and Accounting 2 4%
Agricultural and Biological Sciences 2 4%
Other 6 12%
Unknown 14 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 May 2016.
All research outputs
#2,881,928
of 7,639,268 outputs
Outputs from Systematic Reviews
#346
of 606 outputs
Outputs of similar age
#90,376
of 267,481 outputs
Outputs of similar age from Systematic Reviews
#25
of 44 outputs
Altmetric has tracked 7,639,268 research outputs across all sources so far. This one has received more attention than most of these and is in the 61st percentile.
So far Altmetric has tracked 606 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.4. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,481 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 65% of its contemporaries.
We're also able to compare this research output to 44 others from the same source and published within six weeks on either side of this one. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.