In Europe, approximately 700,000 people are living with a stoma, and in the USA, more than 1 million people have a stoma. However, difficulties with recruitment will need to be carefully considered to ensure the success of future studies in this area. This feasibility study demonstrated that a novel manualised PA intervention for people with a stoma is safe, feasible, and acceptable, and shows promise for improving outcomes. The intervention appeared to address these issues. Eight stoma-related themes were identified from qualitative interviews: fear of hernia, bending down, fatigue, pain, prolapse, surgical wounds, stoma appliance, and stigma. Participants reported completing 75% or more of the prescribed PA each week.
The median PA consultation rate per participant was eight sessions. Results show an improvement on all scales measuring QoL and disease-specific fatigue. A total of 18 (64%) participants completed pre- (baseline) and post-intervention (follow-up) measures. Most participants were female (73%) 73% had an ileostomy and 27% a colostomy mean time since diagnosis was 6 months. The number of eligible patients consenting to the study was 30 out of 174 (17%). A feasibility study of the intervention and trial parameters was conducted in three UK sites using mixed methods. Participants received a weekly PA consultation by telephone, video conferencing, or face-to-face for 12 weeks with a PA instructor who prescribed physical activities and supported participants by addressing stoma-related concerns and using behaviour change techniques. A feasibility study of the intervention and trial parameters is necessary to inform a future main trial.
We hypothesise that a physical activity (PA) intervention will improve the quality of life (QoL) of people with a stoma.
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