Table 1 Items included in the questionnaire.
*Your willingness to return the completed questionnaire indicates your consent to participate in this study |
[Items 1 to 17 are questions about patients with maintenance haemodialysis] |
Item 1 Does your facility provide exercise instruction during haemodialysis treatment? |
Yes/No |
If you answered 'yes' to Q1, please answer Q2–Q15; if you answered 'no', please answer Q16–Q17 |
Item 2 Does your facility claim the medical treatment fee for “exercise instruction during haemodialysis treatment?” |
Yes/No |
Item 3 Which professions provide exercise instruction during haemodialysis treatment in your facility? (Multiple answers possible) |
Physician |
Nurse, nursing assistant |
Clinical engineer |
Physical therapist |
Occupational therapist |
Health fitness programmer |
Pharmacist |
Nutritionist |
Others |
Item 4 For how many patients on haemodialysis does your facility provide exercise instruction during haemodialysis treatment as of 31/12/2022? (Please indicate the number) |
() |
Item 5 When did your facility start providing exercise instruction during haemodialysis treatment? |
Before March 2022 (before changes to the claims regime) |
In or after April 2022 (after changes to the claims regime) |
Item 6 When does your facility provide exercise instruction to outpatients on haemodialysis? (Multiple answers allowed) |
During haemodialysis treatment |
Before/after haemodialysis treatment on haemodialysis days |
Non-dialysis days |
Exercise instruction is not provided |
Item 7 If your facility performs an evaluation of effectiveness before and after the start of exercise instruction, please indicate which items are used to determine effectiveness. (Multiple answers allowed) |
Exercise tolerance (CPX; cardiopulmonary exercise test) |
Exercise tolerance (e.g. 6-min walk test or incremental shuttle walking test) |
Short Physical Performance Battery (SPPB) |
Evaluation of muscle strength |
Evaluation of nutrition status |
Evaluation of ADL/QOL |
Item 8 Which professions evaluate the effectiveness of exercise instruction? (Multiple answers allowed) |
No evaluation |
Physician |
Nurse, nursing assistant |
Clinical engineer |
Physical therapist |
Occupational therapist |
Health fitness programmer |
Pharmacist |
Nutritionist |
Others |
Item 9 Please indicate the type of exercise instruction provided during haemodialysis treatment. (Multiple answers allowed) |
Aerobic exercise |
Upper limb resistance training |
Lower limb resistance training |
Balance exercise |
Group exercise |
Nutrition instruction |
Others |
Item 10 Please indicate the frequency of exercise instruction during haemodialysis treatment |
Less than once a week |
Once a week |
Twice a week |
Three times a week |
Item 11 Please indicate the approximate duration of exercise instruction during haemodialysis treatment |
Less than 20 min |
20–30 min |
30–40 min |
40–60 min |
Over 60 min |
Item 12 Do you continue to perform exercise instruction during haemodialysis treatment after the 90-day claimable period? |
Yes/No/Undecided |
Item 13 Do you feel that exercise instruction during haemodialysis is useful for patients on haemodialysis? |
Very effective |
Effective |
Undetermined |
Not effective |
Not very effective |
Item 14 If you have experienced any adverse events during provision of exercise therapy during haemodialysis treatment, please indicate the specific details. (Multiple answers allowed) |
Never experienced |
Blood pressure decreased |
Blood pressure increased |
Abnormal heart rate/arrhythmia |
Appearance of trouble in circulatory system of haemodialysis |
Muscle/joint pain |
Falls/trauma |
Discomfort/dizziness |
Skin problems |
Development of angina/myocardial infarction |
Development of cerebrovascular disease |
Others (please specify) |
Item 15 Do you follow the clinical practice guidelines for renal rehabilitation in providing exercise instruction during haemodialysis treatment? |
Yes/No/Not sure |
Only those who answered “No” in Item 1 responded to Items 16, 17 |
Item 16 Please indicate the reasons for not providing exercise instruction during haemodialysis treatment |
No specific reason |
Not interested |
No patients wanting exercise therapy |
I do not know how to do it |
No equipment |
Unable to satisfy the claim criteria |
Short-staffed |
Others |
Item 17 Do you plan to start providing exercise instruction during haemodialysis treatment in the future? |
Yes/no/undecided |
[Items 18 to 20 are questions about non-dialysis CKD patient] |
Item 18 Does your facility provide exercise therapy for non-dialysis CKD patients? |
-Yes/No |
Item 19 If you answered yes to Item 18, for how many non-dialysis CKD patients does your facility provide exercise therapy? (Please indicate the number) |
() |
Item 20 If you answered no to Item 18, please indicate the reasons for not providing exercise therapy |
No specific reason |
Not interested |
No patients wanting exercise therapy |
I do not know how to do it |
No equipment |
Because the additional fee cannot be claimed for non-dialysis CKD patients |
Short-staffed |
Others |
[Items 21 to 25 are questions about your facility] |
Item 21 Please indicate the type of facility |
University hospital |
Other hospital |
Clinic |
Other |
Item 22 How many inpatient beds does your facility have? (Please indicate the number) |
() |
Item 23 How many haemodialysis beds does your facility have? (Please indicate the number) |
() |
Item 24 How many maintenance haemodialysis patients does your facility treat? (Please indicate the number) |
() |
Item 25 Please give your facility’s name |
() |
Item 26 Please give the name of the respondent |
() |
Item 27 Please give the respondent’s e-mail |
() |
