Perceived exercise barriers, enablers, and benefits among exercising and nonexercising adults with arthritis: Results from a qualitative study
Perceived exercise barriers, enablers, and benefits among exercising and nonexercising adults with arthritis: Results from a qualitative study
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DOI：
10.1002/art.22098
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发表时间：
2006-08-15
期刊：
影响因子：
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通讯作者：
Brady, Teresa
中科院分区：
文献类型：
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作者：
Wilcox, Sara;Ananian, Cheryl Der;Brady, Teresa
Objective.有关节炎的人参加定期锻炼的比例低于没有关节炎的人。本研究探讨了知觉运动障碍，好处，并在行使和非行使成人关节炎的推动者。12个焦点小组进行了68名成人关节炎。小组被划分为运动状态，社会经济地位和种族。焦点小组的讨论被逐字转录和编码。NVivo软件用于提取锻炼者和非锻炼者的主题。广泛的身体，心理，社会和环境因素被认为是影响运动。其中一些因素与一般成人样本中的因素相似，而另一些则是慢性疾病患者所独有的。关节炎的症状是运动的障碍，但这些结果的改善也被视为运动的潜在益处和动力。锻炼者经历了这些好处，更有可能调整他们的锻炼以适应疾病，而不锻炼者希望这些好处，更有可能在患关节炎后停止锻炼。卫生保健提供者对运动的建议和关节炎特定项目的可用性被确定为需求。这项研究对如何向关节炎患者推销运动以及社区和医疗保健专业人员如何促进运动的吸收具有影响。这些影响进行了讨论。
Objective. Rates of participation in regular exercise are lower among individuals with arthritis than those without arthritis. This study examined perceived exercise barriers, benefits, and enablers in exercising and nonexercising adults with arthritis.Methods. Twelve focus groups were conducted with 68 adults with arthritis. Groups were segmented by exercise status, socioeconomic status, and race. Focus group discussions were transcribed verbatim and coded. NVivo software was used to extract themes for exercisers and nonexercisers.Results. A wide range of physical, psychological, social, and environmental factors were perceived to influence exercise. Some of these factors were similar to those in general adult samples, whereas others were unique to individuals with chronic disease. Symptoms of arthritis were barriers to exercise, yet improvements in these outcomes were also seen as potential benefits of and motivations for exercise. Exercisers had experienced these benefits and were more likely to have adapted their exercise to accommodate the disease, whereas nonexercisers desired these benefits and were more likely to have stopped exercising since developing arthritis. Health care providers' advice to exercise and the availability of arthritis-specific programs were identified as needs.Conclusion. This study has implications for how to market exercise to individuals with arthritis and how communities and health care professionals can facilitate the uptake of exercise. These implications are discussed.