Perspectives on Physical Activity Among People with Multiple Sclerosis Who Are Wheelchair Users: Informing the Design of Future Interventions.
Perspectives on Physical Activity Among People with Multiple Sclerosis Who Are Wheelchair Users: Informing the Design of Future Interventions.
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DOI：
10.7224/1537-2073.2014-018
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发表时间：
2015-05-01
影响因子：
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通讯作者：
Motl, Robert W
中科院分区：
文献类型：
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作者：
Learmonth, Yvonne C;Rice, Ian M;Motl, Robert W
背景技术背景：患有晚期多发性硬化症（MS）的人比患有轻度疾病的人身体活动较少，轮椅使用与身体活动参与呈负相关。因此，患有MS的轮椅使用者在身体活动和锻炼的益处方面处于双重不利地位。适当的体力活动和运动干预是需要为这个population.METHODS：我们进行了一项定性研究，探讨的意义，动机，和结果的体力活动在轮椅使用者与MS。我们试图了解每天的机会，积累体力活动和锻炼，并确定感知的障碍，促进者，和利益，可能会告知未来的干预措施的设计。我们采访了15名轮椅使用者（平均年龄，52 ± 8.8岁; n = 12名女性）。数据被转录和分析，以确定和探索共同的主题。我们的第一个主题是减少参与体育活动的机会，由于参与者对移动设备，环境适应和有形支持的依赖。我们的第二个主题是将身体活动和锻炼融入日常环境的重要性，强调适应性锻炼和无障碍环境的必要性。这表明需要将行为改变调节剂纳入身体活动和运动干预措施，为那些先进的MS。卫生保健专业人员在促进增加身体活动和运动参与在那些先进的MS的重要作用。结论：我们的研究结果可能会告知未来的干预措施，以增加启动和维护身体活动和运动的人与先进的MS。
BACKGROUND: People with advanced multiple sclerosis (MS) are less physically active than those with milder forms of the disease, and wheelchair use has a negative association with physical activity participation. Thus, wheelchair users with MS are doubly disadvantaged for accruing the benefits of physical activity and exercise. Appropriate physical activity and exercise interventions are needed for this population.METHODS: We undertook a qualitative study to explore the meanings, motivations, and outcomes of physical activity in wheelchair users with MS. We sought to understand daily opportunities to accumulate physical activity and exercise, and to identify perceived barriers, facilitators, and benefits that might inform the design of future interventions.RESULTS: We interviewed 15 wheelchair users (mean age, 52 ± 8.8 years; n = 12 women). Data were transcribed and analyzed to identify and explore common themes. Our first theme was the reduced opportunity to participate in physical activity due to participants' dependence on mobility devices, environmental adaptations, and tangible support. Our second theme was the importance of incorporating physical activity and exercise into the everyday environment, highlighting the need for adaptive exercise and accessible environments. This indicated the need to incorporate behavior change modulators into physical activity and exercise interventions for those with advanced MS. Health-care professionals played an important role in promoting increased physical activity and exercise participation in those with advanced MS.CONCLUSIONS: Our findings may inform future interventions to increase initiation and maintenance of physical activity and exercise among people with advanced MS.