A qualitative exploration of the participants' experience of a web-based physiotherapy program for people with multiple sclerosis: Does it impact on the ability to increase and sustain engagement in physical activity?

A qualitative exploration of the participants' experience of a web-based physiotherapy program for people with multiple sclerosis: Does it impact on the ability to increase and sustain engagement in physical activity?
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DOI:
10.1080/09638288.2019.1582717
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发表时间:
2020-10-08
影响因子:
2.2
通讯作者:
Freeman, Jennifer
Freeman, Jennifer
中科院分区:
医学3区
文献类型:
--
作者:
Dennett, Rachel;Coulter, Elaine;Freeman, Jennifer

文献摘要

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背景:基于网络的锻炼和身体活动干预正在被开发为一种潜在的方法,以帮助多发性硬化症患者实现和维持增加的身体活动水平。从使用过这种干预措施的人那里寻求反馈将有助于指导发展进程。方法:深度访谈被用来探索参与者的经验,他们使用基于网络的物理治疗干预作为可行性随机对照试验的一部分。访谈进行了录音,逐字转录和分析使用专题分析。结果:11人(年龄28-68)进行了采访。大多数人认为他们的身体活动增加了,主要是由于完成了每周两次的网络物理治疗课程。确定了三个关键主题。“一切都在一个地方”包含了拥有一个方便和可移植的程序的价值。“密切关注”通过网站捕捉人们对物理治疗师提供的监督的想法,“希望和期望”反映了有机会讨论使用这种程序可能获得的重要性。结论:这项干预提供了一个方便,灵活和便携式的物理治疗计划,大多数人认为,帮助他们实现和维持增加的体力活动水平。与人们谈论期望是很重要的,特别是如果一个人的状况正在恶化。
Background:Web-based exercise and physical activity interventions are being developed as a potential way to help people with multiple sclerosis achieve and maintain increased physical activity levels. Seeking feedback from people who have used such interventions will help guide the development process. Methods:In-depth interviews were used to explore the experiences of participants who used a web-based physiotherapy intervention as part of a feasibility randomized controlled trial. Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analysis. Results:Eleven people (age 28-68) were interviewed. Most perceived that their physical activity had increased, primarily due to completing twice-weekly web-based physiotherapy sessions. Three key themes were identified. 'It's all in one place' encompasses the value of having a convenient and portable program. 'Keeping an eye' captures people's thoughts regarding the supervision offered by the physiotherapist, through the website, and 'Hopes and expectations' reflects the importance of having opportunity to discuss what may be gained from using such a program. Conclusions:This intervention offered a convenient, flexible and portable physiotherapy program which most people perceived helped them achieve and sustain increased levels of physical activity. Talking with people about expectations is important, particularly if a person's condition is deteriorating.