Motivators for and barriers to physical activity in people with knee osteoarthritis: A qualitative study
Motivators for and barriers to physical activity in people with knee osteoarthritis: A qualitative study
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DOI：
10.1016/j.jbspin.2017.07.007
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发表时间：
2018-07-01
期刊：
影响因子：
4.2
通讯作者：
Coudeyre, Emmanuel
中科院分区：
文献类型：
--
作者：
Gay, Chloe;Eschalier, Benedicte;Coudeyre, Emmanuel
目的：我们的目的是探索的动机和障碍，定期体力活动的人与膝骨关节炎。方法：我们进行了一个横截面，单中心定性研究的基础上，20个半结构化的个人访谈和两个焦点小组。根据美国流变学学会标准，从水疗度假村（Royat，法国）招募膝关节骨关节炎患者。通过访谈收集数据，然后进行转录和编码。结果：在27名参与者（17名女性）中，平均年龄为67岁（SD 7.8），平均体重指数为29.2 kg/m2（SD 8.2）。身体活动的动机是身体（健康，减少疼痛，自我感知），个人（生活方式，心理健康），社会（关系，他人的观点）和环境（生活）。激励因素因性别而异，男子的主要观念是业绩，而妇女的观念则是其他人的看法。障碍是心理（恐惧疼痛，缺乏动力）和身体（膝关节疼痛，无力），也可能与生活事件（抑郁症，住院治疗）。结论：研究人群有一个整体积极的想法，身体活动的价值膝关节骨关节炎。与会者表达的信念和知识基本符合目前的建议。对这些建议的遵守情况仍然一般。对渐进适应性体力活动的教育支持以及障碍和激励因素的识别有助于提高依从性。(C)2017年法国rhumatologie协会。出版社：Elsevier Masson SAS All rights reserved.
Objectives: We aimed to explore the motivators for and barriers to regular physical activity in people with knee osteoarthritis.Methods: We performed a cross-sectional, monocentric qualitative study based on 20 semi-structured individual interviews and two focus groups. People with knee osteoarthritis according to American College of Rheumatology criteria were recruited from spa therapy resorts (Royat, France). Data were collected by interviews, which were then transcribed and coded. The analysis was performed according to the researcher triangulation method.Results: Among the 27 participants (17 women), the mean age was 67 years (SD 7.8) and mean body mass index 29.2 kg/m(2) (SD 8.2). The motivators for physical activity were physical (well-being, decreased pain, self-perception), personal (lifestyle, psychological well-being), societal (relationships, others' views), and environmental (living). The motivators differed by gender, with the concept of performance predominant for men and others' views for women. The barriers were psychological (fear of pain, lack of motivation) and physical (knee pain, asthenia) and were also potentially related to life events (depression, hospitalization).Conclusions: The study population had an overall positive idea of the value of physical activity for knee osteoarthritis. The participants expressed beliefs and knowledge generally in line with current recommendations. Compliance with these recommendations remains moderate. An educational support for progressive adapted physical activity and identification of barriers and motivators could help improve adherence. (C) 2017 Societe francaise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.