Experiences of physical activity and exercise in individuals with systemic sclerosis: A qualitative study

2020 ◽  
Vol 18 (2) ◽  
pp. 150-160 ◽  
Author(s):  
Henrik Pettersson ◽  
Annica Nordin ◽  
Elisabet Svenungsson ◽  
Helene Alexanderson ◽  
Carina Boström
Keyword(s):  
Physical Activity ◽  
Systemic Sclerosis ◽  
Qualitative Study ◽  
Physical Activity And Exercise

Perceptions of ‘physical activity’ and ‘exercise’ among people living with HIV: A qualitative study

2017 ◽  
Vol 24 (11) ◽  
pp. 473-482 ◽  
Author(s):  
Kyle Vader ◽  
Alya Simonik ◽  
Denine Ellis ◽  
Dirouhi Kesbian ◽  
Priscilla Leung ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
People Living With Hiv ◽  
Physical Activity And Exercise ◽  
Living With Hiv

scholarly journals Factors That Affect Decisions About Physical Activity and Exercise in Survivors of Breast Cancer: A Qualitative Study

2012 ◽  
Vol 92 (4) ◽  
pp. 525-536 ◽  
Author(s):  
Antoinette P. Sander ◽  
Jessica Wilson ◽  
Nicole Izzo ◽  
Stephanie A. Mountford ◽  
Karen W. Hayes
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Qualitative Study ◽  
Concept Maps ◽  
Rapid Assessment ◽  
Breast Cancer Diagnosis ◽  
Decisional Balance ◽  
Activity Levels ◽  
Balance Scale ◽  
Physical Activity And Exercise

AbstractBackgroundExercise has many benefits for survivors of breast cancer, yet only half of this population regularly exercise. Fear has been identified as a barrier to exercise for people with neuromusculoskeletal conditions but has been minimally explored in women with breast cancer.ObjectivesThe purposes of this study were: (1) to investigate factors that affected decisions about physical activity and exercise in survivors of breast cancer and (2) to determine whether fear was a factor.DesignThis investigation was a grounded-theory qualitative study. Qualitative data were triangulated with data from 2 quantitative scales that measured participants' beliefs about exercise and their activity levels.MethodsThirty-four survivors of breast cancer in 8 focus groups participated in semistructured interviews that were recorded, transcribed, and coded. Concept maps created for each group were merged to develop themes. Beliefs about physical activity and exercise were assessed with the Decisional Balance Scale. The Rapid Assessment of Physical Activity was used to assess behaviors regarding physical activity and exercise before and after the breast cancer diagnosis.ResultsParticipants generally believed that exercise was beneficial (Decisional Balance Scale score: X̅=28.1 [of a maximum score of 44], SD=7.6, range=10–43). Participants decreased the amount of physical activity or exercise during treatment but increased the amount of exercise beyond prediagnosis levels after treatment (Rapid Assessment of Physical Activity score: median=6, range=2–7). Three prominent themes described participants' behaviors regarding physical activity or exercise: values and beliefs about exercise, facilitators and barriers that were both similar to those affecting the general population and cancer specific, and lack of or inaccurate information about safe exercise.ConclusionsSurvivors who were active were not afraid to exercise. However, concern about lymphedema and knowledge about safe and effective exercise programs influenced choices regarding physical activity and exercise.

scholarly journals Perceptions of Kinesiophobia in Relation to Physical Activity and Exercise After Myocardial Infarction: A Qualitative Study

2020 ◽  
Vol 100 (12) ◽  
pp. 2110-2119
Author(s):  
Maria Bäck ◽  
Victoria Caldenius ◽  
Leif Svensson ◽  
Mari Lundberg
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
Qualitative Study ◽  
Cardiac Rehabilitation ◽  
Treatment Strategies ◽  
Internal Process ◽  
Fear Of Movement ◽  
External Process ◽  
Physical Activity And Exercise ◽  
New Treatment

Abstract Objective Physical activity and exercise are central components in rehabilitation after a myocardial infarction. Kinesiophobia (fear of movement) is a well-known barrier for a good rehabilitation outcome in these patients; however, there is a lack of studies focusing on the patient perspective. The aim of this study was to explore patients’ perceptions of kinesiophobia in relation to physical activity and exercise 2 to 3 months after an acute myocardial infarction. Methods This qualitative study design used individual semi-structured interviews. Face-to-face interviews were conducted with 21 patients post-myocardial infarction who were screened for kinesiophobia (≥32 on the Tampa Scale for Kinesiophobia Heart). The interviews were transcribed and analyzed according to an inductive content analysis. Results An overarching theme was defined as “coping with fear of movement after a myocardial infarction—a dynamic process over time” comprising 2 subthemes and explaining how coping with kinesiophobia runs in parallel processes integrating the patient’s internal process and a contextual external process. The 2 processes are described in a total of 8 categories. The internal process was an iterative process governed by a combination of factors: ambivalence, hypervigilance, insecurity about progression, and avoidance behavior. The external process contains the categories of relatives’ anxiety, prerequisites for feeling safe, information, and the exercise-based cardiac rehabilitation program. Conclusion Coping with fear of movement after a myocardial infarction is a dynamic process that requires internal and external support. To further improve cardiac rehabilitation programs, person-centered strategies that support the process of each person—as well as new treatment strategies to reduce kinesiophobia—need to be elaborated. Impact Patients with a myocardial infarction were found to be ambivalent about how they expressed their fear of movement; therefore, it is crucial for physical therapists to acknowledge signs of fear by listening carefully to the patient’s full story in addition to using adequate self-reports and tests of physical fitness. These results will inform the design, development, and evaluation of new treatment strategies, with the overall aim of reducing kinesiophobia and increasing physical activity and participation in exercise-based cardiac rehabilitation.

scholarly journals Physical activity and exercise self-regulation in cancer survivors: A qualitative study

2017 ◽  
Vol 27 (2) ◽  
pp. 563-568 ◽  
Author(s):  
Edward Tsai ◽  
Michael C. Robertson ◽  
Elizabeth J. Lyons ◽  
Maria C. Swartz ◽  
Karen Basen-Engquist
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Cancer Survivors ◽  
Self Regulation ◽  
Physical Activity And Exercise

scholarly journals Promoting Participation in Physical Activity and Exercise Among People Living with Chronic Pain: A Qualitative Study of Strategies Used by People with Pain and Their Recommendations for Health Care Providers

Pain Medicine ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 625-635 ◽  
Author(s):  
Kyle Vader ◽  
Rupa Patel ◽  
Tom Doulas ◽  
Jordan Miller
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Chronic Pain ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Pain Clinic ◽  
Care Providers ◽  
Multiple Strategies ◽  
Semistructured Interviews ◽  
Physical Activity And Exercise

Abstract Objective To explore strategies used by people living with chronic pain when participating in physical activity and exercise and their recommendations for health care providers when promoting participation in physical activity and exercise. Design Interpretive description qualitative study. Setting Participants were recruited from primary care sites and a hospital-based chronic pain clinic in Kingston, Ontario, Canada. Subjects Adults (>18 years of age) who self-identified as experiencing chronic pain (three months’ duration) were interviewed. Methods In-depth semistructured interviews were conducted with participants. Interviews were audio-recorded, transcribed verbatim, and reviewed for accuracy by the interviewer. Transcripts were analyzed using thematic analysis. Peer debriefing, reflexivity, and multiple in-person meetings were used to establish trustworthiness. Results Sixteen adults (five men, 11 women) with a median age of 53 years were interviewed. Strategies used by people living with chronic pain to participate in physical activity and exercise included 1) finding the motivation, 2) setting up for success, 3) leveraging social support, and 4) managing pain and discomfort during activity. Recommendations for health care providers when promoting participation in physical activity and exercise for people living with chronic pain included 1) the importance of listening, 2) providing tailored advice, 3) being supportive, and 4) making physical activity and exercise programming accessible. Conclusions People living with chronic pain reported using multiple strategies to participate in physical activity and exercise. Recommendations for health care providers centered on the importance of listening and taking a supportive approach when promoting engagement in physical activity and exercise for this population.

Diversity in teachers’ approaches to movement integration: A qualitative study of lower secondary school teachers’ perceptions of a state school reform involving daily physical activity

2019 ◽  
Vol 26 (2) ◽  
pp. 429-447
Author(s):  
Henrik Taarsted Jørgensen ◽  
Sine Agergaard ◽  
Michalis Stylianou ◽  
Jens Troelsen
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
School Reform ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Teachers Perceptions ◽  
Physical Activity Policy ◽  
Danish School ◽  
Group Interviews ◽  
Movement Integration

In the context of implementing a physical activity policy as part of a national school reform in Denmark, the purpose of this study was to explore lower secondary teachers’ interpretations and perceptions of the physical activity policy with a focus on movement integration. In total, 14 teachers from four different schools were selected to take part in this qualitative study, which involved semi-structured interviews, focus group interviews, go-along observations and informal interviews. A thematic analysis framework was employed to identify and describe patterns of meaning within data. The findings showed substantial diversity among teachers’ interpretations and perceptions of movement integration, and consequently a lack of definitional clarity regarding movement integration and a possible misalignment between policy and practice. Teachers’ perceptions and interpretations of movement integration were influenced by other and more prioritised policies and discourses regarding academic achievement, as well as by intrapersonal, interpersonal and institutional factors. The findings also suggested a lack of support and collaboration within the school and provided insights into the strengths and weaknesses associated with the autonomy afforded in the Danish school reform.

scholarly journals A positive deviance-based qualitative study of stress, coping, and feeding practices among low-income, Hispanic mothers whose children do versus do not meet guidelines for fruit and vegetable intake

2020 ◽  
Vol 35 (6) ◽  
pp. 584-604
Author(s):  
Eleanor Shonkoff ◽  
Sara C Folta ◽  
Theodore Fitopoulos ◽  
Cynthia N Ramirez ◽  
Ricky Bluthenthal ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Low Income ◽  
Comparison Group ◽  
Vegetable Intake ◽  
Feeding Practices ◽  
The United States ◽  
Positive Deviance ◽  
Healthy Weight ◽  
Hispanic Mothers

Abstract Less than 1% of children in the United States concurrently meet guidelines for fruit/vegetable intake, physical activity, screen time, and sugar-sweetened beverages. Prior evidence suggests that parents of this 1% potentially cope with stress differently. This qualitative study used a positive deviance-based approach to locate mothers whose children avoided negative feeding outcomes despite being ‘high-risk’ for obesity. Semi-structured interviews were conducted in Spanish for two groups: low-income, Hispanic mothers whose children were normal weight and met recommendations for fruits/vegetables and physical activity (n = 5); and a comparison group whose children had obesity and did not meet guidelines (n = 8). Topics included weight-related parenting practices, attitudes toward health, and stress management. Interviews were transcribed, translated, and coded using NVivo for theoretically driven thematic analysis. Results suggested that mothers viewed stress differently. Mothers of healthy weight children believed stress could be prevented, such as by paying children more attention or directing one’s attention away from stressors; comparison group mothers tended to report stress about managing their child’s eating and about financial worries. Future research is needed to understand the underlying sources of these differences (e.g. personality traits, coping practices) and test whether stress prevention interventions can promote healthy parental feeding practices.

scholarly journals Physical Activity Advice and Counselling by Healthcare Providers: A Scoping Review

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 609
Author(s):  
Uchenna Benedine Okafor ◽  
Daniel Ter Goon
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Scoping Review ◽  
Post Partum ◽  
Healthcare Providers ◽  
Original Research ◽  
Eligibility Criteria ◽  
Physical Activity Advice ◽  
Scoping Reviews ◽  
Physical Activity And Exercise

Background: Despite scientific evidence on prenatal physical activity and exercise, synthesized evidence is lacking on the provision of prenatal physical activity and exercise advice and counselling by prenatal healthcare providers. The scoping review seeks to fill this gap by synthesizing available literature on the provision of prenatal physical activity and exercise advice and counselling by prenatal healthcare providers to women during antenatal visits. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) search framework for scoping reviews was applied to retrieve original research articles on the prenatal physical activity and exercise practices of healthcare providers with pregnant women, published between 2010–2020, and available in English. The search databases included Google Scholar, PubMed, Science Direct, Scopus, EMBASE, The Cumulative Index for Nursing and Allied Health Literature (CINAHL), BIOMED Central, Medline and African Journal Online. Studies that fulfilled the eligibility criteria were retrieved for analysis. Results: Out of the 82 articles that were retrieved for review, 13 met the eligibility criteria. Seven of the articles were quantitative, four qualitative, one mixed-method and one controlled, non-randomised study, respectively. Three themes emerged as major findings. Healthcare providers affirmed their responsibility in providing prenatal physical activity advice and counselling to pregnant women; however, they seldom or rarely performed this role. Major barriers to prenatal physical activity and exercise included insufficient time, lack of knowledge and skills, inadequate or insufficient training, and lack of resources. Conclusion: This review highlights salient features constraining the uptake of prenatal physical activity and exercise advice/counselling by prenatal healthcare providers in both community and clinical settings. Prenatal physical activity advice and counselling are key components to the promotion of physical activity adherence during and post-partum pregnancy; this requires adequate knowledge of physical activity prescriptions and recommendations, which are personalised and contextual to environment. Research is needed to examine the prenatal physical activity advice and counselling from prenatal healthcare providers on issues hindering effective delivery of the aforementioned in the context of promoting prenatal physical activity in clinical or community settings.

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