Document Detail


Facilitators and barriers to exercising among people with osteoarthritis: a phenomenological study.
MedLine Citation:
PMID:  20466741     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Evidence indicates that regular exercise improves the well-being of individuals with osteoarthritis (OA). However, these individuals seem to exercise less frequently than the general population and seem to have limited adherence to exercising. OBJECTIVES: The purposes of this study were: (1) to increase knowledge and understanding of the experience of exercising among individuals with OA and (2) to determine what they perceive as facilitators and barriers to exercising. DESIGN AND METHOD: This study used a qualitative method, based on the Vancouver School of doing phenomenology, involving purposive sampling of 12 individuals and 16 interviews. The participants, 9 women and 3 men, were 50 to 82 years of age. RESULTS: Extended information on exercise behavior among people with OA is presented in a model in which internal and external facilitators and barriers to exercising are delineated. Based on this model, a checklist is proposed for physical therapists' assessment of these factors. Internal factors include individual attributes and personal experience of exercising, whereas external factors include the social and physical environment. The participants expressed how each of these internal and external factors could act both as a facilitator and a barrier to exercise participation and the pattern of exercising; for example, the presence of pain was an important aspect concerning internal barriers to exercising, whereas the hope of less pain was one of the main facilitators. CONCLUSIONS: Increased knowledge and understanding of the factors influencing exercise behavior in people with OA can help physical therapists and other health care professionals support them in initiating and maintaining a healthy exercise routine and, consequently, achieving a better quality of life.
Authors:
Unnur Petursdottir; Solveig A Arnadottir; Sigridur Halldorsdottir
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-13
Journal Detail:
Title:  Physical therapy     Volume:  90     ISSN:  1538-6724     ISO Abbreviation:  Phys Ther     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1014-25     Citation Subset:  AIM; IM    
Affiliation:
Bjarg Rehabilitation Center, Bugdusida 1, 603 Akureyri, Iceland. unnur@bjarg.is
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Attitude to Health
Exercise / physiology*
Fatigue / physiopathology
Female
Health Services Accessibility
Humans
Interviews as Topic
Male
Middle Aged
Motivation
Osteoarthritis / physiopathology*,  rehabilitation*
Pain / physiopathology
Personality
Quality of Life
Self Concept
Sleep
Social Support
Socioeconomic Factors
Transportation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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