Document Detail

Views on exercise maintenance: variations among patients with rheumatoid arthritis.
MedLine Citation:
PMID:  18653678     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: Individuals with rheumatoid arthritis (RA) often have to make changes in exercise behavior in order to gain and sustain health benefits. The purpose of this study was to explore and describe ways of understanding exercise maintenance among individuals with RA who had already started to exercise. PARTICIPANTS: Fourteen women and 4 men with RA of at least 2 years' duration, selected from 4 hospitals or primary health care physical therapy clinics, participated. They had exercised regularly at least twice weekly during the previous 2 months with various levels of support from a physical therapist, and they had attempted to exercise without support outside of the health care environment during the previous year. METHOD: A phenomenographic approach was used to analyze semistructured interviews. A pattern of categories of descriptions was constructed based on the participants' conceptions and ways of understanding the phenomenon of exercise maintenance. RESULTS: Five categories were identified: "external control," "sticks and carrots," "a joint venture," "the easy way," and "on one's own terms." The categories became clear by elucidating 2 aspects related to exercise maintenance: (1) the way the participants talked about and experienced the type of support needed and (2) personal factors. DISCUSSION AND CONCLUSION: The results highlight the importance of finding the proper context and support for each patient's needs. Furthermore, preparing for exercise maintenance by strengthening the patient's beliefs in his or her ability to exercise in different settings, by discussing pros and cons of exercise, and by exploiting the patient's ability to adapt and continue exercise outside of the health care environment might be valuable.
Emma Swärdh; Gabriele Biguet; Christina H Opava
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-07-24
Journal Detail:
Title:  Physical therapy     Volume:  88     ISSN:  1538-6724     ISO Abbreviation:  Phys Ther     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-01     Completed Date:  2008-09-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1049-60     Citation Subset:  AIM; IM    
Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 23100, SE-141 83 Huddinge, Sweden.
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MeSH Terms
Arthritis, Rheumatoid / psychology*,  rehabilitation*
Attitude to Health*
Exercise Therapy*
Interviews as Topic
Middle Aged
Treatment Outcome
Erratum In:
Phys Ther. 2008 Oct;88(10):1232

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

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