Document Detail

A qualitative approach to developing a patient-derived intervention to increase exercise in peripheral arterial disease.
MedLine Citation:
PMID:  16569978     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: In designing a patient-physician communication intervention, we explored patients' perceptions of the role of exercise in the treatment of peripheral arterial disease (PAD). METHODS: We conducted qualitative interviews (5 focus groups and 13 one-on-one interviews) involving 35 patients with known PAD. We analyzed verbatim transcripts for significant dimensions of patients' explanatory models of PAD and exercise, perceptions of patient-physician communication, and other factors that would increase their participation in exercise (ie, walking). We used Atlas.ti software to facilitate data sorting and storage. RESULTS: Based on 30 emerging codes, we identified primary themes that constitute patients' perceptions of (1) the causes and outcomes of PAD, (2) the importance of patient-physician communication, (3) the impact of PAD on their lives, and (4) the factors that would lead to their exercise participation to treat PAD. From this information, our conceptual model focuses on an intervention plan that includes addressing the known causes of PAD, the patient's behavior prior to the diagnosis of PAD, and the factors that shape a patient's overall assessment of the role of exercise for PAD. An integral aspect of our model is the impact of the physician's perception of PAD coupled with the patient's perception in order to shape the intervention-a partnership between the physician and the patient-that we posit is likely to lead to behavior change. CONCLUSION: Based on qualitative data analysis, we developed a patient-derived model to influence exercise participation. This model highlights those factors most likely to influence behavior change in patients with PAD. The next step is to enact and assess an intervention based on this model, to increase physical activity in patients with PAD.
Tracie C Collins; Tony L Kroll; Patricia N Krueger; Pamela Willson; Carol M Ashton; Barbara F Sharf
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation     Volume:  26     ISSN:  0883-9212     ISO Abbreviation:  J Cardiopulm Rehabil     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-03-29     Completed Date:  2007-09-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8511296     Medline TA:  J Cardiopulm Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-100     Citation Subset:  IM    
Houston Center for Quality of Care and Utilization Studies, Michael E. DeBakey VA Medical Center, and Section for Health Services Research, Baylor College of Medicine, Houston, TX, USA.
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MeSH Terms
Cohort Studies
Ethnic Groups
Exercise* / psychology
Focus Groups
Health Knowledge, Attitudes, Practice*
Health Promotion*
Interviews as Topic
Motor Activity
Patient Compliance
Peripheral Vascular Diseases / psychology,  rehabilitation*
Physician-Patient Relations
Quality of Life
Risk Factors
Grant Support

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

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