Factors influencing physical activity in adults with cystic fibrosis.

HURLEY, Nicola, MOYNA, Niall M, KEHOE, Bróna, MCCAFFREY, Noel, REDMOND, Karen and HARDCASTLE, Sarah (2021). Factors influencing physical activity in adults with cystic fibrosis. BMC pulmonary medicine, 21 (1): 113.

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Abstract

Background

Physical activity (PA) is a well-documented and accepted adjunct therapy for the maintenance and improvement of long-term health in cystic fibrosis (CF). Although the benefits of PA for CF populations are well-established, adherence to PA programmes within this population remains low. This study aimed to investigate the factors that influence engagement in physical activity, and to explore exercise preferences, among adults with cystic fibrosis (CF).

Methods

Semi-structured telephone interviews were conducted. Participants were twenty-one adults (mean age 35 years, SD ± 8) with an established diagnosis of CF, living in Ireland. Interview scripts were digitally recorded and transcribed verbatim. Thematic analysis was used to analyse the data.

Results

Four main themes emerged: barriers, motives, value of exercise-related outcomes, and exercise preferences. The main barriers included: low energy levels, time, the weather, and exercise-related confidence. Enjoyment and perceived competence underpinned autonomous motivation. Participants who self-identified as being regularly active valued personally identified exercise-related outcomes such as, accomplishment and affect regulation. Participants indicated a preference for home-based physical activity programs compared to gym- or facility-based programs.

Conclusion

Interventions aimed at promoting physical activity among adults with CF should involve programs that foster autonomous motivation, enjoyable activities, personally identified outcomes, competence and that can be conducted from the home environment.

Clinical implications

To increase physical activity participation among adults with CF, interventions that can be conducted from the home environment, that pay attention to the patients' personally-valued exercise outcomes may be required.

Item Type:	Article
Uncontrolled Keywords:	Humans; Cystic Fibrosis; Exercise; Exercise Therapy; Motivation; Perception; Qualitative Research; Adult; Middle Aged; Ireland; Female; Male; Interviews as Topic; Behaviour change; Cystic fibrosis; Exercise; Motivation; Physical activity; Psychology; Psychosocial; Adult; Cystic Fibrosis; Exercise; Exercise Therapy; Female; Humans; Interviews as Topic; Ireland; Male; Middle Aged; Motivation; Perception; Qualitative Research; 1102 Cardiorespiratory Medicine and Haematology; Respiratory System; 3201 Cardiovascular medicine and haematology
Identification Number:	https://doi.org/10.1186/s12890-021-01482-x
SWORD Depositor:	Symplectic Elements
Depositing User:	Symplectic Elements
Date Deposited:	20 Jun 2024 14:43
Last Modified:	20 Jun 2024 14:45
URI:	https://shura.shu.ac.uk/id/eprint/33802

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