Understanding factors that influence participation in physical activity among people with a neuromusculoskeletal condition: a review of qualitative studies

Newitt, Rosemarie, Barnett, Fiona, and Crowe, Melissa (2016) Understanding factors that influence participation in physical activity among people with a neuromusculoskeletal condition: a review of qualitative studies. Disability and Rehabilitation, 38 (1). pp. 1-10.

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Abstract

Purpose: This review aims to describe the factors that influence participation in physical activity (PA) in people with neuromusculoskeletal (NMS) conditions.

Methods: A systematic search of six databases was conducted. Articles were included if the study qualitatively explored factors that influence participation in PA by individuals with a NMS condition. Fifteen peer-reviewed articles published between 2003 and 2013 were analysed for common themes and critically appraised.

Results: Results were categorised using the International Classification of Functioning, Disability and Health framework. The most common demotivators reported for the three areas of functioning, body function and structures, activities and participation were lack of walking balance, muscle weakness, pain, stiffness, bladder and blower problems, depression, thermoregulation and fear of injury. Fluctuating symptoms and fatigue were mentioned as demotivators in all of the progressive conditions. Maintaining independence, function and weight, and the prevention of secondary conditions were the leading motivators reported in this domain. Most common environmental barriers include accessibility, costs, transport and insufficient information and knowledge from health professionals. Social support is a consistent determinate of PA and is reported as a facilitator in every study. The most common personal demotivators include lack of motivation, feelings of self-consciousness and embarrassment in public, anxiety, frustration and anger. Personal motivators include goal setting and achieving, enjoyment, feeling good, feeling "normal", motivation and optimism, redefining self and escapism from everyday boundaries. Conclusions: Individuals with NMS conditions report complex common barriers, facilitators, demotivators and motivators to participation in PA. The way these factors influence participation in PA is unique to the individual; therefore, it is necessary to adopt an individually tailored approach when designing interventions.

Item ID: 39101
Item Type: Article (Research - C1)
ISSN: 1464-5165
Keywords: barriers, exercise, facilitators, ICF framework, neuromusculoskeletal, participation, physical activity
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Additional Information:

A version of this publication was included as Chapter 2 of the following PhD thesis: Newitt, Rosemarie Therese (2017) Translation of a lifestyle physical activity intervention into a regional rehabilitation service. PhD thesis, James Cook University., which is available Open Access in ResearchOnline@JCU. Please see the Related URLs for access.

Date Deposited: 17 Jun 2015 01:50
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1106 Human Movement and Sports Science > 110602 Exercise Physiology @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 100%
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