scholarly journals Identifying barriers and facilitators to physical activity for people with scleroderma: A nominal group technique study

2019 ◽  
Author(s):  
Sami Harb ◽  
Julie Cumin ◽  
Danielle B. Rice ◽  
Sandra Peláez ◽  
Marie Hudson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Nominal Group Technique ◽  
Physical Activities ◽  
Barriers And Facilitators ◽  
Nominal Group ◽  
List Type ◽  
Physically Active ◽  
Rehabilitation Professionals ◽  
Time Work ◽  
Group Technique

AbstractPurposeTo identify physical activity barriers and facilitators experienced by people with systemic sclerosis (SSc; scleroderma).Materials and MethodsWe conducted nominal group technique sessions with SSc patients who shared barriers to physical activities, barrier-specific facilitators, and general facilitators. Participants rated importance of barriers and likelihood of using facilitators from 0-10, and indicated whether they had tried facilitators. Barriers and facilitators across sessions were subsequently merged to eliminate overlap; edited based on feedback from investigators, patient advisors, and clinicians; and categorized.ResultsWe conducted nine sessions (n=41 total participants) and initially generated 181 barriers, 457 barrier-specific facilitators, and 20 general facilitators. The number of consolidated barriers (barrier-specific facilitators in parentheses) for each category were: 14 (61) for health and medical; 4 (23) for social and personal; 1 (3) for time, work, and lifestyle; and 1 (4) for environmental. There were 12 consolidated general facilitators. The consolidated items with ≥ 1/3 of participants’ ratings ≥ 8 were: 15 barriers, 69 barrier-specific facilitators, and 9 general facilitators.ConclusionsPeople with SSc reported many barriers related to health and medical aspects of SSc and several barriers in other categories. They reported facilitators to remain physically active despite the barriers.Implications for RehabilitationPeople with scleroderma experience difficulty being physically active due to the diverse and often severe manifestations of the disease, including involvement of the skin, musculoskeletal system, and internal organs.In addition to regular care of scleroderma-related symptoms, patients overcome many exercise challenges by selecting physical activities that are comfortable for them, adjusting the intensity and duration of activities, adapting activities, and using adapted equipment or other materials to reduce discomfort.Rehabilitation professionals should help people with scleroderma to tailor activity options to their capacity and needs when providing care and advice to promote physical activity.

scholarly journals Exploring Faculty and Staff PA Barriers at a Large University

2013 ◽  
Vol 11 (2) ◽  
pp. 61-72 ◽  
Author(s):  
Bhibha M. Das ◽  
Anna I. Rinaldi-Miles ◽  
Ellen M. Evans
Keyword(s):  
Physical Activity ◽  
Focus Group ◽  
Physical Inactivity ◽  
Nominal Group Technique ◽  
Health Belief ◽  
Nominal Group ◽  
Physically Active ◽  
University Employees ◽  
Belief Model ◽  
The Health Belief Model

Introduction: Physical inactivity is a leading cause of morbidity and mortality. Worksites provide an ideal environment for physical activity (PA) interventions. The aim was to use the Nominal Group Technique (NGT) to examine university employees’ perceptions of worksite PA barriers and benefits. Methods: A focus group using the NGT and the Health Belief Model was conducted to assess employees’ perceived susceptibility of physical inactivity, perceptions of barriers and benefits to PA, and cues to action. Results: Findings showed university employees experienced similar barriers to PA as employees in other sectors, including lack of time and knowledge. Participants reported unique benefits to being physical active, notably being physically active allowed them to maintain demanding professional and personal lifestyles. Discussion: Results imply university employees experienced benefits to PA consistent with other worksite populations; the surprising benefits of PA for this population are strong motivators and would provide an excellent basis for interventions. Results also indicate although university employees face similar barriers to PA as other worksites, the unique barriers for this worksite should be the focus for worksite programs for this population. Similarly to the benefits, the unique barriers of this population should influence development of interventions to promote PA on campuses.

scholarly journals Using nominal group technique to advance power assisted exercise equipment for people with stroke

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Rachel Young ◽  
Karen Sage ◽  
David Broom ◽  
Katherine Broomfield ◽  
Gavin Church ◽  
...  
Keyword(s):  
New Technologies ◽  
Service Providers ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Future Research ◽  
Health Technologies ◽  
Rehabilitation Professionals ◽  
Prototype Development ◽  
Exercise Equipment ◽  
Group Technique

Abstract Background Power assisted exercise is accessible and acceptable for people with stroke. The potential for technological advancement of the equipment to improve the user experience has been identified. Involvement of end users and service providers in the design of health technologies is essential in determining how said technology is perceived and adopted. This project invited people with stroke and service providers to influence design features and determine machine selection in the preliminary stages of a codesign research programme. Aims To capture the perspectives of people with stroke and professionals working with people with stroke about proposed digitalisation of power assisted exercise equipment and select machines for prototype development. Methods Nominal group technique was used to capture the perspectives, ideas, preferences and priorities of three stakeholder groups: people with stroke (n = 3, mean age 66 years), rehabilitation professionals (n = 3) and exercise scientists (n = 3). Two questions underpinned the structure of the events; ‘What does an assistive exercise machine need to do to allow the person with stroke to engage in exercise?’ and ‘Which machines would you prioritise for use with People with Stroke?’ Attendees were invited to cast votes to indicate their preferred machines. Findings Synthesis of the data from the NGT identified four domains; software and interface, exercise programme, machine and accessories, setting and service. Three preferred machines from a range of nine were identified through vote counting. Conclusion Nominal group technique directed the selection of machines to be included in the development of the proposed technology. The vision shared by users during the structured discussion shaped the subsequent steps in the design and testing of the new technology. Patient and service provider contribution The opinions and preferences of people with stroke, rehabilitation professionals and exercise scientists were central to key decisions which will shape the digitalisation of power assisted equipment, influence future research and guide implementation of the new technologies.

Environmental Changes to Increase Physical Activity: Perceptions of Older Urban Ethnic-Minority Women

2007 ◽  
Vol 15 (4) ◽  
pp. 425-438 ◽  
Author(s):  
Emily Lees ◽  
Wendell C. Taylor ◽  
Joseph T. Hepworth ◽  
Karina Feliz ◽  
Andrea Cassells ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Environment ◽  
Environmental Changes ◽  
Research Question ◽  
Nominal Group Technique ◽  
Neighborhood Environment ◽  
Nominal Group ◽  
Physically Active ◽  
Health Clinics ◽  
Community Health Clinics

Despite the numerous benefits of physical activity, older adults continue to be more sedentary than their younger counterparts, and sedentary behavior is more prevalent among older racial and ethnic minorities than among Whites. This study used the nominal group technique (NGT) to examine participants’ perceptions of what neighborhood environmental changes would encourage greater physical activity for older African American and Hispanic women. Participants age 50–75 years were recruited from 2 urban community health clinics. Nine NGT sessions (45 participants) were conducted. The women were asked what changes in their neighborhood environment would encourage them to become more physically active. Responses to the research question were tabulated, and qualitative analysis was used to identify themes and categories. Major categories were physical environment changes, safety, and activities/social support. Although the physical environment received the greatest number of points, concerns for personal safety cut across categories. Participants indicated the need for more facilities in which to be active.

Expert Approaches to Promote Adolescent Physical Activity in Iran: Development of the Promoting Strategies Using the Nominal Group Technique Meeting

2014 ◽  
Vol 11 (5) ◽  
pp. 961-965
Author(s):  
Azam Baheiraei ◽  
Zeinab Hamzehgardeshi ◽  
Mohammad Reza Mohammadi ◽  
Eesa Mohammadi ◽  
AbouAli Vedadhir
Keyword(s):  
Physical Activity ◽  
Qualitative Methodology ◽  
Nominal Group Technique ◽  
Health Sciences ◽  
Nominal Group ◽  
View Point ◽  
Main Claim ◽  
Adolescent Physical Activity ◽  
Group Technique

Background:Several studies have shown that physical activity decreases as the age increases. This study was for evaluating the perspectives of health sciences specialists or informants on the strategies for increasing physical activity among Iranian adolescents using Nominal Group Technique (NGT).Methods:a semiquantitative/qualitative methodology research using NGT for prioritizing the strategies for alleviating the physical activities among Iranian adolescents based on the opinions of health sciences experts. This study conducted in Tehran, Iran, 2011.Results:Overall, 16 items received scores from 2–29 and were further listed as the accepted strategies for promoting physical activity among adolescents. The most and least recommended strategies were respectively in the categories of school, neighborhood and family. This study findings show ‘the constructionist activities or strategies (eg, claim-making, image-making, myth-constructing and framing) among adolescents using main claim-makers of Iranian society, including the state-sponsored media.,’ received the highest score by all the participants of NGT.Conclusions:The interesting finding of this study is the special view point of the specialists to role of socioecological factors in promoting physical activity in the context of Iranian society.

scholarly journals Identifying priorities for the collection and use of data related to community first response and out-of-hospital cardiac arrest: protocol for a nominal group technique study

2021 ◽  
Vol 4 ◽  
pp. 81
Author(s):  
Dylan Keegan ◽  
Eithne Heffernan ◽  
Jenny McSharry ◽  
Tomás Barry ◽  
Siobhán Masterson
Keyword(s):  
Cardiac Arrest ◽  
Data Collection ◽  
Nominal Group Technique ◽  
Barriers And Facilitators ◽  
Nominal Group ◽  
First Response ◽  
Key Stakeholders ◽  
The Impact ◽  
Hospital Cardiac Arrest ◽  
Group Technique

Introduction: Out-of-hospital cardiac arrest (OHCA) is a devastating health event that affects over 2000 people each year in Ireland. Survival rate is low, but immediate intervention and initiation of cardiopulmonary resuscitation (CPR) and administration of an automated external defibrillator (AED) can increase chances of survival. It is not always possible for the emergency medical services (EMS) to reach OHCA cases quickly. As such, volunteers, including lay and professional responders (e.g. off-duty paramedics and fire-fighters), trained in CPR and AED use, are mobilised by the EMS to respond locally to prehospital medical emergencies (e.g. OHCA and stroke). This is known as community first response (CFR). Data on the impact of CFR interventions are limited. This research aims to identify the most important CFR data to collect and analyse, the most important uses of CFR data, as well as barriers and facilitators to data collection and use. This can inform policies to optimise the practice of CFR in Ireland. Methods: The nominal group technique (NGT) is a structured consensus process where key stakeholders (e.g. CFR volunteers, clinicians, EMS personnel, and patients/relatives) develop a set of prioritised recommendations. This study will employ the NGT, incorporating an online survey and online consensus meeting, to develop a priority list for the collection and use of CFR data in Ireland. Stakeholder responses will also identify barriers and facilitators to data collection and use, as well as indicators that improvements to these processes have been achieved. The maximum sample size for the NGT will be 20 participants to ensure sufficient representation from stakeholder groups. Discussion: This study, employing the NGT, will consult key stakeholders to establish CFR data collection, analysis, and use priorities. Results from this study will inform CFR research, practice, and policy, to improve the national CFR service model and inform international response programs.

scholarly journals Using Nominal Group Technique To Advance Power Assisted Exercise Equipment For People With Stroke

2021 ◽  
Author(s):  
Rachel Young ◽  
Karen Sage ◽  
David Broom ◽  
Katherine Broomfield ◽  
Gavin Church ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
New Technologies ◽  
Service Providers ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Health Technologies ◽  
Rehabilitation Professionals ◽  
Prototype Development ◽  
Exercise Equipment ◽  
Group Technique

Abstract BackgroundPower assisted exercise is accessible and acceptable for people with stroke. The potential for technological advancement of the equipment to improve the user experience has been identified. Involvement of end users and service providers in the design of health technologies is essential in determining how said technology is perceived and adopted. This project invited people with stroke and service providers to influence design features and determine machine selection in the preliminary stages of a codesign research programme. AimsTo capture the perspectives of people with stroke and professionals working with people with stroke about proposed digitalisation of power assisted exercise equipment and select machines for prototype development.MethodsNominal group technique was used to capture the perspectives, ideas, preferences and priorities of three stakeholder groups: people with stroke, rehabilitation professionals and exercise scientists. Two questions underpinned the structure of the events; ‘What does an assistive exercise machine need to do to allow the person with stroke to engage in exercise?’ and ‘Which machines would you prioritise for use with PwS?’ Attendees were invited to cast votes to indicate their preferred machines. FindingsSynthesis of the data from the NGT identified four domains; software and interface, exercise programme, machine and accessories, setting and service. Three preferred machines from a range of nine were identified through vote counting. ConclusionNominal group technique enabled a structured approach to patient and public involvement at the outset of a co-design project to advance rehabilitation technologies for people with stroke. Patient and service provider contributionThe opinions and preferences of people with stroke, rehabilitation professionals and exercise scientists were central to key decisions which will shape the digitalisation of power assisted equipment, influence future research and guide implementation of the new technologies.

scholarly journals Identifying priorities for the collection and use of data related to community first response and out-of-hospital cardiac arrest: protocol for a nominal group technique study

2021 ◽  
Vol 4 ◽  
pp. 81
Author(s):  
Dylan Keegan ◽  
Eithne Heffernan ◽  
Jenny McSharry ◽  
Tomás Barry ◽  
Siobhán Masterson
Keyword(s):  
Cardiac Arrest ◽  
Data Collection ◽  
Nominal Group Technique ◽  
Barriers And Facilitators ◽  
Nominal Group ◽  
First Response ◽  
Key Stakeholders ◽  
The Impact ◽  
Hospital Cardiac Arrest ◽  
Group Technique

Introduction: Out-of-hospital cardiac arrest (OHCA) is a devastating health event that affects over 2000 people each year in Ireland. Survival rate is low, but immediate intervention and initiation of cardiopulmonary resuscitation (CPR) and administration of an automated external defibrillator (AED) can increase chances of survival. It is not always possible for the emergency medical services (EMS) to reach OHCA cases quickly. As such, volunteers, including lay and professional responders (e.g. off-duty paramedics and fire-fighters), trained in CPR and AED use, are mobilised by the EMS to respond locally to prehospital medical emergencies (e.g. OHCA and stroke). This is known as community first response (CFR). Data on the impact of CFR interventions are limited. This research aims to identify the most important CFR data to collect and analyse, the most important uses of CFR data, as well as barriers and facilitators to data collection and use. This can inform policies to optimise the practice of CFR in Ireland. Methods: The nominal group technique (NGT) is a structured consensus process where key stakeholders (e.g. CFR volunteers, clinicians, EMS personnel, and patients/relatives) develop a set of prioritised recommendations. This study will employ the NGT, incorporating an online survey and online consensus meeting, to develop a priority list for the collection and use of CFR data in Ireland. Stakeholder responses will also identify barriers and facilitators to data collection and use, as well as indicators that improvements to these processes have been achieved. The maximum sample size for the NGT will be 20 participants to ensure sufficient representation from stakeholder groups. Discussion: This study, employing the NGT, will consult key stakeholders to establish CFR data collection, analysis, and use priorities. Results from this study will inform CFR research, practice, and policy, to improve the national CFR service model and inform international response programs.

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