Supports and Barriers to Home-Based Physical Activity During Preoperative Treatment of Pancreatic Cancer: A Mixed-Methods Study

Background: Physical activity and exercise appear to benefit patients receiving preoperative treatment for cancer. Supports and barriers must be considered to increase compliance with home-based exercise prescriptions in this setting. Such influences have not been previously examined. Methods: The authors used quantitative and qualitative methods to examine potential physical activity influences among patients who were prescribed home-based aerobic and strengthening exercises concurrent with preoperative chemotherapy or chemoradiation for pancreatic cancer. Physical activity was measured using exercise logs and accelerometers. Social support for exercise and perceived neighborhood walkability were measured using validated surveys. Relationships between influences and physical activity were evaluated using linear regression analyses and qualitative interviews. Results: Fifty patients received treatment for a mean of 16 (9) weeks prior to planned surgical resection. Social support from friends and neighborhood esthetics were positively associated with physical activity (P < .05). In interviews, patients confirmed the importance of these influences and cited encouragement from health care providers and desire to complete and recover from treatment as additional motivators. Conclusions: Interpersonal and environmental motivators of exercise and physical activity must be considered in the design of future home-based exercise interventions designed for patients receiving preoperative therapy for cancer.

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Painful Choices: A Qualitative Exploration of Facilitators and Barriers to Active Lifestyles Among Adults With Osteoarthritis

Journal of Applied Gerontology ◽

10.1177/0733464815602114 ◽

2015 ◽

Vol 36 (9) ◽

pp. 1091-1116 ◽

Cited By ~ 17

Author(s):

Rachael C. Stone ◽

Joseph Baker

Keyword(s):

Physical Activity ◽

Health Care Providers ◽

Qualitative Interviews ◽

Management Strategies ◽

Intervention Strategy ◽

Care Providers ◽

Structured Interviews ◽

Health Related ◽

Facilitators And Barriers ◽

Aging Adults

Research has indicated physical activity and exercise can effectively attenuate biopsychosocial osteoarthritis-related symptoms in adults, more so than other management strategies; however, both leisure and structured physical activity are scarcely recommended by health care providers, and remain rarely adopted and adhered to in this patient population. Using qualitative interviews, the present study investigated potential facilitators and barriers to physical activity for adults with osteoarthritis. Fifteen participants (30-85 years of age) with osteoarthritis engaged in semi-structured interviews, which focused on experiences with physical activity/exercise, daily osteoarthritis management, and experiences with health professionals’ recommendations. Analysis of the interview transcripts revealed that pain relief, clear health-related communication, and social support facilitated physical activity. Physical pain, psychological distress, and inadequate medical support were the most frequently expressed barriers. The present study supports the biopsychosocial nature of osteoarthritis, which may have important implications for advancing exercise as an effective and long-term intervention strategy in aging adults with osteoarthritis.

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Perceived Social Support and Physical Activity Among Patients With Coronary Artery Disease

Western Journal of Nursing Research ◽

10.1177/0193945916678374 ◽

2016 ◽

Vol 39 (12) ◽

pp. 1606-1623 ◽

Cited By ~ 7

Author(s):

Mi Hwa Won ◽

Youn-Jung Son

Keyword(s):

Physical Activity ◽

Social Support ◽

Coronary Artery Disease ◽

Health Care ◽

Coronary Artery ◽

Health Care Providers ◽

Perceived Social Support ◽

Stable Coronary Artery Disease ◽

Care Providers ◽

Artery Disease

Adherence to recommended physical activity after a cardiac event is important to prevent cardiac recurrence. Social support from peers and family is known to improve self-care in chronic illnesses, including cardiovascular disease. However, the relationship between social support from health care providers and physical activity among patients with coronary artery disease remains unclear. This cross-sectional study aimed to identify the relationship between perceived social support from health care providers and physical activity among patients with stable coronary artery disease. The study included 237 patients with stable coronary artery disease attending an outpatient clinic. Hierarchical linear regression found that perceived social support explained 12% of variance in physical activity, F(14, 222) = 7.37, p < .001. In addition, self-efficacy partially mediated the relationships between perceived social support and physical activity. Abundant support from health care providers plays a key role in promoting physical activity among patients with stable coronary artery disease.

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Community Integration After Traumatic Brain Injury and Related Factors: A Study in the Nepalese Context

SAGE Open Nursing ◽

10.1177/2377960820981788 ◽

2020 ◽

Vol 6 ◽

pp. 237796082098178

Author(s):

Sumana Lama ◽

Jintana Damkliang ◽

Luppana Kitrungrote

Keyword(s):

Social Support ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Health Care Providers ◽

Physical Environment ◽

Community Integration ◽

Sampling Technique ◽

Care Providers ◽

Related Factors ◽

High Level

Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson’s correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.

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Cardiac rehabilitation via telerehabilitation in COVID-19 pandemic situation

The Egyptian Heart Journal ◽

10.1186/s43044-021-00156-7 ◽

2021 ◽

Vol 73 (1) ◽

Author(s):

Dian M. Sari ◽

Laurentia C. G. Wijaya

Keyword(s):

Cardiac Rehabilitation ◽

Health Care Providers ◽

Rehabilitation Program ◽

Lifestyle Changes ◽

Second Phase ◽

Main Body ◽

Cardiac Rehabilitation Program ◽

Care Providers ◽

Adherence To Medication ◽

Home Based

Abstract Background Adherence to medication and lifestyle changes are very important in the secondary prevention of cardiovascular disease. One of the ways is by doing a cardiac rehabilitation program. Main body of the abstract Cardiac rehabilitation program is divided into three phases. The cardiac rehabilitation program’s implementation, especially the second phase, center-based cardiac rehabilitation (CBCR), has many barriers not to participate optimally. Therefore, the third phase, known as home-based cardiac rehabilitation (HBCR), can become a substitute or addition to CBCR. On the other hand, this phase is also an essential part of the patients’ functional capacity. During the coronavirus disease-2019 pandemic, HBCR has become the leading solution in the cardiac rehabilitation program’s sustainability. Innovation is needed in its implementation, such as telerehabilitation. So, the cardiac rehabilitation program can be implemented by patients and monitored by health care providers continuously. Short conclusion Physicians play an essential role in motivating patients and encouraging their family members to commit to a sustainable CR program with telerehabilitation to facilitate its implementation.

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Feasibility and Assessment of a Cascade Traceback Screening Program (FACTS): Protocol for a Multisite Study to Implement and Assess an Ovarian Cancer Traceback Cascade Testing Program

Journal of Personalized Medicine ◽

10.3390/jpm11060543 ◽

2021 ◽

Vol 11 (6) ◽

pp. 543

Author(s):

Anna DiNucci ◽

Nora B. Henrikson ◽

M. Cabell Jonas ◽

Sundeep Basra ◽

Paula Blasi ◽

...

Keyword(s):

Ovarian Cancer ◽

Genetic Testing ◽

Health Care Providers ◽

Screening Program ◽

Qualitative Interviews ◽

Care Providers ◽

Genetic Privacy ◽

Program Outcomes ◽

Cascade Testing ◽

Program Costs

Ovarian cancer (OVCA) patients may carry genes conferring cancer risk to biological family; however, fewer than one-quarter of patients receive genetic testing. “Traceback” cascade testing —outreach to potential probands and relatives—is a possible solution. This paper outlines a funded study (U01 CA240747-01A1) seeking to determine a Traceback program’s feasibility, acceptability, effectiveness, and costs. This is a multisite prospective observational feasibility study across three integrated health systems. Informed by the Conceptual Model for Implementation Research, we will outline, implement, and evaluate the outcomes of an OVCA Traceback program. We will use standard legal research methodology to review genetic privacy statutes; engage key stakeholders in qualitative interviews to design communication strategies; employ descriptive statistics and regression analyses to evaluate the site differences in genetic testing and the OVCA Traceback testing; and assess program outcomes at the proband, family member, provider, system, and population levels. This study aims to determine a Traceback program’s feasibility and acceptability in a real-world context. It will account for the myriad factors affecting implementation, including legal issues, organizational- and individual-level barriers and facilitators, communication issues, and program costs. Project results will inform how health care providers and systems can develop effective, practical, and sustainable Traceback programs.

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Obesity in Children and Adolescents during COVID-19 Pandemic

Children ◽

10.3390/children8020135 ◽

2021 ◽

Vol 8 (2) ◽

pp. 135

Author(s):

Androniki Stavridou ◽

Evangelia Kapsali ◽

Eleni Panagouli ◽

Athanasios Thirios ◽

Konstantinos Polychronis ◽

...

Keyword(s):

Physical Activity ◽

Young Adults ◽

Health Care Providers ◽

Eating Behaviors ◽

Adolescents And Young Adults ◽

Care Providers ◽

Weight Changes ◽

Sugary Drinks ◽

Precautionary Measures ◽

Obesity In Children

Background: The COVID-19 pandemic has led to special circumstances and changes to everyday life due to the worldwide measures that were imposed such as lockdowns. This review aims to evaluate obesity in children, adolescents and young adults during the COVID-19 pandemic. Methods: A literature search was conducted to evaluate pertinent studies up to 10 November 2020. Results: A total of 15 articles were eligible; 9 identified 17,028,111 children, adolescents and young adults from 5–25 years old, 5 pertained to studies with an age admixture (n = 20,521) and one study included parents with children 5–18 years old (n = 584). During the COVID-19 era, children, adolescents and young adults gained weight. Changes in dietary behaviors, increased food intake and unhealthy food choices including potatoes, meat and sugary drinks were noted during the ongoing COVID-19 pandemic. Food insecurity associated with financial reasons represents another concern. Moreover, as the restrictions imposed reduced movements out of the house, physical activity was limited, representing another risk factor for weight gain. Conclusions: COVID-19 restrictions disrupted the everyday routine of children, adolescents and young adults and elicited changes in their eating behaviors and physical activity. To protect them, health care providers should highlight the risk of obesity and provide prevention strategies, ensuring also parental participation. Worldwide policies, guidelines and precautionary measures should ideally be established.

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Nutrition for the Healthy Adult

10.2310/im.9015 ◽

2018 ◽

Author(s):

Marijane G. Staniec

Keyword(s):

Physical Activity ◽

Primary Care ◽

Weight Gain ◽

Chronic Diseases ◽

Health Care Providers ◽

Primary Care Providers ◽

Healthy Adults ◽

Dietary Guidelines ◽

Care Providers ◽

Added Sugars

Many of today’s healthy adults will be plagued by chronic diseases, such as obesity, hypertension, heart disease, and diabetes, and be robbed of the quality of life they desire. According to the 2015–2020 Dietary Guidelines for Americans, about half of all American adults have one or more diet-related chronic diseases. The question, “What should healthy adults eat to stay healthy?” may seem simple. However, many primary care providers feel vulnerable answering questions about nutrition. This review serves as a summary of the most up-to-date guidelines about added sugars, sodium, types of fat, and cholesterol for healthy adults and a refresher for health care providers caring for them. Other important related issues, such as the latest recommendations for physical activity, the problem of adult weight gain, the need for adiposity screening, the powerful role of the primary care provider, and suggestions nutrition-focused primary care, are discussed. This review contains 5 Figures, 5 Tables and 137 references Key words: weight gain, cholesterol, Dietary Guidelines, sugar-sweetened beverages, adiposity, added sugar, hydrogenated oils, physical activity, waist-to-height ratio, nutrition-focused, Primary Care

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The Issue of Aversion in Lifestyle Treatments

American Journal of Lifestyle Medicine ◽

10.1177/1559827616680554 ◽

2016 ◽

Vol 11 (2) ◽

pp. 119-121 ◽

Cited By ~ 1

Author(s):

Katherine R. Arlinghaus ◽

John P. Foreyt ◽

Craig A. Johnston

Keyword(s):

Physical Activity ◽

Health Care ◽

Health Care Providers ◽

Bone Health ◽

Self Efficacy ◽

Vigorous Physical Activity ◽

Care Providers ◽

Behavior Adjustment

Increasing evidence suggests that vigorous physical activity (PA) is more beneficial than moderate PA for reducing adiposity and improving bone health in youth. However, beginning a vigorous PA program is not an easy behavior adjustment and the change is likely to be aversive for some individuals. In order to benefit from vigorous PA, health care providers need to help individuals increase self-efficacy.

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Perceptions, Facilitators And Barriers of Physical Activity Among People Living With HIV: A Qualitative Study

10.21203/rs.3.rs-567121/v1 ◽

2021 ◽

Author(s):

Brenda Kitilya ◽

Erica Sanga ◽

George PrayGod ◽

Robert Peck ◽

Bazil B Kavishe ◽

...

Keyword(s):

Physical Activity ◽

Health Care Providers ◽

Gender Stereotypes ◽

Ecological Model ◽

People Living With Hiv ◽

Activity Levels ◽

Care Providers ◽

Middle Income ◽

Facilitators And Barriers ◽

Living With Hiv

Abstract BackgroundPeople Living with HIV (PLWH) have low levels of physical activity. Understanding of perceptions, facilitators and barriers of physical activity in this population is of importance for future perspectives in developing contextual based intervention to improve physical activity in PLWH. MethodThis study explored perceptions, facilitators and barriers of physical activity in PLWH using sixteen in-depth interviews and three focus group discussions conducted in Mwanza, Tanzania. The interviews and discussions were audio recorded, transcribed and translated into English. Transcripts were coded and analysed deductively using thematic content analysis. The themes were interpreted and presented using the social ecological model. ResultsForty-three PLWH age 23-61 years old participated in this study. The findings showed that, PLWH perceived physical activity was beneficial to their health and that their perceptions and practices were rooted within the existing gender stereotypes and roles in the community. In addition to that, house-chores and income generating activities were perceived as sufficient physical activity to achieve adequate levels of physical activity. As facilitators, social support and interactions from family and friends were appraised positively as motivating factors of physical activity in this population. Indeed, at individual to community/environmental levels, PLWH reported barriers of physical activity were lack of time, money, and availability of facilities, as well as lack of social groups participating in physical activity in the communities and inadequate information on physical activity from health care providers at ART clinics. HIV disease was not reported as a main barrier of physical activity but rather stipulated from family members as a reason not to support physical activity in PLWH. ConclusionThe findings demonstrated differing perceptions, facilitators and barriers of physical activity among PLWH. Interventions addressing physical activity awareness, gender stereotypes and roles relating to physical activity performances from individual to community level, building supportive environment and infrastructures are needed to elevate physical activity levels in PLWH particularly in low and -middle income countries.

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