scholarly journals POS0153-HPR IDENTIFYING TARGETS FOR BEHAVIOURAL INTERVENTIONS IN FIBROMYALGIA: PHYSICAL ACTIVITY BEHAVIOUR

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 290.3-290
Author(s):  
K. Mayana ◽  
Y. Prior

Background:There has been much interest in the efficacy of exercise and physical activity interventions in people with Fibromyalgia. This has resulted in guidelines recommending exercise as the first line of management (Macfarlane et al., 2017). Notwithstanding the efficacy of exercises, adherence to structured exercise and interventions aiming to increase physical activities remains a considerable challenge in this population. Exploring behavioural factors that may hinder exercise and physical activity participation in people with Fibromyalgia may help to identify targets for interventions to improve adherence and engagement with physical activities and support self-management.Objectives:To explore people with Fibromyalgia’s perspectives on the personal, social and contextual factors impacting their physical activity behaviour and pain perception.Methods:Twelve participants with Fibromyalgia were recruited from Social Media, Fibromyalgia charities, organisations and associations across the UK. Semi-structured, one-to-one in-depth telephone interviews were conducted with each participant. Interviews were audio-recorded and transcribed verbatim. Qualitative data analysis was conducted by two researchers independently, using Thematic Analysis. Critical Realism framework was employed to inform the interpretation of the findings.Results:Four main themes emerged from the data: (i) Lack of guidance on physical activity: most participants expressed increased pain intensity following a vigorous physical activity which, have led to spending more time on sedentary behaviour to recover from pain. (ii) Participants expressed fear of fatigue as a barrier to physical activity participation: This also led to increased sedentary and protective behaviours. (iii) Impact of treatments on physical activity: Participants who received multimodal therapies and patient education reported better coping strategies e.g., pacing physical activities and less pain. (iv): Impact of social support on physical activity participation: Participants felt that a lack of understanding from employers, their family and friends and the wider society has negatively impacted their physical activity behaviours, access to workplace support and psychological wellbeing.Conclusion:A multimodal approach, incorporating patient education with behavioural components is essential to increase adherence to and engagement with exercise and physical activity interventions to support self-management of Fibromyalgia. There is a need to improve the public perception of this syndrome to increase social and workplace support.Disclosure of Interests:None declared

2019 ◽  
Vol 14 ◽  
pp. 3161-3170 ◽  
Author(s):  
Solomon Oluyinka ◽  
Anatalia Endozo

The Physical activities are indispensable to be healthy and away from illness, yet, students ignoring it. The factors affecting physical activity participation among university students in the Philippines examined in this study. Modified International Physical Activity Questionnaire adopted, Stata 13 and SPSS utilized to justify the objectives of study on a 470 samples. Findings revealed that participants who do physical activity for 3 days and accumulating at least 1500 metabolic equivalent tasks (MET) minutes per week or with combination of walking, moderate or vigorous intensity activities accumulating at least 3000 MET minutes were classified as highly active. Other participants were categorized as moderately active and low active/inactive. The results identified that lack of time due to busy lesson schedule was the most significant factors for not participating in physical activity among the samples. Priority on academic success over exercise was the most identified item that hinders individual to participate in physical activities. Thus, recommended the replication of this study to increase the generalizability of achieved results


2009 ◽  
Vol 12 (8) ◽  
pp. 1182-1188 ◽  
Author(s):  
Ester Cerin ◽  
David P MacKinnon

AbstractObjectiveTo critique current practice in, and provide recommendations for, mediating variable analyses (MVA) of nutrition and physical activity behaviour change.StrategyTheory-based behavioural nutrition and physical activity interventions aim at changing mediating variables that are hypothesized to be responsible for changes in the outcome of interest. MVA are useful because they help to identify the most promising theoretical approaches, mediators and intervention components for behaviour change. However, the current literature suggests that MVA are often inappropriately conducted, poorly understood and inadequately presented. Main problems encountered in the published literature are explained and suggestions for overcoming weaknesses of current practice are proposed.ConclusionThe use of the most appropriate, currently available methods of MVA, and a correct, comprehensive presentation and interpretation of their findings, is of paramount importance for understanding how obesity can be treated and prevented.


Author(s):  
Thaneswaran Marthammuthu ◽  
Farizah Mohd Hairi ◽  
Wan Yuen Choo ◽  
Nur Afiqah Mohd Salleh ◽  
Noran Naqiah Hairi

Despite many health benefits of physical activities, both physically and mentally, the majority of the older women in the rural areas of Malaysia are showing a low prevalence of physical activities. Understanding the roles of social support to improve physical activities is imperative to promote active and healthy ageing among the rural-dwelling older women in Malaysia. Hence, this qualitative study adopted an inductive design using 17 in-depth interviews to understand the role of social support on physical activity behaviour among the rural community-dwelling older woman in Kuala Pilah District, Negeri Sembilan, Malaysia from December 2019 to January 2020. Three categories of themes were identified in this study. Firstly, adaptive social support in terms of informational, companionship and emotional supports reported enhancing physical activity levels among older women. Secondly, the absence of help and assistance from the social network asserts independence and triggers the older women to perform the activities by themselves, thus engage in physically active lifestyles. Thirdly, lacking social support demotivate older women to be engaged in physical activities. In particular, loss of companionship support, poor acceptance or appraisal support, logistic issues to attend exercise programmes and neighbourhood safety and security issues were among the main barriers of physical activities reported by the older women. The main findings of this study shed some light on the exigency of strengthening social support from the social network to engage the older women in physical activities. The roles of social media, effective patient-doctor communication and interventions targeting the spouses and family members must be strengthened to create a supportive atmosphere to enhance physical activity levels among older women.


2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0004
Author(s):  
Rachael Da Cunha ◽  
Scott Ellis ◽  
Mackenzie Jones

Category: Midfoot/Forefoot Introduction/Purpose: Arthrodesis of the first metatarsophalangeal (MTP) joint has been shown to be effective and reliable in alleviating pain and correcting deformity. However, the effect on patient participation in specific sports and physical activities has not been well established. For this reason, younger patients that are more physically active may be less likely to undergo this procedure, despite significant first MTP joint pathology and symptoms. The aim of this study was to assess specific sports and physical activities in young patients following first MTP joint arthrodesis as well as clinical outcomes. Methods: This was a single-center study conducted from a review of a prospectively collected registry. Eligible patients were contacted for final follow up. All cases of first MTP arthrodesis in skeletally mature patients age 55 and under between October 2006 and December 2014 were included. Exclusion criteria included concomitant metatarsal osteotomies, midfoot or hindfoot fusions, and systemic or other musculoskeletal disease that would otherwise impact physical activity participation. Clinical outcomes were evaluated with the Foot and Ankle Outcome Score (FAOS). Physical activity participation was evaluated with a physical activity and sports-specific, patient-administered questionnaire. Seventy-three eligible patients were identified that met the inclusion and exclusion criteria. Fifty patients (68%) were reached for follow up and were included in this study. The mean age at the time of surgery was 49.7 (23-55) years. Thirty-four percent of patients were male and 66% female. The average follow up was 5.1 (2.2-10.2) years. Results: There was significant improvement in all FAOS subcategories, including pain (49.9-84.1, p<0.001), other symptoms (64.1- 77.8, p<0.001), function in daily activities (67.0-89.0, p<0.001), function in sport and recreation (38.7-68.5, p<0.001) and quality of life (20.7-63.9, p<0.001). There was no difference between male and female patients (p>0.05). Patients reported participation in 14 different sports and physical activities. The most common were walking, cycling, weight lifting, swimming, running and aerobics. Compared to preoperatively, patients rated 26% of activities as less difficult, 54% as the same, and 20% as more difficult. Patients returned to 84% of their activities in < 12 months and 42% in < 6 months, with 61% reaching their peak performance level in < 12 months. Ninety-two percent of patients were satisfied with their outcome. Conclusion: First MTP joint arthrodesis is a reasonable option in young, physically active patients. Improved clinical outcomes and satisfactory pain reduction were achieved in all patients. The majority of patients were able to return to a wide variety of physical activities and sports, and were satisfied with their level attained. A small group of patients that participated in more high impact sports reported increased difficulty post-operatively, however, there was an increased number of patients that reported decreased difficulty in these same activities. This may be beneficial in patient counselling and aid in treatment decision making.


2009 ◽  
Vol 6 (5) ◽  
pp. 589-596 ◽  
Author(s):  
Cristina Caperchoine ◽  
William K. Mummery ◽  
Kelly Joyner

Background:The Women’s Active Living Kits (WALK) Pilot Program was an Australian federal government initiative designed to identify an effective model for extending physical activity participation in government identified priority women’s groups. The purpose of this study is to address the barriers and challenges to physical activity participation in selected priority women’s groups and present possible strategies to assist with engaging these groups in physical activity.Methods:Ten focus group evaluation sessions were undertaken with priority women’s groups who took part in the WALK program. Participants were encouraged to share their opinions, perceptions and beliefs regarding their physical activity behaviors, in a semistructured, open table discussion.Results:Participants reported a number of psychological and cognitive, sociocultural, and environmental factors which restricted their participation in physical activity. Participants also highlighted strategies they felt would enable physical activity participation.Conclusions:These findings are valuable and should be used as a platform to inform the design and implementation of future physical activity interventions for priority women’s groups.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Nur Hani Syazwani ◽  
Denise Koh Choon Lian ◽  
Shuhaila Ahmad ◽  
Khadijah Shamsuddin

Women with previous history of gestational diabetes mellitus (GDM) has been found to have higher risk of developing type 2 diabetes mellitus (T2DM). Participation in adequate physical activity during and post-pregnancy through has been found to mitigate the risk. The main purpose of this study is to determine the status of physical activity among women with recent GDM during their pregnancy and 8-weeks post-partum. A secondary aim of the study is to explore factors associated with physical activity during and 8-weeks post-partum. Physical activity status was measured using International Physical Activity Questionnaire (IPAQ). The data were collected during pregnancy through a self-reported questionnaire (n=336) and via telephone interview 8-weeks post-partum (n=117). The results showed that there were significant association between physical activity and status of GDM during pregnancy. Women who reported higher physical activity participation during pregnancy were less likely to have GDM. However, there were no significant association between physical activity participation and GDM status post-partum. Age was associated with participation in physical activity during pregnancy. Self-efficacy and their risk perception of developing T2DM were associated with physical activity participation at 8-weeks post-partum. In conclusion, this study highlights the different factors that should be targeted (for during pregnancy and post-partum) to promote physical activity among this high risk population.


2019 ◽  
Vol 11 (4) ◽  
pp. 117
Author(s):  
Anatalia N. Endozo

BACKGROUND: Physical activities are indispensable to be healthy and away from illness. Yet, students are spending time being sedentary due to rapid technological advancement. Highly active individual requires physical activity for 3 days and must accumulate at least 1500-3000 metabolic equivalent tasks (MET)-minutes per week or more days of moderate or vigorous intensity activities. OBJECTIVE: This study aimed to analyze factors affecting physical activity participation among university learners in the Philippines. METHODS: An International Physical Activity Questionnaire answered by 470 participants and modified 4 point Likert scale questionnaires was utilized. RESULTS: There were 222 females (47%), 248 males (53 %), and p-value &lt; 0.05 adoted to justify the significance of the factors in this study. CONCLUSION: This study justified that most of the participants cannot engaged in physical activities due to lack of time. Future research with larger sample groups to accurately identify the factors and recommend changes to enhance participation is encouraged.


2006 ◽  
Vol 23 (2) ◽  
pp. 148-162 ◽  
Author(s):  
Simon Driver

The purpose of the paper is to provide specialists with theoretical frameworks that can be used to guide the creation of physical activity interventions as well as facilitating participation for people with traumatic brain injuries. Two frameworks for examining the physical activity motivation of people with brain injuries are presented. The theories include Bandura’s (1986) self-efficacy theory and Harter’s (1987) mediational model of self-worth. The constructs within both theories are explained and then applied to people with brain injuries. Suggestions for practitioners are also provided about how to manipulate the physical activity environment to promote physical activity participation.


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