A qualitative focus group study of perceived barriers and benefits to exercise by self-described exercise status among older adults living with HIV

ObjectivesAlthough exercise interventions have been shown to improve health outcomes among older people with HIV (PLWH), this population remains highly sedentary. The purpose of this study was to examine the differences in perceived barriers and benefits of exercise among older PLWH by self-identified exercise status.DesignFive focus groups were formed among PLWH: two groups of exercising men, two groups of non-exercising men and one group of women (mixed exercisers and non-exercisers). Themes were analysed in relation to the social-ecological model, utilising the constant comparative approach.SettingPatients were recruited from an academic medical centre, HIV clinic and community locations.ParticipantsPLWH aged 50 or older, diagnosed with HIV for at least 2 years, with no other health conditions that would preclude exercise.Primary and secondary outcome measuresDetermine facilitators, barriers and the ideal environment for exercise or physical activity and determine whether these differ between older PLWH who self-identify as exercisers or non-exercisers.ResultsAmong 25 men (11 exercisers and 14 non-exercisers) and four women (three non-exercisers and one exerciser), non-exercisers mentioned fewer benefits of exercise (n=46) than exercisers (n=75). Exercisers emphasised positive reinforcement, positive mood change and increased energy as benefits of exercise; interpersonal benefits of exercise were also discussed twice as often by exercisers than by non-exercisers. Non-exercisers emphasised barriers to exercise including lack of motivation, lack of self-efficacy and a negative perception of gym culture. Non-exercisers identified the need for age-appropriate activities as a feature of an ideal exercise environment. Both groups identified time, cost and health-related challenges as barriers to exercise.ConclusionsUnique exercise barriers and benefits by self-identified exercise status provide important insights into the design of future interventions to initiate and maintain exercise.Trial registration numberNCT02404792; Results.

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Barriers to Exercise Behavior among Older Adults: A Focus-Group Study

Journal of Aging and Physical Activity ◽

10.1123/japa.13.1.23 ◽

2005 ◽

Vol 13 (1) ◽

pp. 23-33 ◽

Cited By ~ 113

Author(s):

Faith D. Lees ◽

Phillip G. Clark ◽

Claudio R. Nigg ◽

Phillip Newman

Keyword(s):

Older Adults ◽

Focus Group ◽

Rhode Island ◽

Exercise Behavior ◽

Focus Group Study ◽

Exercise Interventions ◽

Exercise Participation ◽

Group Data ◽

Barriers To Exercise ◽

Focus Group Data

Longer life expectancy, rapid population growth, and low exercise-participation rates of adults 65 and older justify the need for better understanding of older adults’ exercise behavior. The objectives of this focus-group study were to determine barriers to the exercise behavior of older adults. Six focus groups, three with exercisers and three with nonexercisers, were conducted at various sites throughout Rhode Island. The majority (n = 57) of the 66 individuals who participated were women, and all stated that they were 65 and older. Results from the focus-group data identified 13 barriers to exercise behavior. The most significant barriers mentioned by nonexercisers were fear of falling, inertia, and negative affect. Exercisers identified inertia, time constraints, and physical ailments as being the most significant barriers to exercise. Implications from these focus-group data can be useful in the development of exercise interventions for older adults, which could increase exercise participation.

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2268-PUB: Level of Physical Activity and Perceived Barriers to Exercise in Adults with Type 2 Diabetes in Argentina

Diabetes ◽

10.2337/db19-2268-pub ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 2268-PUB

Author(s):

CAROLINA GOMEZ MARTIN ◽

MARIA L. POMARES ◽

CAROLINA M. MURATORE ◽

SUSANA APOLONI ◽

PABLO J. AVILA ◽

...

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Perceived Barriers ◽

Barriers To Exercise

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Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers

BMJ Quality & Safety ◽

10.1136/bmjqs-2017-007525 ◽

2018 ◽

Vol 27 (11) ◽

pp. 928-936 ◽

Cited By ~ 31

Author(s):

Sigall K Bell ◽

Stephanie D Roche ◽

Ariel Mueller ◽

Erica Dente ◽

Kristin O’Reilly ◽

...

Keyword(s):

Perceived Barriers ◽

Family Education ◽

Speaking Up ◽

Academic Medical Centre ◽

Know How ◽

Family Attitudes ◽

Conflicting Information ◽

Academic Medical ◽

Internet Sample ◽

Speak Up

BackgroundLittle is known about patient/family comfort voicing care concerns in real time, especially in the intensive care unit (ICU) where stakes are high and time is compressed. Experts advocate patient and family engagement in safety, which will require that patients/families be able to voice concerns. Data on patient/family attitudes and experiences regarding speaking up are sparse, and mostly include reporting events retrospectively, rather than pre-emptively, to try to prevent harm. We aimed to (1) assess patient/family comfort speaking up about common ICU concerns; (2) identify patient/family-perceived barriers to speaking up; and (3) explore factors associated with patient/family comfort speaking up.MethodsIn collaboration with patients/families, we developed a survey to evaluate speaking up attitudes and behaviours. We surveyed current ICU families in person at an urban US academic medical centre, supplemented with a larger national internet sample of individuals with prior ICU experience.Results105/125 (84%) of current families and 1050 internet panel participants with ICU history completed the surveys. Among the current ICU families, 50%–70% expressed hesitancy to voice concerns about possible mistakes, mismatched care goals, confusing/conflicting information and inadequate hand hygiene. Results among prior ICU participants were similar. Half of all respondents reported at least one barrier to voicing concerns, most commonly not wanting to be a ‘troublemaker’, ‘team is too busy’ or ‘I don’t know how’. Older, female participants and those with personal or family employment in healthcare were more likely to report comfort speaking up.ConclusionSpeaking up may be challenging for ICU patients/families. Patient/family education about how to speak up and assurance that raising concerns will not create ‘trouble’ may help promote open discussions about care concerns and possible errors in the ICU.

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Effects of exercise interventions on cardiovascular health in individuals with chronic, motor complete spinal cord injury: protocol for a randomised controlled trial [Cardiovascular Health/Outcomes: Improvements Created by Exercise and education in SCI (CHOICES) Study]

BMJ Open ◽

10.1136/bmjopen-2018-023540 ◽

2019 ◽

Vol 9 (1) ◽

pp. e023540 ◽

Cited By ~ 7

Author(s):

Andrei V Krassioukov ◽

Katharine D Currie ◽

Michèle Hubli ◽

Tom E Nightingale ◽

Abdullah A Alrashidi ◽

...

Keyword(s):

Physical Activity ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Arterial Stiffness ◽

Outcome Measures ◽

Cardiovascular Health ◽

Secondary Outcome ◽

Exercise Interventions ◽

Cord Injury ◽

Randomised Controlled

IntroductionRecent studies demonstrate that cardiovascular diseases and associated complications are the leading cause of morbidity and mortality in individuals with spinal cord injury (SCI). Abnormal arterial stiffness, defined by a carotid–to-femoral pulse wave velocity (cfPWV) ≥10 m/s, is a recognised risk factor for heart disease in individuals with SCI. There is a paucity of studies assessing the efficacy of conventional training modalities on arterial stiffness and other cardiovascular outcomes in this population. Therefore, this study aims to compare the efficacy of arm cycle ergometry training (ACET) and body weight-supported treadmill training (BWSTT) on reducing arterial stiffness in individuals with chronic motor complete, high-level (above the sixth thoracic segment) SCI.Methods and analysisThis is a multicentre, randomised, controlled, clinical trial. Eligible participants will be randomly assigned (1:1) into either ACET or BWSTT groups. Sixty participants with chronic (>1 year) SCI will be recruited from three sites in Canada (Vancouver, Toronto and Hamilton). Participants in each group will exercise three times per week up to 30 min and 60 min for ACET and BWSTT, respectively, over the period of 6 months. The primary outcome measure will be change in arterial stiffness (cfPWV) from baseline. Secondary outcome measures will include comprehensive assessments of: (1) cardiovascular parameters, (2) autonomic function, (3) body composition, (4) blood haematological and metabolic profiles, (5) cardiorespiratory fitness and (6) quality of life (QOL) and physical activity outcomes. Outcome measures will be assessed at baseline, 3 months, 6 months and 12 months (only QOL and physical activity outcomes). Statistical analyses will apply linear-mixed modelling to determine the training (time), group (ACET vs BWSTT) and interaction (time × group) effects on all outcomes.Ethics and disseminationEthical approval was obtained from all three participating sites. Primary and secondary outcome data will be submitted for publication in peer-reviewed journals and widely disseminated.Trial registration numberNCT01718977; Pre-results.Trial statusRecruitment for this study began on January 2013 and the first participant was randomized on April 2013. Recruitment stopped on October 2018.

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Impact of Patient-Perceived Barriers to Exercise Therapy on Referral to Exercise Rehabilitation in Pulmonary Hypertension Patients

10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3731 ◽

2019 ◽

Author(s):

T. Cascino ◽

C. Ashur ◽

C. Richardson ◽

E. Jackson ◽

V.V. McLaughlin

Keyword(s):

Pulmonary Hypertension ◽

Exercise Therapy ◽

Perceived Barriers ◽

Exercise Rehabilitation ◽

Barriers To Exercise

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Identifying Barriers to Reducing Portion Size: A Qualitative Focus Group Study of British Men and Women

Nutrients ◽

10.3390/nu11051054 ◽

2019 ◽

Vol 11 (5) ◽

pp. 1054

Author(s):

Jennifer Ferrar ◽

Danielle Ferriday ◽

Hendrik J. Smit ◽

Duncan C. McCaig ◽

Peter J. Rogers

Keyword(s):

Free Association ◽

Individual Characteristics ◽

Portion Size ◽

Perceived Barriers ◽

Energy Reserves ◽

Focus Group Study ◽

Group Discussions ◽

Relative Contribution ◽

Self Worth ◽

Positive Feelings

Reducing portion size might reduce meal satisfaction, which could minimize adherence to portion size interventions. The present study sought to identify the perceived barriers for consumers to eat smaller portions. A secondary aim explored the relative contribution of enjoyment of taste and post-meal fullness as determinants of meal satisfaction. Focus groups (N = 42) evaluated consumers’ feelings toward a small reduction in portion size. Thematic analysis of written free association tasks and open-ended group discussions revealed that most participants expected to feel hungry and unsatisfied, which motivated them to consume something else. However, others expected to feel comfortable, healthy, and virtuous. The acceptability of the reduced portion was also determined by meal characteristics (e.g., time and setting) and individual characteristics (e.g., predicted energy requirements). Compared to post-meal fullness, enjoyment of taste was perceived to be the more important determinant of meal satisfaction. In conclusion, interventions should present portion reduction as a marginal modification with little physiological consequence to energy reserves, while emphasizing the positive feelings (e.g., comfort, satisfaction, and self-worth) experienced after consuming a smaller portion. Additionally, focusing on taste enjoyment (rather than fullness) might be a useful strategy to maintain meal satisfaction despite a reduction in meal size.

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Perceived Barriers To Exercise Among Adolescents

Journal of School Health ◽

10.1111/j.1746-1561.1989.tb04689.x ◽

1989 ◽

Vol 59 (4) ◽

pp. 153-155 ◽

Cited By ~ 78

Author(s):

Marlene K. Tappe ◽

Joan L. Duda ◽

Patricia M. Ehrnwald

Keyword(s):

Perceived Barriers ◽

Barriers To Exercise

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Perceived Barriers to Rural Elderly Women’s Health-Promoting Behaviors: An Ecological Perspective

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17176107 ◽

2020 ◽

Vol 17 (17) ◽

pp. 6107

Author(s):

Hyunjung Moon ◽

Sunkyung Cha ◽

Eunyoung Park

Keyword(s):

Ecological Model ◽

Elderly Women ◽

Functional Decline ◽

Rural Elderly ◽

Perceived Barriers ◽

Policy Support ◽

Health Promoting Behaviors ◽

Health Promoting ◽

Accessibility Issues ◽

Group Interviews

This study multidimensionally examines rural elderly women’s subjective barriers to practicing health-promoting behaviors. Twenty-six rural elderly women participated in three focus group interviews. Content analysis and a qualitative research method were used. The results, based on an ecological model, show that the implementation of health-promoting behaviors in rural elderly women was comprehensively related to intrapersonal (functional decline, passive attitude, and lack of implementation), interpersonal (lack of social support), community (restrictive conditions, accessibility issues, and lack of infrastructure), and public policy (lack of policy support) factors. Interventions addressing each factor can help reduce or eliminate the perceived barriers to health-promoting behaviors through interactions. Our findings can contribute to the development of health-promoting programs focused specifically on the socialization of rural elderly women and community-centered health policies in the future.

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