Enjoyment of exercise among people with arthritis: An inductive thematic analysis

2017 ◽  
Vol 25 (6) ◽  
pp. 766-779
Author(s):  
Julia R Kibblewhite ◽  
Gareth J Treharne ◽  
Simon Stebbings ◽  
Roisin SM Hegarty

Past research into exercise among people with long-term health conditions has paid surprisingly little attention to the concept of enjoyment. This study explored enjoyment of exercise among people with arthritis. Semi-structured interviews were held with 12 participants aged 20–85 years. The transcripts were analysed using inductive thematic analysis. Four themes were identified: enjoyment of exercise in relation to other people, benefits of exercise in relation to enjoyment, working around barriers to enjoy exercise and finding an enjoyable balance to exercise. These themes highlight the relevance of enjoyment and how it could feature in advice about exercise for people with arthritis.

2019 ◽  
Vol 18 (04) ◽  
pp. N01
Author(s):  
Laura Fogg-Rogers ◽  
Ben Wiehe ◽  
Dane Comerford ◽  
Julie Fooshee ◽  
John Durant

Live science events engage publics with science in a social context. This article articulates the aims and ethos of this growing sector within a research context. Semi-structured interviews (N=13) and focus groups (N=77) were conducted with event practitioners (both professional and volunteers) in the U.S.A. and U.K.. Inductive thematic analysis indicated that event producers aim to raise awareness of and professionalism in the sector. In particular, they seek to develop research into long-term impacts of events for both audiences and practitioners.


2020 ◽  
Vol 6 (1) ◽  
pp. e000888
Author(s):  
Dane Vishnubala ◽  
Katherine Rose Marino ◽  
Margaret Kathryn Pratten ◽  
Andy Pringle ◽  
Steffan Arthur Griffin ◽  
...  

ObjectivesTo explore the services National Health Service (NHS)-based sport and exercise medicine (SEM) clinics can offer, and the barriers to creating and integrating SEM services into the NHS.MethodsSemi-structured interviews were undertaken to collect data from identified ‘stakeholders’. Stakeholders were identified as individuals who had experience and knowledge of the speciality of SEM and the NHS. An inductive thematic analysis approach was taken to analyse the data.ResultsN=15 stakeholder interviews. The management of musculoskeletal (MSK) injuries (both acute and chronic) and concussion were highlighted as the two key services that SEM clinics can offer that would most benefit the NHS. MSK ultrasound was also mentioned by all stakeholders as a critical service that SEM clinics should provide. While exercise medicine is an integral part of SEM, SEM clinics should perhaps not have a heavy exercise medicine focus. The key barriers to setting up SEM clinics were stated to be convincing NHS management, conflict with other specialities and a lack of awareness of the speciality.ConclusionThe management of acute MSK injuries and concussion should be the cornerstone of SEM services, ideally with the ability to provide MSK ultrasound. Education of others on the speciality of SEM, confirming consistent ‘unique selling points’ of SEM clinics and promoting how SEM can add value to the NHS is vital. If the successful integration of SEM into the NHS is not widely achieved, we risk the NHS not receiving all the benefits that SEM can provide to the healthcare system.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
F. Hasani ◽  
P. Malliaras ◽  
T. Haines ◽  
S. E. Munteanu ◽  
J. White ◽  
...  

Abstract Background Although telehealth is becoming more popular for delivery of care for individuals with musculoskeletal pain, to our knowledge telehealth has not been used to manage Achilles tendinopathy. This research aimed to explore the experience of participants and physiotherapists with gym-based exercise interventions for Achilles tendinopathy monitored via videoconference. Methods A qualitative, interpretive description design was performed using semi-structured interviews (8 participants) and a focus group (7 physiotherapists). Participants and physiotherapists were interviewed about their experiences of the use of telehealth during a gym-based exercise intervention incorporating different calf load parameters for Achilles tendinopathy. We employed an inductive thematic analysis approach to analyse the data. Results Three themes identified from both participants and physiotherapists included i) acceptability of telehealth; ii) enablers to adherence with telehealth; and iii) barriers to adherence with telehealth. Two extra themes arose from participants regarding adherence with gym-based exercise, including enablers to adherence with the exercise intervention, and barriers to adherence with the exercise intervention. Both participants and physiotherapists expressed overall satisfaction and acceptability of telehealth monitoring of gym-based exercise. Conclusion Gym-based exercise intervention for Achilles tendinopathy involving weekly telehealth monitoring was acceptable to both participants and physiotherapists. Potential enablers and barriers were identified that may improve adherence to this type of intervention.


2018 ◽  
Vol 10 (3) ◽  
pp. 186 ◽  
Author(s):  
Helen Francis ◽  
Jenny Carryer ◽  
Jill Wilkinson

ABSTRACT INTRODUCTION The prevalence of long-term health conditions (LTCs) continues to increase and it is normal for people to have several. Lifestyle is a core feature of the self-management support given to people with LTCs, yet it seems to fail to meet their needs. From a larger study exploring the experiences of this group, this paper reports on the role of food and mealtimes, and the effect of the nutritional advice on the lives of people with several LTCs. METHODS The experiences of 16 people with several advanced LTCs were explored using multiple qualitative case studies. Over an 18-month period, contact with participants included monthly conversations, two longer, semi-structured interviews and one interview with their primary care clinicians. The data were analysed inductively using thematic analysis. RESULTS There was profound social, psychological and cultural significance of food to the participants. These aspects of food were then described using the Whare Tapa Wha model of health. The approach to food and nutrition participants experienced in health care was closely associated with conventional weight management. They found this advice largely irrelevant and therefore ineffective. DISCUSSION The pressure people with several LTCs experience during clinical encounters has perverse effects on wellbeing and reinforces an overall sense of failure. This research challenges the assumption that all people have the will, agency and income to follow the advice they receive about nutrition and exercise. Considering people’s needs using the Whare Tapa Wha model of health offers clinicians a framework to re-conceptualise the core features of self-management support and provide realistic, compassionate care that will optimise the quality of life for people with multiple LTCs.


Author(s):  
Nilüfer Kuru ◽  
Michael Ungar

Abstract A social ecological theory of resilience shows that the process of resilience not only depends on an individual child’s personal traits but also on the capacity of the child’s environment to provide the resources required for the child to use these traits to achieve psychological and physical wellbeing in contexts of adversity. The aim of this study is to investigate how refugee mothers influence their children’s developmental outcomes despite exposure to the large number of risk factors they experience living in a refugee camp. Ten Syrian mothers of children aged 5–7-years-old participated in both semi-structured interviews and focus groups conducted while they were living in a refugee camp in Turkey. Using an inductive thematic analysis, findings show that participants found unconventional ways to build their children’s social capital, provide an education and maintain culturally grounded values and beliefs when facing with multiple distal and proximal challenges. These findings highlight the importance of understanding resilience as a psychosocial and interactive process occurring at multiple systemic levels (in this case, child, mother, and camp). Improving the functioning of larger systems may be an efficacious way of creating stable and nurturing environments for children to experience greater resilience.


2020 ◽  
pp. bmjsrh-2019-200497
Author(s):  
Annette Gallimore ◽  
Tasneem Irshad ◽  
Michelle Cooper ◽  
Sharon Cameron

IntroductionEvidence suggests that Pakistani women may experience difficulty accessing postnatal contraceptive (PNC) services. The study aimed to identify experience and decision-making around PNC provision for Pakistani women in Lothian, and to explore the views and experience of maternity staff who provide PNC counselling.MethodsQualitative research including focus groups and 1:1 semi-structured interviews with women and staff. Participants were first- and second-generation Pakistani women with a child/children aged up to 5 years, or pregnant; community and hospital midwives, obstetric doctors who counsel or provide PNC. Data were coded and categorised using QSR NVIVO10. Inductive thematic analysis was carried out.ResultsWomen were receptive to discussion of contraception, including antenatally, and welcomed translated information. Some said the decision on PNC was theirs or made jointly with their husband; however, they acknowledged that in some marriages the husband will take the decision. Women stated they may face family expectation to have a baby early in marriage. Language was identified as a challenge by maternity staff, who utilised translation services to ensure women received the information they needed on contraception.ConclusionsPakistani women value antenatal discussion about PNC. Maternity staff have an important role in providing quality information on contraception and should be supported with translated resources in a range of formats. Most importantly, staff should adopt a tailored approach to identify the individual woman’s needs and preferences.


2020 ◽  
pp. 1-16
Author(s):  
Jai Jason Carmichael ◽  
Amelia J. Hicks ◽  
Kate Rachel Gould ◽  
Timothy J. Feeney ◽  
Penelope Analytis ◽  
...  

Abstract Objectives: Individuals with acquired brain injury (ABI) may present with challenging behaviours (CB) that place themselves and others at risk of harm and impact their community integration. It is crucial for community ABI therapists to successfully train in and implement behaviour interventions. The current study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions. An additional aim was to determine these therapists’ understanding of Positive Behaviour Support (PBS), one approach to addressing CB with a focus on improving quality of life. Methods: Semi-structured interviews were conducted with 24 Australian community ABI therapists about their experiences of using, training in and implementing behaviour interventions and understanding of PBS. Inductive thematic analysis and content analysis were performed on interview transcripts. Findings: The thematic analysis resulted in the generation of six themes which described the difficulties participants faced in training in and delivering behaviour interventions and identified their training and implementation needs. The content analysis resulted in 10 categories that characterised participants’ understanding of PBS, which centred around the absence of consequences, a focus on antecedents, person-centred practice and encouraging prosocial alternatives to CB. Conclusions: The findings highlight a need and desire for more practical and interactive clinician training in behaviour interventions for individuals with ABI. Moreover, the findings suggest a limited understanding of PBS amongst community ABI therapists. Important considerations for the development of clinician training in ABI behaviour interventions and subsequent implementation into community practice are discussed.


Author(s):  
W. M. Charmant ◽  
P. J. van der Wees ◽  
J. B. Staal ◽  
R. van Cingel ◽  
J. M. Sieben ◽  
...  

Abstract Background The therapeutic alliance (TA) is the bond between a patient and a physiotherapist during collaboration on recovery or training. Previous studies focused on the TA between physiotherapists and patients of the general population. Little information exists on whether this is similar in the demanding environment of elite athletes. The aim of this study was to investigate the components of TA between elite athletes and physiotherapists. Methods Ten elite athletes and ten physiotherapists were interviewed using one-on-one semi-structured interviews between June 2020 and October 2020. Athletes were included if they competed at national or international championships. Physiotherapists had to treat elite athletes on a regular basis. Interview questions were based on TA components of the general physiotherapy population. The interviews were transcribed and coded using inductive thematic analysis. Results The analysis resulted in an elite athlete TA framework which consists of nine themes and ten subthemes that could influence the TA. The nine themes are trust, communication, professional bond, social bond, elite athlete, physiotherapist, time, pressure and adversity, and external factors. This showed that the TA consists of bonds on different social levels, depends on the traits of both elite athletes and physiotherapists, and can be positively and negatively influenced by the external environment. The influences from the external environment seem to be more present in the elite athlete TA compared to the TA in the general physiotherapy setting. Multiple relations between themes were discovered. Trust is regarded as the main connecting theme. Conclusion This study provides a framework to better understand the complex reality of the TA between elite athletes and physiotherapists. Compared to the general physiotherapy setting, new themes emerged. The created framework can help elite athletes and physiotherapists to reflect and improve their TA and subsequently improve treatment outcomes.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Scheiring

Abstract Background Industrial countries are undergoing a prolonged period of deindustrialisation, characterised by declining labour in manufacturing and extractive industries. Considering the urgent need to decrease humanity's overall environmental footprint, industrial transformation is imperative. Research showed that deindustrialisation correlates with worsening ill health; yet, little attention has been paid to mapping the complexity of the mechanism of impact. Methods Hungary experienced significant deindustrialisation in the 1990s and a parallel decline in life expectancy. Four medium-sized towns were identified in the Hungarian rustbelt: two moderately (25-50%), and two severely (>50%) deindustrialised. Between September 2016 and January 2017, 82 semi-structured interviews were conducted in these towns with subjects who were working-age adults in 1989 and who lived and worked in the interview towns in the following decades. The 816,118 words-long interview-corpus was analysed with qualitative thematic analysis using NVivo. Findings The interviews revealed that deindustrialisation affects health through multiple channels. Short-term mechanisms impact individuals directly, such as unemployment, deprivation and increased work-related stress. Medium-term mechanisms impact health through disrupting social hierarchies, social capital, local services, and workplace identities. Long-term impacts are latent, and influence health through territorial stigma, loss of working-class culture, and accumulated perceptions of injustice. Conclusions Deindustrialisation is a crucial contextual factor affecting ill health over the short, medium and long term. Going beyond the direct individual channel, involving communities and localities, the health effect of deindustrialisation represents a complex and layered mechanism with multiple explicit and latent components. Complex research approaches and policy responses are needed to address explicit and latent structural mechanisms alike. Key messages The study maps the mechanism of impact that links deindustrialisation and ill health in four Hungarian towns using thematic analysis of 82 qualitative interviews. Deindustrialisation affects health over the short, medium and long term going beyond the direct individual channel, necessitating complex research approaches and policy responses.


2021 ◽  
Vol 7 (3D) ◽  
pp. 351-362
Author(s):  
Ahmad Fakrusy Syakirin Ahmad Sabri ◽  
Siti Zanariah Yusoff ◽  
Isyaku Hassan

An emoji is a form of a symbol in communication available on almost all social media platforms. Its convenience brings potential implications for its usage in digital communication. This study aims to explore the effectiveness of emojis in WhatsApp communication and the influence of culture on emoji usage among undergraduates in Malaysia. The study employed a qualitative approach in which semi-structured interviews were conducted with eight undergraduates of Universiti Sultan Zainal Abidin (UniSZA). The data were analyzed using inductive thematic analysis. Overall, the findings revealed that emojis increase communication efficiency. The participants have positive attitudes towards emoji usage. They describe emojis as viable symbols that help them to maintain social relations and express feelings. Additionally, the findings showed that Malaysian culture influences emoji communication by promoting harmony and relationships as well as instilling high context values in emoji usage. This research concludes that emojis can influence WhatsApp Communication positively if utilized correctly.


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