scholarly journals Barriers to and Motives for Engagement with respect to Exercise Programmes for Chronic Disease Management

Author(s):  
Alison Bourke ◽  
Vikram Niranjan ◽  
Raymond O’Connor ◽  
Catherine Woods

Abstract Background: Insufficient physical activity (PA) is a leading risk factor for premature death worldwide. The Health Service Executive (HSE) National Exercise Referral Framework (NERF) aims to improve PA levels to manage NCDs. ULMedX is one such NERF centre offering an exercise-based cardiac rehabilitation (EBCR) programme with the aim of intervention development to maximise adherence for optimal health benefits. Aim: The purpose of this study was to explore participants’ experiences of the motives and barriers faced for programme commitment. Identifying areas for future development were also prioritized. Design & setting: Qualitative interviews were conducted with long-term participants and people who have dropped-out (PWDO) at ULMedX.Methods: Guided by the Theory of Planned Behaviour the 1-1 semi-structured interviews were performed, transcribed, and evaluated through thematic analysis. Results: Analysis was performed on 14 participants (50% female; mean age 67.3 years), comprising long term adherers (n=7; 13-month duration, 64% of classes) and PWDO (n=7; 2.8 month duration, 22% of classes). Three major factors affecting attendance emerged: social support, perceived outcomes from participation and practical barriers to attendance. Areas for future development included provision of evening and advanced classes, psychological support, more exercise variety, more educational seminars, new members start as their own group. Conclusion: Individuals were more likely to have had a better experience and commit to the programme if they believed involvement would benefit their physical and mental health, increase their exercise motivation by engendering a positive attitude to exercise, and that the ability to attend was within their control.

2018 ◽  
Vol 8 (2) ◽  
pp. 246-256 ◽  
Author(s):  
Jeremy Paul Kohlitz ◽  
Rokhima Rostiani ◽  
Nurul Indarti ◽  
Janina Murta ◽  
Juliet Willetts

Abstract Faecal sludge removal is critical for the long-term functionality of on-site sanitation facilities and sustained sanitation outcomes. Private enterprises are important players in providing sludge removal services in Indonesia and other countries where government does not do so. However, the extent to which sludge removal entrepreneurs can fulfil this role depends on the viability, or success, of their enterprises. This paper investigates factors linked to the success of sludge removal enterprises in Indonesia, including traits of the entrepreneurs, characteristics of the enterprises and contextual challenges. These factors and levels of success were examined from data collected from structured interviews with 24 sludge removal enterprises across six cities in Indonesia. This research found that higher levels of success were significantly associated with entrepreneurs that had previous work experience of any kind, made higher upfront investments and did not involve their family members in the management of the enterprise. Participants most frequently identified high costs of capital, high levels of competition and insufficient time to spend on the enterprise as challenges to success. These findings provide important evidence for how civil society organisations and governments in Indonesia and elsewhere may best provide a conducive enabling environment for enterprise roles in sludge removal.


Dementia ◽  
2021 ◽  
pp. 147130122110564
Author(s):  
Deborah Brooks ◽  
Elizabeth Beattie ◽  
Elaine Fielding ◽  
Katy Wyles ◽  
Helen Edwards

Background and objectives Many spousal caregivers experience stress, depression, loneliness, guilt and grief when placing a partner with dementia into long-term care. However, there is little research about their transitional support experiences, needs and preferences. This study aimed to gain a deeper understanding of these issues from spousal caregiver and long-term care facility staff perspectives, to inform subsequent support and intervention development. Research design and methods Semi-structured interviews and small group discussions were held separately with spousal caregivers ( n = 9) and care facility staff ( n = 11). Criterion and variation sampling aimed to ensure a range of experiences and perspectives. The ‘Framework’ approach was utilised for data analysis. Interpretation was with respect to underpinning models of stress-grief process in dementia caregiving. Findings A range of informational, psychoeducational and psychosocial supports were identified to help spousal caregivers cope better with the stressors and losses experienced throughout the transition from home to long-term care. Improved education about disease progression, information relating to long-term care provision, peer support and dementia-specific grief counselling were deemed important. Opportunities for better support within care facilities were also identified. Support should be tailored to individual needs and preferences. Discussion and implications The findings suggest a supportive care framework be developed, encompassing the trajectory from assessment for and admission into long-term care to end-of-life and post-bereavement support. Spousal caregivers should have their support needs assessed by trained health or social care professionals and be offered a range of support options as appropriate.


2017 ◽  
Vol 3 (1) ◽  
pp. 73 ◽  
Author(s):  
Nicholas S Bryner ◽  
Marisa Garcia-Lozano ◽  
Carl Bruch

The destructive impacts of Hurricane Katrina and Superstorm Sandy displaced large numbers of people. While some families were able to return home soon after the disasters, others struggled to do so and remained displaced for extended periods of time. Although much attention has been paid to the immediate response to natural disasters, research on policies and practices regarding long-term return migration has been largely overlooked. This article presents an overview of recent literature that addresses factors affecting displaced individuals’ decision to return home or relocate following these two disasters. It discusses five major factors influencing individual and household decisions regarding whether to return home, relocate, or remain in limbo if unable to achieve either. These include: (1) habitability of homes; (2) affordability of housing; (3) financial burdens; (4) slow restoration of public services and facilities; and (5) sense of place and identity. The article then assesses the types of policies that have been used with varying goals—promoting, discouraging, and, in some cases, prohibiting return. It presents four examples of policy tools that have influenced post-disaster return or relocation after Hurricane Katrina and Superstorm Sandy: (1) tax policies; (2) buyouts; (3) changes to building codes; and (4) revisions to the U.S. National Flood Insurance Program. The article concludes that a better understanding of factors affecting displaced persons can help policymakers meet their objectives of encouraging or inhibiting return to a specific site after a disaster.


The Auk ◽  
2002 ◽  
Vol 119 (4) ◽  
pp. 1162-1166 ◽  
Author(s):  
Joseph R. Jehl ◽  
W. Sean Boyd ◽  
Don S. Paul ◽  
Daniel W. Anderson

Abstract In autumn, >99% of North American Eared Grebes (Podiceps nigricollis) stage at Mono Lake, California, and Great Salt Lake, Utah, creating an exceptional opportunity to measure population trends in a common and otherwise widely distributed species. Aerial photocounts showed that numbers at both lakes fluctuated in parallel, from a total of ∼3.56 million in 1997, then crashing to 1.60 million in 1998. The decline was coincident with a major El Niño, during which hundreds of thousands starved in the Gulf of California. The population rebounded to 3.27 million by 2000, illustrating the species' potentially high survivorship throughout the year. Catastrophic events are evidently the major factors affecting proximate changes in population size. Factors that set the ultimate limit to the population can be clarified through long-term studies at staging areas.


Author(s):  
Vivian W.Y. Tam ◽  
Khoa N. Le

Abstract Voluntary employee turnover can cause organ­izations to lose profits and competitiveness. Unexpected employee turnover may also result in project delay and reduction in project quality. It is important to control employee turnover rate and maintain good employees within an organization. This paper investigates the major causes of voluntary employee turnover in engineer­ing industries. Australia, Mainland China, and Taiwan were selected for the investigation. Questionnaires were administered, and structured interviews were conducted. Power spectrum was used for the analysis. It was found that “Good physical working environment”, “Receiving advanced training”, and “Short travel distance between home and work” are the major job-related ideal factors for the Australian, Mainland China, and Taiwan respondents, respectively. However, “Far distance between work and home” and “Dislike the colleague relationships” are found as the major factors for leaving jobs for the Australian/ Taiwan and Mainland China respondents, respectively. Recommendations to improve and to control employee turnover rate are also discussed.


2016 ◽  
Vol 45 (3) ◽  
pp. 209-211 ◽  
Author(s):  
Rachel Calam

Early adverse experiences can precede long-term negative effects on physical health. Children experiencing armed conflict, flight and displacement, and refugee life may be at enhanced risk. Recent psychobiological models integrating knowledge about perinatal and childhood stress with susceptibility to chronic illnesses in later life make clear the pressing need for protective provision for war-affected children, who experience multiple traumas and continuing stressors. There is increasing recognition of the mechanisms linking physical and mental health with adult diseases seen as developmental disorders with origins early in life. Biological embedding models propose links between early adversity and increased vulnerability to later disease and premature death. Threat is central for children and families whose lives are changed by war and displacement, and may activate biological and behavioural systems that could increase the risk of long-term ill-health. Applying these models to understanding the experiences of refugees and the translation of these into the care provided and ways of monitoring and protecting long-term population health could potentially promote interventions to reduce longer term and secondary harms.


2009 ◽  
Vol 72 (8) ◽  
pp. 357-365 ◽  
Author(s):  
Rachel De Monte ◽  
Sylvia Rodger ◽  
Fiona Jones ◽  
Sarah Broderick

Juvenile idiopathic arthritis (JIA) is used to describe the different subgroups of arthritis in children. JIA is the most common chronic rheumatic condition in children. The long-term consequences are not limited to physical disabilities but also have an impact on the child's social, emotional and cognitive development. Home exercise programmes are a major part of the complex treatment regimen for JIA. Research to date is limited in providing insights into children's perspectives about JIA. This paper describes a qualitative study undertaken to identify children's perceptions about their participation in home exercise programmes. Using semi-structured interviews, the perspectives of 13 children (aged 8–16 years) about their experiences of living with JIA and specifically about participating in therapist-prescribed exercise programmes were investigated. Two major themes highlighted the pervasive impact of JIA on the children's lives. First, the children described living with JIA and associated feelings of ‘being different’. Secondly, they discussed their understanding of home exercise programmes and the barriers and facilitators to participation. Key barriers were having better things to do, time required, laziness, boredom, forgetfulness and pain. Facilitators included the incorporation of exercises into everyday routines, making them fun and having rewards. Clinical implications and avenues for future research are also outlined.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037136
Author(s):  
Chloe Grimmett ◽  
Claire Foster ◽  
Katherine Bradbury ◽  
Phillippa Lally ◽  
Carl R May ◽  
...  

ObjectivesIn the last decade, there has been a rapid expansion of physical activity (PA) promotion programmes and interventions targeting people living with and beyond cancer (LWBC). The impact that these initiatives have on long-term maintenance of PA remains under-researched. This study sought to explore the experiences of participants in order to characterise those who have and have not successfully sustained increases in PA following participation in a PA intervention after a diagnosis of gastrointestinal (GI) cancer, and identify barriers and facilitators of this behaviour.DesignCross-sectional qualitative study. Semi-structured interviews with participants who had previously taken part in a PA programme in the UK, explored current and past PA behaviour and factors that promoted or inhibited regular PA participation. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Themes and subthemes were identified. Differences between individuals were recognised and a typology of PA engagement was developed.ParticipantsTwenty-seven individuals (n=15 male, mean age=66.3 years) with a diagnosis of GI cancer who had participated in one of four interventions designed to encourage PA participation.SettingUK.ResultsSeven themes were identified: disease processes, the role of ageing, emotion and psychological well-being, incorporating PA into everyday life, social interaction, support and self-monitoring and competing demands. A typology with three types describing long-term PA engagement was generated: (1) maintained PA, (2) intermittent PA, (3) low activity. Findings indicate that identifying an enjoyable activity that is appropriate to an individual’s level of physical functioning and is highly valued is key to supporting long-term PA engagement.ConclusionThe typology described here can be used to guide stratified and personalised intervention development and support sustained PA engagement by people LWBC.


Libri ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Abdolreza Noroozi Chakoli ◽  
Laleh Samadi

Abstract Identifying the factors affecting the success of academic information management and evaluation centers is one of the most important studies on how its results can increase the productivity of these centers. This research attempts to investigate the effect of five critical success factors for three centers of academic information management and evaluation in Iran as a developing country. These centers play a key role in the management and evaluation of theses, research projects, papers, and patents nationally. Semi-structured interviews, studies of literature, and providing questionnaires have been used to collect the material for the research. The research population was selected using purposive sampling and consists of managers and all the employees in the three centers who had at least a master’s degree. Their viewpoints were surveyed and the data was analyzed using ANOVA, Scheffe, and Pearson’s correlation test. The findings affirm that “management stability” makes it possible to perform long-term plans in these centers. However, “independency” acts as a factor to strike the balance between responsibilities and authorities, “manager’s speciality” improves the plans and performances in a specific and professional way, “information technology” reduces the expenses and facilitates the presentation of faster services, and finally “distance from authorities” influences the speed of reporting and providing facilities. The results show each of these five factors, not only independently but also together and as a whole, affects the success of these kinds of centers. Moreover, while confirming the correlation between these factors, it was revealed which of these factors has a greater impact on their success.


2021 ◽  
Vol 15 (4) ◽  
pp. 483-489
Author(s):  
Justice Enu

The purpose of this study was to look into the factors that influence mathematics teacher educators' formative assessment practices. This paper took a qualitative case study research design approach with six educators teaching mathematics in three teacher Colleges of Education in Ghana. The exploration focused on factors that hinders teacher educators use of formative assessment practices. Data were generated through the administration of semi – structured interviews and lesson observations. The qualitative data was analyzed using thematic analysis. Findings revealed that major factors which limit teacher educators formative assessment practices were: large class size, time, lack of transparency in assessment, and internal and external summative assessment issues. The factors limiting teacher educators' use of formative assessment (FA) discussed in this study are beneficial for teacher college administration in addressing the issues and educators in assisting pre-service teachers in eliminating these factors during their training and after passing out from the college of education to the teaching field. Based on the findings, it is recommended that a large scale study is conducted on factors that affect teachers formative assessment practices and the effect on students mathematics learning.


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