scholarly journals Exploring the Specific Needs of Persons with Multiple Sclerosis for mHealth Solutions for Physical Activity: Mixed-Methods Study

2017 ◽  
Author(s):  
Guido Giunti ◽  
Jan Kool ◽  
Octavio Rivera Romero ◽  
Enrique Dorronzoro Zubiete
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Mixed Methods ◽  
Mixed Methods Study

scholarly journals Exploring the Specific Needs of Persons with Multiple Sclerosis for mHealth Solutions for Physical Activity: Mixed-Methods Study

2018 ◽  
Vol 6 (2) ◽  
pp. e37 ◽  
Author(s):  
Guido Giunti ◽  
Jan Kool ◽  
Octavio Rivera Romero ◽  
Enrique Dorronzoro Zubiete
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Mixed Methods ◽  
Mixed Methods Study

scholarly journals Challenges in multiple sclerosis care: Results from an international mixed-methods study

2021 ◽  
Vol 50 ◽  
pp. 102854
Author(s):  
Sophie Péloquin ◽  
Klaus Schmierer ◽  
Thomas P. Leist ◽  
Jiwon Oh ◽  
Suzanne Murray ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Mixed Methods ◽  
Mixed Methods Study

scholarly journals Type 2 diabetes patients’ views on prevention of hypoglycaemia – a mixed methods study investigating self-management issues and self-identified causes of hypoglycaemia

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stijn Crutzen ◽  
Tessa van den Born-Bondt ◽  
Petra Denig ◽  
Katja Taxis
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Mixed Methods ◽  
Food Intake ◽  
Mixed Methods Study ◽  
Self Management ◽  
Hypoglycaemic Event ◽  
Glucose Levels ◽  
Management Issues

Abstract Background Hypoglycaemia is a common and potentially avoidable adverse event in people with type 2 diabetes (T2D). It can reduce quality of life, increase healthcare costs, and reduce treatment success. We investigated self-management issues associated with hypoglycaemia and self-identified causes of hypoglycaemia in these patients. Methods In this mixed methods study qualitative semi-structured interviews were performed, which informed a subsequent quantitative survey in T2D patients. All interviews were audio recorded, transcribed verbatim and coded independently by two coders using directed content analysis, guided by the Theoretical Domains Framework. Descriptive statistics were used to quantify the self-management issues and causes of hypoglycaemia collected in the survey for the respondents that had experienced at least one hypoglycaemic event in the past. Results Sixteen participants were interviewed, aged 59–84 years. Participants perceived difficulties in managing deviations from routine, and they sometimes lacked procedural knowledge to adjust medication, nutrition or physical activity to manage their glucose levels. Grief and loss of support due to the loss of a partner interfered with self-management and lead to hypoglycaemic events. Work ethic lead some participant to overexerting themselves, which in turn lead to hypoglycaemic events. The participants had difficulties preventing hypoglycaemic events, because they did not know the cause, suffered from impaired hypoglycaemia awareness and/or did not want to regularly measure their blood glucose. When they did recognise a cause, they identified issues with nutrition, physical activity, stress or medication. In total, 40% of respondents reported regular stress as an issue, 24% reported that they regularly overestimated their physical abilities, and 22% indicated they did not always know how to adjust their medication. Around 16% of patients could not always remember whether they took their medication, and 42% always took their medication at regular times. Among the 83 respondents with at least one hypoglycaemic event, common causes for hypoglycaemia mentioned were related to physical activity (67%), low food intake (52%), deviations from routine (35%) and emotional burden (28%). Accidental overuse of medication was reported by 10%. Conclusion People with T2D experience various issues with self-managing their glucose levels. This study underlines the importance of daily routine and being able to adjust medication in relation to more physical activity or less food intake as well as the ability to reduce and manage stress to prevent hypoglycaemic events.

Process evaluation of physical activity counselling with and without the use of mobile technology: A mixed methods study

2016 ◽  
Vol 53 ◽  
pp. 3-16 ◽  
Author(s):  
R. Verwey ◽  
S. van der Weegen ◽  
M. Spreeuwenberg ◽  
H. Tange ◽  
T. van der Weijden ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Process Evaluation ◽  
Mobile Technology ◽  
Mixed Methods Study ◽  
Physical Activity Counselling

scholarly journals A Mixed Methods Study on the Barriers and Facilitators of Physical Activity Associated with Residential Relocation

2018 ◽  
Vol 2018 ◽  
pp. 1-12
Author(s):  
Grazia Salvo ◽  
Bonnie M. Lashewicz ◽  
Patricia K. Doyle-Baker ◽  
Gavin R. McCormack
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Statistical Significance ◽  
Mixed Methods Study ◽  
Barriers And Facilitators ◽  
Residential Relocation ◽  
Quantitative Phase ◽  
Neighbourhood Walkability ◽  
Perceived Change ◽  
Leisure Physical Activity

Despite evidence suggesting that neighbourhood characteristics are associated with physical activity, very few mixed methods studies investigate how relocating neighbourhood, and subsequent changes in the built environment, influences physical activity. This sequential mixed methods study estimates associations between changes in overall physical activity and transportation walking and cycling and changes in objectively assessed neighbourhood walkability (quantitative phase) and describes perceived barriers and facilitators to physical activity following residential relocation (qualitative phase). During the quantitative phase, self-reported changes in transportation walking, transportation cycling, and overall physical activity following residential relocation were measured using a 5-point scale: (1) a lot less now, (2) a little less now, (3) about the same, (4) a little more now, and (5) a lot more now. Walkability improvers reported a slight increase in transportation walking (mean = 3.29, standard deviation (SD) = 0.87), while walkability decliners reported little or no perceived change in their transportation walking after relocation (mean = 2.96, SD = 1.12). This difference approached statistical significance (p=0.053). Furthermore, walkability decliners reported a slight decrease in transportation cycling (mean = 2.69, SD = 0.96), while walkability improvers reported little or no perceived change in their transportation cycling after relocation (mean = 3.02, SD = 0.84). This difference was statistically significant (p<0.05). Change in walkability resulting from relocation was not significantly associated with perceived change in overall physical activity. Our qualitative findings suggest that moving to a neighbourhood with safe paths connecting to nearby destinations can facilitate transportation walking and cycling. Some participants describe adjusting their leisure physical activity to compensate for changes in transportation walking and cycling. Strong contributors to neighbourhood leisure physical activity included the presence of aesthetic features and availability of recreational opportunities that allow for the creation of social connections with community and family.

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