4.4 Article

Experiences, barriers, and facilitators to participating in physical activity and exercise in adults living with chronic pain: a qualitative study

期刊

DISABILITY AND REHABILITATION
卷 43, 期 13, 页码 1829-1837

出版社

TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2019.1676834

关键词

Physical activity; exercise; chronic pain; rehabilitation; qualitative research

资金

  1. Frederick Banting and Charles Best Canada Graduate Scholarship (CGS-D) - Canadian Institutes of Health Research (CIHR)

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This study explored the experiences, barriers, and outcomes of physical activity and exercise in adults living with chronic pain. Factors such as pain, fatigue, and social support were found to influence participation in physical activity and exercise, highlighting the importance of addressing modifiable barriers to improve health outcomes in this population.
Purpose: To explore experiences, barriers, and facilitators to participating in physical activity and exercise in adults living with chronic pain. Materials and methods: An interpretive description qualitative study using semi-structured interviews was conducted. Participants included adults living with chronic pain (pain >3?months in duration). Transcripts were analyzed using thematic analysis. Results: Sixteen participants (five men; 11 women) with a median age of 53?years (range: 28?87) were interviewed. Three major themes related to physical activity and exercise in adults living with chronic pain were conceptualized by the researchers: the challenge of staying active (decreased activity levels, discomfort during physical activity, and uncertain and fluctuating abilities); diverse factors influence participation (pain, fatigue, perceived risks, beliefs about physical activity, competing demands, social support, motivation, other health conditions, and access to supports for physical activity or exercise); and perceived outcomes (pain management, functional improvements, social participation, mental health, and overall well-being). Conclusions: Participating in physical activity and exercise was a challenge for adults living with chronic pain, whereby participation was influenced by multiple factors. Rehabilitation providers should aim to reduce modifiable barriers to physical activity and exercise for adults living with chronic pain, with the goal of improving health outcomes for this population.

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