Enhancing intrinsic motivation for physical activity among adolescents with cystic fibrosis: a qualitative study of the views of healthcare professionals

被引:8
作者
Denford, Sarah [1 ]
Mackintosh, Kelly A. [2 ]
McNarry, Melitta A. [2 ]
Barker, Alan R. [1 ]
Williams, Craig Anthony [1 ]
机构
[1] Univ Exeter, Childrens Hlth & Exercise Res Ctr, Sport & Hlth Sci, Exeter, Devon, England
[2] Swansea Univ, Coll Engn, Appl Sports Sci Technol Exercise & Med Res Ctr, Swansea, W Glam, Wales
来源
BMJ OPEN | 2019年 / 9卷 / 06期
关键词
SELF-DETERMINATION THEORY; EXERCISE; CHILDREN;
D O I
10.1136/bmjopen-2019-028996
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective To explore the views of healthcare professionals from cystic fibrosis (CF) multidisciplinary teams (MDT) on physical activity for adolescents with CF, the specific strategies used for physical activity promotion and associated challenges. Design In this exploratory study, in-depth qualitative interviews were conducted with 15 healthcare professionals from CF MDTs to explore their views surrounding physical activity promotion for adolescents with CF. Participants Eleven physiotherapists (nine female), two consultants (both male) and two dieticians (both female) provided written informed consent and participated in the study. Setting CF clinics in the UK. Results While healthcare professionals highlighted the importance of physical activity in the management of CF, they noted that very few patients were motivated solely by (CF or general) health reasons. Healthcare professionals discussed the need for physical activity to be an enjoyable and routine part of their life, undertaken with significant others, outside the clinic whenever possible. Adopted approaches for physical activity promotion focused on providing individualised recommendations that suit the patients' individual needs and goals and enhance intrinsic motivation for physical activity. Conclusion Our research offers valuable information for those seeking to develop interventions to promote physical activity among adolescents with CF. Specifically, intervention developers should focus on developing individualised interventions that focus on enhancing intrinsic motivation and support the integration of physical activity into everyday life.
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页数:10
相关论文
共 44 条
[1]  
[Anonymous], UK CYST FIBR REG 201
[2]  
[Anonymous], STAND CAR GOOD CLIN
[3]   Association between socioeconomic status, sex, and age at death from cystic fibrosis in England and Wales (1959 to 2008): cross sectional study [J].
Barr, Helen L. ;
Britton, John ;
Smyth, Alan R. ;
Fogarty, Andrew W. .
BMJ-BRITISH MEDICAL JOURNAL, 2011, 343
[4]   Social prescribing: less rhetoric and more reality. A systematic review of the evidence [J].
Bickerdike, Liz ;
Booth, Alison ;
Wilson, Paul M. ;
Farley, Kate ;
Wright, Kath .
BMJ OPEN, 2017, 7 (04)
[5]  
Bradley J, 2008, COCHRANE DB SYST REV, V23
[6]   What can "thematic analysis" offer health and wellbeing researchers? [J].
Braun, Virginia ;
Clarke, Victoria .
INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING, 2014, 9
[7]   Motivational interviewing in health settings: a review [J].
Britt, E ;
Hudson, SM ;
Blampied, NM .
PATIENT EDUCATION AND COUNSELING, 2004, 53 (02) :147-155
[8]   Developing and evaluating complex interventions: the new Medical Research Council guidance [J].
Craig, Peter ;
Dieppe, Paul ;
Macintyre, Sally ;
Michie, Susan ;
Nazareth, Irwin ;
Petticrew, Mark .
BMJ-BRITISH MEDICAL JOURNAL, 2008, 337 (7676) :979-983
[9]  
Deci E., 1985, Intrinsic motivation and self-determination in human behavior, DOI [10.1007/978-1-4899-2271-7, DOI 10.1007/978-1-4899-2271-7]
[10]   Self-determination theory in health care and its relations to motivational interviewing: a few comments [J].
Deci, Edward L. ;
Ryan, Richard M. .
INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 2012, 9