Elicitation interview study to identify salient beliefs about exercise participation in adults with cystic fibrosis. Issue Volume 107:Issue (2020) (June 2020)

• Record Type: Journal Article
• Authors: Dwyer, Tiffany J.; Griffin, Barbara N.; Bye, Peter T.P.; Alison, Jennifer A.
• Is Part Of: Physiotherapy. Volume 107:Issue (2020)
• Page Start: 286
• Page End: 291
• Publication Date: 2020-06
• Subjects: Cystic fibrosis -- Exercise -- Physical activity -- Theory of Planned Behaviour -- Elicitation study; Physical therapy -- Periodicals; Therapeutics, Physiological -- Periodicals; 615.8205
• DOI: 10.1016/j.physio.2019.10.004
• Languages: English
• ISSNs: 0031-9406

Abstract

Abstract: Objectives: Conduct an elicitation study, using the Theory of Planned Behaviour framework, to identify salient beliefs about exercise participation in adults with cystic fibrosis (CF). Specifically, identify attitudes on advantages and disadvantages of exercise (behavioural beliefs); individuals and groups who apply social pressure to exercise (normative beliefs); and perceived control over facilitators and barriers to exercise (control beliefs) for adults with CF. Design: Qualitative interviews using open-ended, structured questions. Setting: Adult CF clinic in a large Australian hospital. Participants: Sixteen adults with CF, three relatives/friends of adults with CF and six CF clinic staff. Results: The most common positive attitudes about exercise were to keep fit and healthy (68%) and feel better and happier (60%), and negative attitude was to feel breathless (36%). Social pressure to exercise mainly came from parents/family (72%) and friends (52%), and 60% of participants reported that no-one discourages exercise. Having someone to exercise with (44%) and be encouraged (36%) were the most common facilitators of perceived control to exercise, whereas being unwell (96%) and not having sufficient time (56%) were the most common barriers. Conclusions: Attitudes, social pressure and perceived control to exercise for adults with CF were similar to beliefs previously reported by the general population and some patient groups. A number of CF-specific exercise beliefs, mainly related to pulmonary function, were also reported. These findings can help develop questionnaires for larger groups of adults with CF, interpret relationships between exercise beliefs and participation, and inform clinicians to target interventions to increase exercise participation.