Barriers and enablers to ongoing exercise for people with chronic health conditions: Participants’ perspectives following a randomized controlled trial of two interventions

Jansons, Paul; Robins, Lauren; Haines, Terry; O’Brien, Lisa

doi:10.1016/j.archger.2018.02.010

Cited by 21 publications

(13 citation statements)

References 17 publications

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“…According to the 2014 French overseas territories health barometer, 12% of Guianese declared having renounced care because of transportation issues ( 2 ). To overcome this obstacle, PA can take place outdoors, and the development of sports facilities in communal areas is important; APA programs at home also seem to be accepted by patients ( 39 ). The patient’s cultural resistance by one-third of physicians has also been reported elsewhere and raises the need for culturally appropriate interventions in multicultural French Guiana ( 40 , 41 ).…”

Section: Discussionmentioning

confidence: 99%

Prescription of Physical Activity by General Practitioners in Type 2 Diabetes: Practice and Barriers in French Guiana

et al. 2022

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BackgroundGeneral practitioners (GPs) are the major primary healthcare players in the management of type 2 diabetes. In addition to a well-balanced diet, physical activity (PA) appears as a necessary non-medicinal therapy in the management of diabetic patients. However, GPs emphasize several obstacles to its prescription. The aim of this study is to evaluate the practices, barriers, and factors favoring the prescription of PA in type 2 diabetic patients by GPs in French Guiana.MethodWe conducted a cross-sectional descriptive study using a questionnaire, designed to interview 152 French Guiana GPs and describe their practice in prescribing PA in type 2 diabetic patients.ResultsOur results revealed that the prescription of PA as a non-medicinal therapeutic choice in the management of type 2 diabetes was practiced by 74% of the French Guiana GPs. However, only 37% of GPs responded that they implemented the recommendations; indeed, only one-third knew about them. The majority of GPs were interested in PA training, but only 11% were actually trained in this practice. The lack of structure adapted to the practice of PA and the lack of awareness of the benefits of PA in metabolic pathology appeared as the main obstacles to PA prescription.ConclusionThis study highlights the importance of improving the training of GPs in the prescription of PA, the development of adapted PA structures, and collaboration between the different actors within the framework of the sport-health system in type 2 diabetes in French Guiana.

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Section: Discussionmentioning

confidence: 99%

Prescription of Physical Activity by General Practitioners in Type 2 Diabetes: Practice and Barriers in French Guiana

et al. 2022

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“…However, even when participants did not feel very competent at the early stages, those who were able to practise in dyads shared a laugh, in a more relaxed environment, which highlights the critical role of enjoyment. Additionally, habit theory might be able to explain the routine developed by dyads with better adherence ( Jansons et al, 2018 ; Meyer et al, 2016 ; Verplanken & Aarts, 1999 ). Although adherent participants in the present study reported to have developed such habit, previous research has also indicated that reliance on self-report might result in overestimation of its effect ( Gardner et al, 2011 ), which would require these findings to be taken with caution.…”

Section: Discussionmentioning

confidence: 99%

People living with dementia and their family carers’ adherence to home-based Tai Chi practice

et al. 2020

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Objectives The aim of this study was to understand what influenced people living with dementia and their family carers’ adherence to the home-based component of a Tai Chi exercise intervention. Method Dyads, of people living with dementia and their family carers, who participated in the intervention arm of the Tai Chi for people living with dementia trial, were invited to join weekly Tai Chi classes for 20 weeks and practice at home. Semi-structured dyadic home interviews were conducted on average after 16 weeks of classes. The views of 15 dyads with a range of home practice adherence were sought in semi-structured interviews. The interviews were analysed using an inductive thematic approach. Results Most participants found time to practise Tai Chi at home and practised for 18 hours on average. Amongst the barriers to adherence were participants’ competing commitments and a booklet not sufficiently conveying the Tai Chi movements. Hence, a video or DVD was requested by participants. Facilitators of their adherence to the home-based component of the intervention were their enjoyment of the practice and the development of a habit, which was supported by their commitment to the study and their willingness to benefit from Tai Chi. Conclusion Enjoyment and perceived benefits had a great impact on participants living with dementia and their carers’ adherence to home-based Tai Chi practice. However, difficulties to perceive the Tai Chi movements through images might be hindering sustained participation. Hence, alternative aids such as videos and DVDs should be explored to facilitate adherence.

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“…To address this obstacle, the French National Authority for Health recommends encouraging the practice of PA outdoors, possibly assisted by the enrichment of sports facilities in communal areas (first aspect of the National Sport-Health Strategy 2019-2024) 37 . Some countries like Australia are studying the possibility of development of APA programs at home which appear to be accepted by patients 51 . The ethnocultural aspect considered as a factor of resistance to practice by patients by one third of physicians is to be addressed.…”

Section: Discussionmentioning

confidence: 99%

Physical activity on prescription by general practitioners in type 2 diabetes mellitus patients, practice and barriers in French Guiana.

Dranebois¹,

Lalanne-Mistrih²,

Thelusme³

et al. 2019

Preprint

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BACKGROUND General practitioners (GPs) are the major first-line care players of the management of type 2 diabetes, in France. In addition to a well-balanced diet, physical activity (PA) appears as a necessary non-medicinal therapy in its own right. However, GPs emphasize several obstacles to its prescription, in particular due to their lack of knowledge on its practical modalities. The aim of this study is to evaluate the practices, the barriers and the factors favoring the prescription of physical activity in type 2 diabetic patients by GPs in French Guiana.METHOD: A cross-sectional descriptive study was conducted in the form of a questionnaire, designed to interview 152 French Guiana GPs, to describe their practice in prescribing physical activity (PA) in type 2 diabetic patients. RESULTS: The oral or written prescription of physical activity as a non-medicated therapeutic choice in the management of type 2 diabetes is practiced by 74% of the French Guiana GPs, on an oral mode, for most of them. However, only 37% of doctors responded to apply the content of the recommendations of the French National Authority for Health and decree, indeed only one third knew about it. GPs convinced of the interest of PA and aware of its recommendations in this area, prescribed more PA than others. The majority of physicians are interested in PA training, but only 11% are actually trained in this practice. The lack of structure adapted to the practice of PA and of awareness of the interest of PA in their patients’ metabolic pathology appeared as the main obstacles to the prescription. According to 55% of physicians surveyed, a compensation by social security of the costs related to the prescription would improve the adherence to the practice of PA.CONCLUSIONS: It appears important to develop the training of the GPs, reception facilities adapted to where to refer patients, and collaborations between the various actors within the framework of a sport-health device. In addition, therapeutic patient education (TPE) is to be developed in order to improve patient compliance and adherence to sport-health programs.

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Barriers and enablers to ongoing exercise for people with chronic health conditions: Participants’ perspectives following a randomized controlled trial of two interventions

Cited by 21 publications

References 17 publications

Prescription of Physical Activity by General Practitioners in Type 2 Diabetes: Practice and Barriers in French Guiana

Prescription of Physical Activity by General Practitioners in Type 2 Diabetes: Practice and Barriers in French Guiana

People living with dementia and their family carers’ adherence to home-based Tai Chi practice

Physical activity on prescription by general practitioners in type 2 diabetes mellitus patients, practice and barriers in French Guiana.

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