A Qualitative Study of Exercise in Older African American and White Women in Rural South Carolina: Perceptions, Barriers, and Motivations

Wilcox, Sara; Oberrecht, Larissa; Bopp, Melissa; Kammermann, Sandra K.; McElmurray, Charles T.

doi:10.1300/j074v17n01_04

Cited by 83 publications

(138 citation statements)

References 16 publications

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“…This finding has also been reported in the literature on older adults 26,27 and cardiac rehabilitation, 28 where participants expressed concerns regarding exercise as potentially harmful by causing breathlessness (ie, negative outcome expectations). Along with mastery experience, other sources of self-efficacy such as vicarious experience, verbal persuasion, and physiological state would be important to consider in this context.…”

Section: Discussionsupporting

confidence: 78%

A Qualitative Exploration of Exercise Among Pulmonary Rehabilitation Participants: Insight From Multiple Sources of Social Influence

Witcher

McGannon

Hernández³

et al. 2015

Respir Care

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BACKGROUND: Exercise training within the pulmonary rehabilitation (PR) context is considered the most effective strategy to reduce COPD symptoms. However, participation in PR and continued exercise training following program completion are low. Previous research examined factors related to attendance and adherence, but the knowledge base to date has been limited to quantitative findings that focus solely on participants diagnosed with COPD. In addition to quantitative research, exploring multiple perspectives (eg, PR participants, significant others, staff, and stakeholders) using qualitative research methods opens a window of additional understanding. The goal of this study was to obtain multiple perspectives on PR to gain insight into factors that affect exercise participation among individuals diagnosed with COPD. METHODS: A total of 26 participants were interviewed via telephone, including 8 individuals diagnosed with COPD (4 men and 4 women, mean age of 67 [range of 58 -77] y), 4 family members, 11 PR staff, and 3 community stakeholders. RESULTS: Analysis revealed 3 themes: task self-efficacy for exercise, provision of support and encouragement, and perceptions of gender differences. Despite initial concerns, individuals diagnosed with COPD reported becoming more confident during PR and emphasized the importance of being supported by staff. PR staff perceived that men tended to approach exercise in a more eager and aggressive manner compared with women, who were more cautious and hesitant. CONCLUSIONS: In addition to enhancing task self-efficacy, findings suggest that exercise participation and adherence within the PR environment may be improved by adopting a gender-tailored approach.

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Section: Discussionsupporting

confidence: 78%

A Qualitative Exploration of Exercise Among Pulmonary Rehabilitation Participants: Insight From Multiple Sources of Social Influence

Witcher

McGannon

Hernández³

et al. 2015

Respir Care

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“…Community places include areas and organizations such as community centers, schools, worksites, places of worship, and other common facilities in rural communities such as volunteer fire houses. These places may be important settings for planned and spontaneous physical activity [81,83]. Future research is needed to better understand these community resources, since current research is either completely absent or focuses on programming or wellness approaches rather than the built environment [75,[84][85][86][87].…”

Section: Community Placesmentioning

confidence: 99%

Built Environments and Active Living in Rural and Remote Areas: a Review of the Literature

et al. 2015

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Rural children and adults are more likely to have obesity than their urban counterparts even after adjustment for individual-level behaviors, suggesting that rural environments may promote obesity. The rural built environment may be an important area of research that can help us understand rural-urban disparities in obesity. The purpose of this review is to summarize the rural built environment and active living literature, and to address key issues, gaps, and observations in the field. A literature review was conducted in spring 2015 to identify research published from 2000 to 2015. Our review suggests that limited active living built environments in rural communities and unique rural barriers to physical activity may contribute to a higher prevalence of obesity compared to urban populations. More empirical research is needed to build the evidence-base for the association between rural built environments, active living, and obesity. School- and community-based policies that expand active living opportunities in rural areas should also be closely examined.

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“…These results are consistent with many studies which confirmed that the dissemination of the culture of health promotion contributes to improving the health status of patients and the prevention of complications of disease. [22,23,24] In contrast to other studies of barriers in women, which stated that overlapping responsibilities in women are important barriers as the presence of many responsibilities reduce their concern for their health. [25,26,27,28] The current study revealed that a highly significant association was detected between the levels of Health Promotion Barriers and type of chronic disease.…”

Section: Discussionmentioning

confidence: 99%

The Barriers to Health Promotion Activities through Perception of Women with Chronic Disease

Elalem¹,

Mohamed²,

Ahamed³

2018

AJNR

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Background: One of the greatest challenges that will face health systems globally in the twenty-first century will be the increasing burden of chronic diseases. Chronic diseases are one of the most important barriers that have a direct and negative impact on health promotion for women. Aim of this study was to identify the barriers to health promotion activities for women with chronic disease. Subjects and methods: A cross-sectional study design was utilized to achieve the aim of the current study. Setting: This study was conducted in primary health care centers and outpatient clinics of governmental hospital located in Port-Said City. Subjects: Purposive samples of 744 adult women who surfing from chronic disease. Tools of data collections: two tools were used to collect data. Tool I: A structured questionnaire sheet. Tool II: Barriers to Health Promoting Activities for Disabled Persons Scale (BHADP) obesity was determined based on body mass index (BMI). Results the majority (79.4%) of the study sample had high level barrier of health promotion. the five highest leading barriers items were: Embarrassment about my appearance; Lack of support from family, friends; Lack of help from health care professionals; Bad weather and; No one to help. 38.6%) of women who have a high score of levels of Health Promotion Barriers' suffering of Diabetes Mellitus. There was a strong significant correlation between the levels of Health Promotion Barriers' and body mass index, level of education and duration of chronic disease with p-value ≤ 0.001. This study concludes that women with chronic diseases had a high score of health promotion barrier. The study recommends a greater emphasis on assessing and managing perceived barriers to health promotion activities in health education and policy development and proposes a conceptual model for understanding perceived barriers to action.

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A Qualitative Study of Exercise in Older African American and White Women in Rural South Carolina: Perceptions, Barriers, and Motivations

Cited by 83 publications

References 16 publications

A Qualitative Exploration of Exercise Among Pulmonary Rehabilitation Participants: Insight From Multiple Sources of Social Influence

A Qualitative Exploration of Exercise Among Pulmonary Rehabilitation Participants: Insight From Multiple Sources of Social Influence

Built Environments and Active Living in Rural and Remote Areas: a Review of the Literature

The Barriers to Health Promotion Activities through Perception of Women with Chronic Disease

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