Perceptions about participation in a 12-week walking program for people with severe knee osteoarthritis: a qualitative analysis

Wallis, Jason; Webster, Kate E.; Levinger, Pazit; Singh, Parminder J.; Fong, Chris; Taylor, Nicholas F.

doi:10.1080/09638288.2017.1408710

Cited by 15 publications

(43 citation statements)

References 32 publications

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“…Three articles reported on participants' experiences of using a wearable, which was an existing product (31–33) or in prototype form (32), in their own environments during research participation. Of these studies, 1 explored the perceptions of 21 participants of a randomized controlled trial who used a pedometer over 70 minutes per week for at least 9 weeks of a 12‐week walking program with supervision from a physical therapist (31). Another was a mixed‐methods evaluation that examined the perceived acceptability of 5 consumer wearables, based on the experiences of 21 participants who used each for at least 3 days over 15 days (33).…”

Section: Resultsmentioning

confidence: 99%

“…Across articles, benefits included becoming more aware of activity levels and more in control of arthritis management (quotes 14–20) (32–37). Among participants who used a wearable in their own environments during research periods of 7 days (32) and 12 weeks (31), psychological benefits, such as improved confidence, distraction from symptoms, and feeling reassured, were also reported (quotes 16 and 21). However, in the study where participants used 5 different wearables (each for 3 days), the authors highlighted individuals' negative feelings (e.g., guilt), as they became more aware of their physical activity levels (33).…”

Section: Resultsmentioning

confidence: 99%

“…Findings suggest that, across the included articles, participants felt generally positive about their experience of using a wearable, whether during research participation (31–33) or as part of their usual self‐management (36,37). Regardless of whether they had used a wearable to self‐manage or not, they commonly held the opinion that starting to share wearable data with a health professional would enable them to improve communication during clinical visits (34,35,37).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Perspectives of Persons With Arthritis on the Use of Wearable Technology to Self Monitor Physical Activity: A Qualitative Evidence Synthesis

Leese

Geldmanc

Zhu

et al. 2022

Arthritis Care & Research

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Objective. We aimed to broaden understanding of the perspectives of persons with arthritis on their use of wearables to self-monitor physical activity, through a synthesis of evidence from qualitative studies.Methods. We conducted a systematic search of 5 databases (including Medline, CINAHL, and Embase) from inception to 2018. Eligible studies qualitatively examined the use of wearables from the perspectives of persons with arthritis. All relevant data were extracted and coded inductively in a thematic synthesis.Results. Of 4,358 records retrieved, 7 articles were included. Participants used a wearable during research participation in 3 studies and as part of usual self-management in 2 studies. In remaining studies, participants were shown a prototype they did not use. Themes identified were: 1) the potential to change dynamics in patient-health professional communication: articles reported a common opinion that sharing wearable data could possibly enable patients to improve communication with health professionals; 2) wearable-enabled self-awareness, whether a benefit or downside: there was agreement that wearables could increase self-awareness of physical activity levels, but perspectives were mixed on whether this increased self-awareness motivated more physical activity; 3) designing a wearable for everyday life: participants generally felt that the technology was not obtrusive in their everyday lives, but certain prototypes may possibly embarrass or stigmatize persons with arthritis.Conclusion. Themes hint toward an ethical dimension, as participants perceive that their use of wearables may positively or negatively influence their capacity to shape their everyday self-management. We suggest ethical questions pertinent to the use of wearables in arthritis self-management for further exploration.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perspectives of Persons With Arthritis on the Use of Wearable Technology to Self Monitor Physical Activity: A Qualitative Evidence Synthesis

Leese

Geldmanc

Zhu

et al. 2022

Arthritis Care & Research

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“…Knowledge of physical activity alone, however, is unlikely to translate to sustained engagement with moderate-intensity physical activity after knee joint replacement; health behavior theory suggests that for behavior to change, self-efficacy is elevated (35) or intent to perform a health behavior is strengthened (36). Consequently, behavioral change interventions have been advocated as the most effective interventions to increase physical activity after knee joint replacement (19,(41)(42)(43)(44)(45). However, identifying behavioral change interventions that effectively increase moderate-intensity physical activity after joint replacement is limited by a paucity of literature (40).…”

Section: Discussionmentioning

confidence: 99%

In the Dark About Physical Activity – Exploring Patient Perceptions of Physical Activity After Elective Total Knee Joint Replacement: A Qualitative Study

Hawke

Taylor

Dowsey

et al. 2022

Arthritis Care & Research

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Objective. The study aimed to explore patient perceptions of and motivations for physical activity after total knee joint replacement.Methods. Participants were purposively sampled after completing a public outpatient rehabilitation exercise group. Semistructured interviews were completed with 22 participants (mean age 70 years, 45% women) 6 to 12 months after total knee joint replacement. Interviews were audiotaped and transcribed verbatim. Themes were identified by an inductive and iterative process of data analysis.Results. The main theme to emerge was participants were in the dark about physical activity. Participants were typically not familiar with physical activity guidelines and had difficulty distinguishing between low-and moderateintensity physical activity. Three subthemes were identified: 1) people prioritize participation in meaningful life situations after total knee joint replacement, 2) rehabilitation was perceived to not explicitly address moderate-intensity physical activity levels, and 3) other health and social reasons replaced knee osteoarthritis as barriers to physical activity.Conclusion. Limited understanding of physical activity recommendations, prioritization of participation in meaningful life situations, rehabilitation that was impairment focused, and other health and social reasons appeared to contribute to low levels of moderate-intensity physical activity in adults after knee joint replacement. Addressing being in the dark about physical activity may be an important first step to increase the effectiveness of behavioral interventions designed to promote physical activity after total knee joint replacement.

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“…This perspective differs from previous studies that described the belief that exercise and physical activity could increase knee pain and structural damage [ 31 , 37 , 38 ], despite the evidence on exercise and physical activity being recommended for patients with knee OA [ 5 , 20 , 39 – 41 ]. Other qualitative studies have also shown that people with knee OA avoid activity and exercise when they believe it will further damage their knee joint [ 37 , 42 ]. In addition, the participants adopted strategies in walking and other activities of daily living to reduce knee pain and difficulty in movement.…”

Section: Discussionmentioning

confidence: 99%

Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study

Uritani

Ikeda

Shironoki

et al. 2021

BMC Musculoskelet Disord

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Background Patients’ perceptions and beliefs of disease could be influenced by their lifestyle and culture. Although it is important to understand their perceptions and beliefs toward disease to prevent and manage osteoarthritis (OA) through conservative care, this topic has not been investigated in Japanese people with knee OA. Therefore, this qualitative study aims to clarify how Japanese patients with knee OA experience and perceive their symptoms and disabilities, and how they face them during conservative care. Methods Participants were recruited by purposive sampling. Face-to-face, semi-structured interviews were conducted with nine patients (2 men and 7 women; mean age, 74.3 ± 5.5 years) with knee OA until data saturation was reached. Interview data comprised participants’ accounts of particular personal experiences of living with knee OA, including their perceptions and attitudes toward knee OA-related symptoms and disabilities. Two physiotherapists (one with extensive experience conducting qualitative studies) and four physiotherapy students conducted the interviews. Recorded interview data were transcribed verbatim in Japanese. Data analysis, including developing a coding scheme, was conducted based on a grounded theory approach. Results Two core categories were extracted from the data: ‘Negative experiences’ and ‘Coping with difficulties’. ‘Negative experiences’ included three main categories: ‘Self-analysis on the cause of knee OA’, ‘Difficulties in daily life due to knee symptoms’, and ‘Psychological barrier’. ‘Coping with difficulties’ included three main categories: ‘How to deal with knee pain and difficulty in moving’, ‘Information considered useful to cope with knee OA’ and ‘Importance of connecting with others’. Japanese patients with knee OA desired evidence-based information and to connect with other people in the same situation to solve problems related to their condition. Conclusions To address patients’ concerns, medical professionals should conduct careful interviews and obtain information regarding patients’ past experiences, and understand their experiences related to knee OA. Symptoms and difficulties experienced by patients with knee OA should be managed by evidence-based information integrating their perceptions and beliefs toward knee OA.

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Perceptions about participation in a 12-week walking program for people with severe knee osteoarthritis: a qualitative analysis

Cited by 15 publications

References 32 publications

Perspectives of Persons With Arthritis on the Use of Wearable Technology to Self Monitor Physical Activity: A Qualitative Evidence Synthesis

Perspectives of Persons With Arthritis on the Use of Wearable Technology to Self Monitor Physical Activity: A Qualitative Evidence Synthesis

In the Dark About Physical Activity – Exploring Patient Perceptions of Physical Activity After Elective Total Knee Joint Replacement: A Qualitative Study

Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study

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