The role of enjoyment in exercise for people with arthritis: Four different viewpoints from a Q‐methodology study

Kibblewhite, Julia Rose; Hegarty, Roisin S. M.; Stebbings, Simon; Treharne, Gareth J.

doi:10.1002/msc.1175

Cited by 4 publications

(8 citation statements)

References 33 publications

(73 reference statements)

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“…First, our sample may be considered small. However, a large sample is not required for the application of Q-methodology, and our sample size is similar to those of other Q-studies [42,43]. Data saturation and the representation of all viewpoints are more important than the sample size.…”

Section: Discussionmentioning

confidence: 98%

Views of patients with multi-morbidity on what is important for patient-centered care in the primary care setting

2020

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Background: Patient-centered care (PCC) has been proposed as the way forward in improving primary care for patients with multi-morbidity. However, it is not clear what PCC exactly looks like in practice for patients with multimorbidity. A better understanding of multi-morbid patients' views on what PCC should look like and which elements are most important may help to improve care delivery for this vulnerable population. The present study thus aimed to identify views of patients with multi-morbidity on the relative importance of PCC aspects in a Dutch primary care setting. Methods: Interviews were conducted with 16 patients with multi-morbidity using Q-methodology, which combines quantitative and qualitative analyses. The participants ranked 28 statements about the eight dimensions of PCC (patients' preferences, information and education, access to care, emotional support, family and friends, continuity and transition, physical comfort, and coordination of care) by relative importance. By-person factor analysis using centroid factor extraction and varimax rotation were used to reveal factors that represent viewpoints. Qualitative interview data were used to interpret the viewpoints. Results: The analyses revealed three factors representing three distinct viewpoints of patients with multi-morbidity on what is important for patient-centered care in the primary care setting. Patients with viewpoint 1 are prepared proactive patients who seem to be well-off and want to be in charge of their own care. To do so, they seek medical information and prefer to be supported by a strongly coordinated multidisciplinary team of healthcare professionals. Patients with viewpoint 2 are everyday patients who visit GPs and require well-coordinated, respectful, and supportive care. Patients with viewpoint 3 are vulnerable patients who are less resourceful in terms of communication skills and finances, and thus require accessible care and professionals taking the lead while treating them with dignity and respect. Conclusion: The findings of this study suggest that not all patients with multi-morbidity require the same type of care delivery, and that not all aspects of PCC delivery are equally important to all patients.

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Section: Discussionmentioning

confidence: 98%

Views of patients with multi-morbidity on what is important for patient-centered care in the primary care setting

2020

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“…We used Q-methodology to identify family caregiver profiles. In recent years, this method has been widely used in the field of healthcare research [17,22,[25][26][27][28][29][30][31]. Q-methodology combines qualitative and quantitative research methods in order to identify groups of persons who share similar viewpoints about a specific topic and therefore belong to a certain type or profile [32,33].…”

Section: Q-methodologymentioning

confidence: 99%

“…This profile is bipolar because it is defined by both positively and negatively loading Q-sorts. This means that the profile consists of opposing support needs (a family caregiver whose Q-sort is positively associated with this profile would rank a certain statement as one they 'most agreed' with, whereas a family caregiver whose Q-sort is negatively associated with the profile would rank this statement as one they 'most disagreed' with [29,31,32,40]. However, the central need in both profile poles is supportive relationships.…”

Section: Profile 2: Supportive Relationshipsmentioning

confidence: 99%

“…It might sound hardhearted but of course that's how it was.". They feel pressured by their relative's situation [31] "It doesn't feel good anymore, the relationship is so skewed now. The balance has changed completely.…”

Section: Profile 4: Needs More Time Offmentioning

confidence: 99%

“…In contrast, family caregivers in profile 4 had a hard time coping with the care they had to provide. They experienced the greatest burden [23,31], providing care did not give them a good feeling [1] and they had not become closer to their relative [7].…”

Section: Differences and Similarities Between The Profilesmentioning

confidence: 99%

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Profiles of family caregivers of patients at the end of life at home: a Q-methodological study into family caregiver’ support needs

et al. 2020

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Background: Family caregivers of patients at the end of life often experience care-related burden. To prevent caregiver burden and to enhance the capacity to provide care it is important to have insight in their support needs. The purpose of this study was to identify profiles of family caregivers who provide care to patients at the end of life at home. Methods: A Q-methodological study was conducted in which family caregivers ranked 40 statements on support needs and experiences with caregiving. Thereafter they explained their ranking in an interview. By-person factor analysis was used to analyse the rankings and qualitative data was used to support the choice of profiles. A set of 41 family caregivers with a variety on background characteristics who currently or recently provided care for someone at the end of life at home were included. Results: Four distinct profiles were identified; profile (1) those who want appreciation and an assigned contact person; profile (2) was bipolar. The positive pole (2+) comprised those who have supportive relationships and the negative pole (2-) those who wish for supportive relationships; profile (3) those who want information and practical support, and profile (4) those who need time off. The profiles reflect different support needs and experiences with caregiving. Conclusions: Family caregivers of patients at the end of life have varying support needs and one size does not fit all. The profiles are relevant for healthcare professionals and volunteers in palliative care as they provide an overview of the main support needs among family caregivers of patients near the end of life. This knowledge could help healthcare professionals giving support.

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Adults Want to Play Too: Feasibility of an Adult Physical Activity Program Designed to Maximize Enjoyment

Upham

Auer²,

Sciamanna³

et al. 2020

Journal of Physical Activity and Health

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Background: Few adults in the United States obtain sufficient physical activity (PA) despite knowledge of the associated health benefits. The current feasibility study examined the feasibility of a novel modified sports intervention designed to promote enjoyment and sustained PA in sedentary adults. Methods: The US adults (N = 22, mean age 39.2 y, male/female percentage 54.5/45.5) in Central Pennsylvania participated in the PlayFit sports program for 60-minute sessions, 2 to 3 times per week, over the course of 10 weeks and 24 game sessions; completing 198 person sessions collectively. Primary outcomes were PA (accelerometry) and intervention satisfaction. Results: Percentage of time in moderate to vigorous activity ranged from 35.0% (volleyball) to 91.2% (ultimate frisbee). Percentage of time spent in vigorous activity ranged from 0.0% (volleyball) to 29.5% (team handball). Satisfaction, based on a 10-point scale with 10 being the most satisfied, ranged from 7.7 (kickball) to 8.7 (floor hockey and soccer). On average, all sports were rated highly, with the majority rated >8.5 and one rated <8.0. Percentage of time spent in the moderate to vigorous range was lower in men than in women (73.2% vs 80.0%, P = .01), but did not differ by age or body mass index. Conclusions: PlayFit is a promising first step in exploring the potential of modified sports programs to enhance population PA levels.

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The role of enjoyment in exercise for people with arthritis: Four different viewpoints from a Q‐methodology study

Cited by 4 publications

References 33 publications

Views of patients with multi-morbidity on what is important for patient-centered care in the primary care setting

Views of patients with multi-morbidity on what is important for patient-centered care in the primary care setting

Profiles of family caregivers of patients at the end of life at home: a Q-methodological study into family caregiver’ support needs

Adults Want to Play Too: Feasibility of an Adult Physical Activity Program Designed to Maximize Enjoyment

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