Richardson Emma V, Blaylock Sarah, Barstow Elizabeth, Fifolt Matthew, Motl Robert W
1 University of Alabama at Birmingham.
Adapt Phys Activ Q. 2018 Dec 18:1-23. doi: 10.1123/apaq.2018-0032.
Fewer than 20% of persons with multiple sclerosis (MS) engage in enough exercise to manage MS symptoms and improve function. To address this problem, the authors developed a conceptual model to promote exercise among persons with MS through the patient-provider interaction within health care settings. The current qualitative study evaluated and refined the conceptual model based on 32 semistructured interviews involving persons with MS. The data were subject to inductive, semantic thematic analysis. Participants highlighted that the conceptual model was a necessary addition to current MS care and noted multiple strengths regarding its design (e.g., structure) and content (e.g., patient-provider interaction). Furthermore participants noted areas of the conceptual model that could be improved (e.g., less focus on neurologists as exercise promoters). This comprehensive evaluation yielded a refined conceptual model for exercise promotion in MS through the patient-provider interaction.
不到20%的多发性硬化症（MS）患者进行了足够的运动来控制MS症状并改善功能。为了解决这一问题，作者开发了一个概念模型，通过医疗保健机构内的医患互动来促进MS患者进行运动。当前的定性研究基于对32名MS患者进行的半结构化访谈，对该概念模型进行了评估和完善。数据进行了归纳性语义主题分析。参与者强调，该概念模型是当前MS护理中必要的补充，并指出了其在设计（如结构）和内容（如医患互动）方面的多个优点。此外，参与者指出了概念模型中可以改进的方面（如较少关注神经科医生作为运动促进者）。这一全面评估产生了一个通过医患互动促进MS患者运动的完善概念模型。
