CRESTA Fatigue Clinic, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Department of Psychology, Northumbria University, Newcastle upon Tyne, UK.
Disabil Rehabil. 2021 Mar;43(5):657-667. doi: 10.1080/09638288.2019.1636315. Epub 2019 Jul 9.
Fatigue is a disabling and prevalent feature of many long-term conditions. Orthostatic dizziness is a commonly experienced by those with fatigue. The purpose was; to evaluate factors contributing to successful delivery of a novel group exercise program designed for people with chronic fatigue and orthostatic symptoms and identify targets to improve future program content and delivery.
We used group concept mapping methodology. Participants of the exercise program with a long-term physical health condition and chronic fatigue- contributed ideas in response to a focus question. They sorted these ideas into themed piles and rated them for importance and success of the program delivery. Multidimensional scaling and cluster analysis were applied to the sort data to produce ideas clusters within a concept map. Value ratings were compared to evaluate the success of the program.
The resulting concept map depicted seven key themed clusters of ideas: Exercises, Group atmosphere, Physical benefits, Self-management of symptoms, Acceptance and Education. Value plots of the rating data identified important and successful conceptual ideas.
The concept maps have depicted key concepts relating to the successful delivery of a novel exercise program for people with fatigue and identified specific targets for future program enhancements.Implications for rehabilitationOrthostatic symptoms are common in those with fatigue and might be a target for group-based exercise programs.People with fatigue value a group-based exercise program that targets orthostatic symptoms.The key concepts of a group-based exercise program valued by those with fatigue are the exercises, group atmosphere, physical benefits, self-management support, acceptance, education and support with looking forwards following the program.
疲劳是许多长期疾病的一种致残和普遍特征。体位性头晕是那些疲劳患者常见的症状。本研究的目的是：评估导致新型团体运动项目成功实施的因素，该项目针对的是患有慢性疲劳和体位症状的人群，并确定改善未来项目内容和实施的目标。
我们使用团体概念映射方法。参加团体运动项目的参与者患有长期的身体健康问题和慢性疲劳，他们针对一个焦点问题提出了想法。他们将这些想法分类到主题堆中，并对其重要性和项目实施的成功程度进行评分。多维尺度分析和聚类分析应用于排序数据，以在概念图中生成想法聚类。价值评分用于评估项目的成功程度。
生成的概念图描绘了七个关键主题的聚类想法：运动、团体氛围、身体益处、症状自我管理、接受和教育。价值数据的绘图确定了重要和成功的概念想法。
概念图描绘了成功实施针对疲劳人群的新型运动项目的关键概念，并确定了未来项目增强的具体目标。康复的意义：体位症状在疲劳患者中很常见，可能是基于团体的运动项目的目标。疲劳患者重视针对体位症状的基于团体的运动项目。疲劳患者重视的基于团体的运动项目的关键概念是运动、团体氛围、身体益处、自我管理支持、接受、教育以及项目结束后的展望和支持。
