Wellcome HRB Clinical Research Facility, St James's Hospital, Dublin, Ireland.
School of Medicine, Trinity College Dublin, Dublin, Ireland.
Health Soc Care Community. 2022 May;30(3):1025-1034. doi: 10.1111/hsc.13288. Epub 2021 Mar 11.
Further information is needed on how community exercise facilities can be effectively utilised to engage people living with chronic health conditions in exercise. The aim of this study was to identify the exercise barriers, facilitators and needs of patients with chronic disease in the community; and to provide recommendations to support the transition from hospital-based to community-based exercise. Using a qualitative approach, four focus groups were conducted with patients who had completed hospital-based exercise programmes (n = 11) and fitness instructors (n = 10). Data were audio recorded, member checked and transcribed verbatim for thematic analysis using NVivo. The side effects of chronic health conditions, the gym environment and a need for support when joining/attending a gym were perceived as barriers to exercising in the community. In contrast, the presence of supportive staff was perceived by patients as a facilitator to engaging in exercise in the community. A total of three themes emerged from participants views on exercise needs in the community; the referral and induction process in community gyms, fitness instructor training and experience and creating a supportive exercise environment. Themes informed eight key recommendations to support patients to exercise in the community, including supportive gym referral and induction processes for patients with chronic conditions, increased professional training for fitness instructors in the area of chronic disease management and exercise prescription, and exercise support at regular intervals for those with chronic conditions attending community gyms. This study found that there is potential for community gyms to play a key role in promoting health among people with chronic conditions. However, more can be done to foster an inclusive atmosphere in this space. Patients living with chronic conditions need information and advice on exercising in their communities. Community gyms require further support to ensure that facilities meet the exercise needs of people with chronic conditions.
需要进一步了解如何有效利用社区锻炼设施，让患有慢性疾病的人参与锻炼。本研究旨在确定社区中慢性疾病患者的锻炼障碍、促进因素和需求；并为支持从基于医院的锻炼向基于社区的锻炼过渡提供建议。采用定性方法，对完成基于医院的锻炼计划的患者（n=11）和健身指导员（n=10）进行了 4 次焦点小组讨论。使用 NVivo 对音频记录、成员检查和逐字转录的文本进行主题分析。慢性健康状况的副作用、健身房环境以及加入/参加健身房时需要支持，被认为是在社区锻炼的障碍。相比之下，患者认为有支持性的员工是他们在社区中参与锻炼的促进因素。参与者对社区锻炼需求的看法产生了三个主题；社区健身房的转介和入职流程、健身指导员培训和经验以及创造支持性的锻炼环境。主题为支持患者在社区中锻炼提出了八项关键建议，包括为患有慢性疾病的患者提供支持性的健身房转介和入职流程、增加健身指导员在慢性病管理和运动处方方面的专业培训、以及为在社区健身房锻炼的慢性病患者定期提供锻炼支持。本研究发现，社区健身房有可能在促进慢性疾病患者健康方面发挥关键作用。然而，在营造这种包容的氛围方面还有很多工作要做。患有慢性疾病的患者需要有关在社区中锻炼的信息和建议。社区健身房需要进一步的支持，以确保设施满足慢性疾病患者的锻炼需求。
