Department of Therapies, King's College Hospital, London, UK
Department of Therapies, King's College Hospital, London, UK.
BMJ Open. 2022 Jan 11;12(1):e046950. doi: 10.1136/bmjopen-2020-046950.
This study used a mixed-method approach to explore cultural and ethnic influences on the perception of, and decision to engage with or not to engage with, physical activity and exercise therapy in patients with chronic kidney disease (CKD).
Qualitative research was conducted through the use of semistructured interviews and focus groups. Self-reported physical activity levels were measured using the General Practice Physical Activity Questionnaire (GPPAQ), and self-efficacy for exercise with Bandura's Self-Efficacy for Exercise Scale.
This study was conducted in a non-clinical setting of a single National Health Service Hospital Trust between April 2018 and July 2019.
Participants >18 years of age with a diagnosis of CKD, from black African, black Caribbean, South Asian or white ethnicity were eligible for the study. 84 patients with a diagnosis of CKD (stages 2-5), aged 25-79 (mean age 57) were recruited. Semistructured interviews (n=20) and six single-sex, ethnic-specific focus group discussions were undertaken (n=36).
Primary outcome was to explore the perceptions, attitudes and values about exercise and physical activity in different ethnic groups through qualitative interviews, analysed using an inductive thematic analysis approach. Questionnaires were analysed using Pearson correlation to determine if there was a significant relationship between the self-efficacy and GPPAQ levels.
Qualitative analysis provided four primary themes: I am who I am, Change of identity, Influences to physical activity and exercise and Support and education. Quantitative analysis using Pearson correlation revealed a significant correlation between GPPAQ levels of activity and self-efficacy to regulate exercise behaviour (=-0.40, p=0.001).
Understanding the cultural, attitudes and beliefs of individuals with CKD from a variety of ethnic backgrounds is complex. Understanding of patients' experiences, thoughts and beliefs may be of relevance to clinicians when designing CKD exercise services.
NCT03709212; Pre-results.
本研究采用混合方法探讨了文化和种族对慢性肾脏病（CKD）患者对体力活动和运动治疗的看法、以及参与或不参与这些治疗的决策的影响。
通过使用半结构式访谈和焦点小组进行定性研究。使用一般实践体力活动问卷（GPPAQ）和班杜拉运动自我效能量表测量自我报告的体力活动水平。
本研究于 2018 年 4 月至 2019 年 7 月在单一国民保健服务医院信托的非临床环境中进行。
符合条件的参与者为年龄>18 岁且被诊断患有 CKD 的患者，其种族为非洲裔黑人、加勒比裔黑人、南亚裔或白人。共招募了 84 名被诊断患有 CKD（2-5 期）的患者，年龄 25-79 岁（平均年龄 57 岁）。进行了 20 次半结构式访谈（n=20）和 6 次单性别、特定族裔的焦点小组讨论（n=36）。
主要结果是通过定性访谈探讨不同族裔群体对运动和体力活动的看法、态度和价值观，采用归纳主题分析方法进行分析。使用 Pearson 相关分析对问卷进行分析，以确定自我效能感和 GPPAQ 水平之间是否存在显著关系。
从多种族裔背景了解 CKD 患者的文化、态度和信念是复杂的。了解患者的经历、想法和信念可能与临床医生在设计 CKD 运动服务时相关。
NCT03709212；预结果。
