Institute of Neuroscience and Physiology, Section of Health and Rehabilitation, Physiotherapy, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Research, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Sweden.
Disabil Rehabil. 2023 Jun;45(11):1857-1864. doi: 10.1080/09638288.2022.2077992. Epub 2022 Jun 4.
Physical activity is recommended as first-choice treatment in chronic pain conditions. The aim was to describe the content and perceptions of person-centred health plans, and to evaluate patients' implementation of the health plan in their everyday life.
A descriptive retrospective review was conducted of person-centred health plans to support physical activity in 133 participants. Quantitative content analysis was used to analyse the content of the health plans. Questionnaires on physical activity and on implementation and perception of the health plans, and a test of physical capacity were administered.
Participants' goals were found to be related to physical function ( = 118), general health ( = 90), activity and participation ( = 80) and symptoms ( = 35). Participants identified personal ( = 174), social ( = 69) and material resources ( = 36). They identified fears and obstacles related to health issues ( = 95), difficulties getting it done ( = 41), competing priorities ( = 19) and contextual factors ( = 12). Participants identified need for external support ( = 110). Participants' level of physical activity and physical capacity increased significantly during the first 6 months of the study.
The person-centred approach seems helpful in enhancing motivation to achieve set goals and strengthen self-efficacy in physical activity also supported by increased physical activity and physical capacity. Implications for rehabilitationA person-centred approach can be helpful to enhance motivation to achieve set goals and self-efficacy to manage symptoms when engaging in physical activity.Shared documentation of a personal health plan helps to visualize resources to promote regular physical activity as well as alternative ways to reach set goals.The co-created health-plan captures the participant's goals, resources, fears and need of support, helps the participant to overcome challenges, and supports the participant to be physically active.
体力活动被推荐作为慢性疼痛疾病的首选治疗方法。本研究旨在描述以患者为中心的健康计划的内容和感知，并评估患者在日常生活中实施健康计划的情况。
对 133 名参与者支持体力活动的以患者为中心的健康计划进行描述性回顾性研究。使用定量内容分析法分析健康计划的内容。使用体力活动问卷、健康计划实施和感知问卷以及身体能力测试进行评估。
参与者的目标与身体功能（ = 118）、一般健康（ = 90）、活动和参与（ = 80）和症状（ = 35）有关。参与者确定了个人（ = 174）、社会（ = 69）和物质资源（ = 36）。他们确定了与健康问题相关的恐惧和障碍（ = 95）、完成任务的困难（ = 41）、竞争优先级（ = 19）和环境因素（ = 12）。参与者确定需要外部支持（ = 110）。在研究的前 6 个月，参与者的体力活动水平和身体能力显著提高。
以患者为中心的方法似乎有助于增强实现既定目标的动机，并增强体力活动的自我效能感，同时也提高了体力活动水平和身体能力。
以患者为中心的方法可以帮助增强实现既定目标的动机和管理体力活动相关症状的自我效能感。共享个人健康计划的文件有助于可视化促进定期体力活动的资源，以及实现既定目标的替代方法。共同制定的健康计划可以捕捉到参与者的目标、资源、恐惧和支持需求，帮助参与者克服挑战，并支持参与者进行体力活动。
