Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Liverpool Heart and Chest Hospital, Department of Respiratory Medicine, Liverpool, United Kingdom.
PLoS One. 2022 Aug 1;17(8):e0272355. doi: 10.1371/journal.pone.0272355. eCollection 2022.
There are few examples of interventions designed to promote physical activity (PA) in adults with Cystic fibrosis (CF). Increasing levels of habitual PA may be more feasible and result in greater compliance than conventional exercise training inventions which give little or no attention to long-term PA behaviour. Despite this there is limited research exploring perceptions of PA among adults with CF. The study aimed to understand the ecological correlates of PA in adults with CF and to involve individuals with CF, their families (where applicable) and clinicians in a formative process to inform the development of an ecological approach to PA promotion in this population.
An iterative approach was utilised, whereby findings from earlier phases of the research informed subsequent phases. Semi-structured interviews were conducted to explore patients' perceptions of PA, devised using the PRECEDE component of the PRECEDE-PROCEED model. Followed by, focus groups to discuss the perceived barriers, facilitators and opportunities for PA participation and how this information could inform the development and delivery of a PA intervention. Separate focus groups were conducted with individuals with CF (n = 11) and their families and CF MDT members. Thematic analysis was used to construct themes.
Physical and mental wellbeing manifested as both barriers and facilitators of PA. CF is characterised by a progressive decline in physical function, which presents as a number of challenging symptoms and set-backs for an individual with CF. PA represents an opportunity for participants to slow the rate of this decline and manage the symptoms associated with the condition. Enjoyment was an important facilitator of PA. Exercise professionals and family reinforce PA behaviour, particularly during adolescence.
PA promotion should form part of routine CF care with additional exercise professional support during adolescence.
针对囊性纤维化 (CF) 成人促进身体活动 (PA) 的干预措施很少。增加习惯性 PA 水平可能更可行，并比常规运动训练发明更能提高依从性，因为常规运动训练发明几乎没有或根本没有关注长期 PA 行为。尽管如此，探索 CF 成人对 PA 的看法的研究有限。本研究旨在了解 CF 成人 PA 的生态相关性，并让 CF 成人、他们的家属（如适用）和临床医生参与一个形成性过程，为在这一人群中推广 PA 提供生态方法。
采用迭代方法，即将研究早期阶段的发现告知后续阶段。采用 PRECEDE-PROCEED 模式的 PRECEDE 部分设计半结构式访谈，以探讨患者对 PA 的看法。随后，进行焦点小组讨论，讨论 PA 参与的感知障碍、促进因素和机会，以及如何利用这些信息为 PA 干预的制定和实施提供信息。与 CF 个体（n=11）及其家属和 CF MDT 成员分别进行了单独的焦点小组讨论。采用主题分析构建主题。
身体和心理健康既是 PA 的障碍，也是 PA 的促进因素。CF 的特点是身体功能逐渐下降，这表现为一系列对 CF 患者具有挑战性的症状和挫折。PA 为参与者提供了减缓这种下降速度和管理与病情相关症状的机会。享受是 PA 的一个重要促进因素。运动专业人员和家属加强了 PA 行为，尤其是在青少年时期。
PA 促进应成为 CF 常规护理的一部分，并在青少年时期增加运动专业人员的支持。
