UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.
Baylor Scott & White Institute for Rehabilitation, 909N Washington Ave, Dallas, TX, 75246, USA.
Spinal Cord Ser Cases. 2022 Aug 9;8(1):74. doi: 10.1038/s41394-022-00539-1.
Cross-sectional.
Examine exercise perceptions of SCI individuals enrolled in an exercise trial about their: (a) reasons for enrolling, (b) barriers to exercise, and (c) solutions to address barriers.
World-wide web.
US individuals ≥18 years old with SCI completed password-protected free-response surveys (n = 144) as part of a larger internet-based intervention to promote exercise. Participants' online reporting about their motivations to exercise, barriers, and solutions to identified barriers were analyzed using an inductive thematic qualitative approach. Participants could enter up to 10 responses for each category.
Study staff analyzed 956 participant responses across questions regarding their motivations, barriers, and solutions. Leading reasons reported for enrolling were to improve their physical health (69%), function (61%), and attitude (59%) while commonly reported barriers were time constraints (54%), lack of motivation (31%), accessibility issues (24%), and SCI-specific barriers (23%). Participant-generated solutions were scheduling exercise (47.9%) for time constraints, making exercise more fun (21.8%) to increase motivation, obtaining home exercise equipment (30.3%), and locating accessible facilities (27.3%) to resolve accessibility barriers. Solutions for SCI-specific barriers of temperature control, skin breakdown, and pain included getting adapted equipment or finding exercises they could perform independently (29.3%) and enlisting support from friends or family (24.4%).
The results offer insights about exercise motivators and barriers reported by people with SCI who enrolled in an exercise intervention program and offer insights regarding topics to address for SCI-tailored exercise programs. Further research should examine what strategies are most useful in helping people with SCI engage in exercise.
横断面研究。
检查参加运动试验的 SCI 个体的运动认知，包括：(a) 参加的原因，(b) 运动障碍，和(c) 解决障碍的方法。
全球互联网。
美国年龄≥18 岁的 SCI 个体完成了密码保护的自由响应调查(共 144 名)，作为一项基于互联网的促进运动的大型干预措施的一部分。参与者在网上报告他们运动的动机、障碍和识别出的障碍的解决方案，采用归纳主题的定性方法进行分析。参与者可以对每个类别输入最多 10 个回复。
研究人员分析了 956 名参与者对其动机、障碍和解决方案的问题回答。报告的主要参加原因是改善身体健康(69%)、功能(61%)和态度(59%)，而常见的障碍是时间限制(54%)、缺乏动力(31%)、可及性问题(24%)和 SCI 特定的障碍(23%)。参与者提出的解决方案包括安排锻炼时间(47.9%)以解决时间限制、增加运动的趣味性(21.8%)以提高动力、获得家庭锻炼设备(30.3%)和寻找可及性设施(27.3%)以解决可及性障碍。针对体温控制、皮肤破裂和疼痛等 SCI 特定障碍的解决方案包括获得适应性设备或找到他们可以独立进行的锻炼(29.3%)，并寻求朋友或家人的支持(24.4%)。
结果提供了关于参加运动干预计划的 SCI 个体报告的运动动机和障碍的见解，并提供了关于针对 SCI 量身定制的运动计划需要解决的主题的见解。进一步的研究应探讨哪些策略最有助于帮助 SCI 个体参与运动。
