Centre for Health, Activity, And Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, PO Box 56, Dunedin, New Zealand.
Disabil Health J. 2023 Jan;16(1):101370. doi: 10.1016/j.dhjo.2022.101370. Epub 2022 Aug 20.
Many men with Parkinson's Disease (PD) do not meet the recommended levels of physical activity (PA) for health benefits. Tailored, meaningful, and culturally sensitive PA health messages may be a catalyst to shape men's motivations toward participation.
We explored the views of New Zealand (NZ) men with PD about existing PA health messages, and how these could be adapted to be more effective.
This qualitative study recruited six community dwelling, regularly physically active, NZ European men with PD (aged 54-69 years, 2-18 years post-diagnosis) from a community exercise class in Canterbury, NZ. Participants engaged in semi-structured interviews which were audio-recorded, transcribed verbatim, and analyzed inductively for themes.
Participants expressed that effective PA health messages should reflect men's motivations for PA which included physical and mental well-being and social connection. Inclusive, positive, and relatable language and imagery were considered crucial PA message communication strategies. Participants viewed health professionals' PA advice as superficial and unhelpful; however, celebrities with PD were considered inspirational messengers. Messages endorsed by trustworthy sources, such as the Parkinson's Society, were perceived to enhance the credibility.
Effective PA messages should be gain framed and tailored to the target audience. We recommend health professionals provide comprehensive PA advice or consider onward referral. Future research which uses a co-design participatory methodology to collaborate with men with PD from culturally diverse backgrounds and represent all stages of PA behaviour change is recommended to provide comprehensive insights for meaningful, effective, and culturally sensitive PA health messaging.
许多帕金森病（PD）患者的身体活动（PA）水平未达到健康推荐标准。量身定制、有意义且文化敏感的 PA 健康信息可能是激发男性参与动力的催化剂。
我们探讨了新西兰（NZ） PD 男性对现有 PA 健康信息的看法，以及如何对其进行改编以提高效果。
本定性研究招募了来自 NZ 坎特伯雷社区锻炼班的 6 名社区居住、经常进行身体活动、新西兰欧裔 PD 男性（年龄 54-69 岁，确诊后 2-18 年）。参与者参与半结构化访谈，访谈内容被录音、逐字转录，并进行归纳分析以提取主题。
参与者表示，有效的 PA 健康信息应反映男性参与 PA 的动机，包括身心健康和社会联系。包容性、积极性和相关性的语言和图像被认为是 PA 信息传达的关键策略。参与者认为健康专业人员的 PA 建议肤浅且无益；然而，患有 PD 的名人被认为是鼓舞人心的信息传递者。来自可信赖来源的信息，如帕金森氏症协会的认可，被认为可以提高可信度。
有效的 PA 信息应根据目标受众进行调整和定制。我们建议健康专业人员提供全面的 PA 建议，或考虑转介。建议使用合作设计的参与性方法与来自不同文化背景且代表 PA 行为改变各个阶段的 PD 男性合作开展未来研究，以提供全面的见解，实现有意义、有效和文化敏感的 PA 健康信息传递。
