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Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers

BACKGROUND: Physical activity (PA) is beneficial for all people, yet people affected by multiple sclerosis (MS) find regular PA challenging. These people may include individuals with the disease who have moderate‐to‐severe disability and their family caregivers. For researchers and clinicians to eff...

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Autores principales: Fakolade, Afolasade, Lamarre, Julie, Latimer‐Cheung, Amy, Parsons, Trisha, Morrow, Sarah A., Finlayson, Marcia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750693/
https://www.ncbi.nlm.nih.gov/pubmed/28722772
http://dx.doi.org/10.1111/hex.12600
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author Fakolade, Afolasade
Lamarre, Julie
Latimer‐Cheung, Amy
Parsons, Trisha
Morrow, Sarah A.
Finlayson, Marcia
author_facet Fakolade, Afolasade
Lamarre, Julie
Latimer‐Cheung, Amy
Parsons, Trisha
Morrow, Sarah A.
Finlayson, Marcia
author_sort Fakolade, Afolasade
collection PubMed
description BACKGROUND: Physical activity (PA) is beneficial for all people, yet people affected by multiple sclerosis (MS) find regular PA challenging. These people may include individuals with the disease who have moderate‐to‐severe disability and their family caregivers. For researchers and clinicians to effectively promote PA among caregiver/care‐recipient dyads with moderate‐to‐severe MS, a comprehensive understanding of the shared PA experiences of these dyads would be beneficial. OBJECTIVE: We explored shared experiences of caregiver/care‐recipient dyads affected by moderate‐to‐severe MS about PA and directions for intervention. METHODS: Six focus groups with 23 people with moderate‐to‐severe MS and 12 family caregivers were conducted. Data were analysed using a constant comparative approach. RESULTS: Three major themes emerged as follows: (i) PA is a continuum, (ii) cycle of disengagement and (iii) cycle of adjustment. The first theme captured the dyads understanding that PA falls along a continuum ranging from highly structured to unstructured activities. Cycle of disengagement captured the experiences of dyads engaging in little or no PA. These dyads perceived internal and external issues as drivers of the cycle of disengagement, while availability of supportive programmes and services or people helped the dyads to break out of the cycle. When the cycle of disengagement was broken, the dyads described moving towards the cycle of adjustment, where they were able to learn skills and take action to incorporate PA into daily routines. CONCLUSION: This research highlights the need to adopt an integrative approach that acknowledges the caregiver/care‐recipient dyad with moderate‐to‐severe MS as a focus for PA intervention.
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spelling pubmed-57506932018-02-01 Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers Fakolade, Afolasade Lamarre, Julie Latimer‐Cheung, Amy Parsons, Trisha Morrow, Sarah A. Finlayson, Marcia Health Expect Original Research Papers BACKGROUND: Physical activity (PA) is beneficial for all people, yet people affected by multiple sclerosis (MS) find regular PA challenging. These people may include individuals with the disease who have moderate‐to‐severe disability and their family caregivers. For researchers and clinicians to effectively promote PA among caregiver/care‐recipient dyads with moderate‐to‐severe MS, a comprehensive understanding of the shared PA experiences of these dyads would be beneficial. OBJECTIVE: We explored shared experiences of caregiver/care‐recipient dyads affected by moderate‐to‐severe MS about PA and directions for intervention. METHODS: Six focus groups with 23 people with moderate‐to‐severe MS and 12 family caregivers were conducted. Data were analysed using a constant comparative approach. RESULTS: Three major themes emerged as follows: (i) PA is a continuum, (ii) cycle of disengagement and (iii) cycle of adjustment. The first theme captured the dyads understanding that PA falls along a continuum ranging from highly structured to unstructured activities. Cycle of disengagement captured the experiences of dyads engaging in little or no PA. These dyads perceived internal and external issues as drivers of the cycle of disengagement, while availability of supportive programmes and services or people helped the dyads to break out of the cycle. When the cycle of disengagement was broken, the dyads described moving towards the cycle of adjustment, where they were able to learn skills and take action to incorporate PA into daily routines. CONCLUSION: This research highlights the need to adopt an integrative approach that acknowledges the caregiver/care‐recipient dyad with moderate‐to‐severe MS as a focus for PA intervention. John Wiley and Sons Inc. 2017-07-19 2018-02 /pmc/articles/PMC5750693/ /pubmed/28722772 http://dx.doi.org/10.1111/hex.12600 Text en © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Papers
Fakolade, Afolasade
Lamarre, Julie
Latimer‐Cheung, Amy
Parsons, Trisha
Morrow, Sarah A.
Finlayson, Marcia
Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers
title Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers
title_full Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers
title_fullStr Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers
title_full_unstemmed Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers
title_short Understanding leisure‐time physical activity: Voices of people with MS who have moderate‐to‐severe disability and their family caregivers
title_sort understanding leisure‐time physical activity: voices of people with ms who have moderate‐to‐severe disability and their family caregivers
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750693/
https://www.ncbi.nlm.nih.gov/pubmed/28722772
http://dx.doi.org/10.1111/hex.12600
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