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Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study

OBJECTIVE: To explore the experiences of patients at risk for cardiovascular disease in primary care with the Activate intervention in relation to their success in increasing their physical activity. METHODS: A convergent mixed methods study was conducted, parallel to a cluster-randomised controlled...

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Autores principales: Westland, Heleen, Sluiter, Jill, te Dorsthorst, Sophie, Schröder, Carin D., Trappenburg, Jaap C. A., Vervoort, Sigrid C. J. M., Schuurmans, Marieke J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372184/
https://www.ncbi.nlm.nih.gov/pubmed/30753213
http://dx.doi.org/10.1371/journal.pone.0212169
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author Westland, Heleen
Sluiter, Jill
te Dorsthorst, Sophie
Schröder, Carin D.
Trappenburg, Jaap C. A.
Vervoort, Sigrid C. J. M.
Schuurmans, Marieke J.
author_facet Westland, Heleen
Sluiter, Jill
te Dorsthorst, Sophie
Schröder, Carin D.
Trappenburg, Jaap C. A.
Vervoort, Sigrid C. J. M.
Schuurmans, Marieke J.
author_sort Westland, Heleen
collection PubMed
description OBJECTIVE: To explore the experiences of patients at risk for cardiovascular disease in primary care with the Activate intervention in relation to their success in increasing their physical activity. METHODS: A convergent mixed methods study was conducted, parallel to a cluster-randomised controlled trial in primary care, using a questionnaire and semi-structured interviews. Questionnaires from 67 patients were analysed, and semi-structured interviews of 22 patients were thematically analysed. Experiences of patients who had objectively increased their physical activity (responders) were compared to those who had not (non-responders). Objective success was analysed in relation to self-perceived success. RESULTS: The questionnaire and interview data corresponded, and no substantial differences among responders and non-responders emerged. Participating in the intervention increased patients’ awareness of their physical activity and their physical activity level. Key components of the intervention were the subsequent support of nurses with whom patients’ have a trustful relationship and the use of self-monitoring tools. Patients highly valued jointly setting goals, planning actions, receiving feedback and review on their goal attainment and jointly solving problems. Nurses’ support, the use of self-monitoring tools, and involving others incentivised patients to increase their physical activity. Internal circumstances and external circumstances challenged patients’ engagement in increasing and maintaining their physical activity. CONCLUSION: Patients experienced the Activate intervention as valuable to increase and maintain their physical activity, irrespective of their objective change in physical activity. The findings enable the understanding of the effectiveness of the intervention and implementation in primary care. TRIAL REGISTRATION: ClinicalTrials.gov NCT02725203.
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spelling pubmed-63721842019-03-01 Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study Westland, Heleen Sluiter, Jill te Dorsthorst, Sophie Schröder, Carin D. Trappenburg, Jaap C. A. Vervoort, Sigrid C. J. M. Schuurmans, Marieke J. PLoS One Research Article OBJECTIVE: To explore the experiences of patients at risk for cardiovascular disease in primary care with the Activate intervention in relation to their success in increasing their physical activity. METHODS: A convergent mixed methods study was conducted, parallel to a cluster-randomised controlled trial in primary care, using a questionnaire and semi-structured interviews. Questionnaires from 67 patients were analysed, and semi-structured interviews of 22 patients were thematically analysed. Experiences of patients who had objectively increased their physical activity (responders) were compared to those who had not (non-responders). Objective success was analysed in relation to self-perceived success. RESULTS: The questionnaire and interview data corresponded, and no substantial differences among responders and non-responders emerged. Participating in the intervention increased patients’ awareness of their physical activity and their physical activity level. Key components of the intervention were the subsequent support of nurses with whom patients’ have a trustful relationship and the use of self-monitoring tools. Patients highly valued jointly setting goals, planning actions, receiving feedback and review on their goal attainment and jointly solving problems. Nurses’ support, the use of self-monitoring tools, and involving others incentivised patients to increase their physical activity. Internal circumstances and external circumstances challenged patients’ engagement in increasing and maintaining their physical activity. CONCLUSION: Patients experienced the Activate intervention as valuable to increase and maintain their physical activity, irrespective of their objective change in physical activity. The findings enable the understanding of the effectiveness of the intervention and implementation in primary care. TRIAL REGISTRATION: ClinicalTrials.gov NCT02725203. Public Library of Science 2019-02-12 /pmc/articles/PMC6372184/ /pubmed/30753213 http://dx.doi.org/10.1371/journal.pone.0212169 Text en © 2019 Westland et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Westland, Heleen
Sluiter, Jill
te Dorsthorst, Sophie
Schröder, Carin D.
Trappenburg, Jaap C. A.
Vervoort, Sigrid C. J. M.
Schuurmans, Marieke J.
Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study
title Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study
title_full Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study
title_fullStr Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study
title_full_unstemmed Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study
title_short Patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: A mixed methods study
title_sort patients’ experiences with a behaviour change intervention to enhance physical activity in primary care: a mixed methods study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372184/
https://www.ncbi.nlm.nih.gov/pubmed/30753213
http://dx.doi.org/10.1371/journal.pone.0212169
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