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Maintaining physical activity following myocardial infarction: a qualitative study
BACKGROUND: Outcomes following myocardial infarction (MI) are improved by uptake and maintenance of physical activity (PA), but little is understood regarding patients experience of maintaining an active lifestyle once immediate support, such as cardiac-rehabilitation (CR), has ended. AIM: The purpo...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7893716/ https://www.ncbi.nlm.nih.gov/pubmed/33602122 http://dx.doi.org/10.1186/s12872-021-01898-7 |
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author | Coull, Alex Pugh, Gemma |
author_facet | Coull, Alex Pugh, Gemma |
author_sort | Coull, Alex |
collection | PubMed |
description | BACKGROUND: Outcomes following myocardial infarction (MI) are improved by uptake and maintenance of physical activity (PA), but little is understood regarding patients experience of maintaining an active lifestyle once immediate support, such as cardiac-rehabilitation (CR), has ended. AIM: The purpose of this study was to investigate MI survivors’ attitude and appraisal towards PA and the perceived barriers, motivators and facilitators for maintaining PA long-term. METHODS: Semi-structured interviews were carried out with 18 adults (mean age 60.5, range 37–73 years) from England and Scotland, who were a minimum of 5 months post-MI (mean 29 months, range 5–122 months). There were comparatively more male participants (n = 13, 72 %) than female (n = 5, 28 %). Overall 12 (67 %) participants had attended CR. The interviews were transcribed verbatim and thematic analysis was performed using qualitative data analysis software NVivo. RESULTS: Data analysis indicated that the following four core themes influenced MI survivors’ behaviour and attitude towards PA: (1) MI as a teachable moment for behaviour change, (2) affective response to MI: enjoyment versus fear, (3) cognitive response to MI: self-perception, attitude and self-efficacy, and (4) access to support and resources, including PA facilities and social support. Participants highlighted a lack of available guidance on maintaining PA behaviour change following CR and that advice on the frequency and intensity of exercise to follow was often unclear and confusing. Feelings of vulnerability and fear of overexertion were apparent, affecting participants self-efficacy to exercise. CONCLUSIONS: Current CR programmes fail to address PA belief systems and perceptions of self-efficacy to exercise. Interventions that address feelings of vulnerability and fear of overexertion may be beneficial. Providing ongoing PA advice and access to social support may facilitate patients to maintain changes in PA. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-021-01898-7. |
format | Online Article Text |
id | pubmed-7893716 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78937162021-02-22 Maintaining physical activity following myocardial infarction: a qualitative study Coull, Alex Pugh, Gemma BMC Cardiovasc Disord Research Article BACKGROUND: Outcomes following myocardial infarction (MI) are improved by uptake and maintenance of physical activity (PA), but little is understood regarding patients experience of maintaining an active lifestyle once immediate support, such as cardiac-rehabilitation (CR), has ended. AIM: The purpose of this study was to investigate MI survivors’ attitude and appraisal towards PA and the perceived barriers, motivators and facilitators for maintaining PA long-term. METHODS: Semi-structured interviews were carried out with 18 adults (mean age 60.5, range 37–73 years) from England and Scotland, who were a minimum of 5 months post-MI (mean 29 months, range 5–122 months). There were comparatively more male participants (n = 13, 72 %) than female (n = 5, 28 %). Overall 12 (67 %) participants had attended CR. The interviews were transcribed verbatim and thematic analysis was performed using qualitative data analysis software NVivo. RESULTS: Data analysis indicated that the following four core themes influenced MI survivors’ behaviour and attitude towards PA: (1) MI as a teachable moment for behaviour change, (2) affective response to MI: enjoyment versus fear, (3) cognitive response to MI: self-perception, attitude and self-efficacy, and (4) access to support and resources, including PA facilities and social support. Participants highlighted a lack of available guidance on maintaining PA behaviour change following CR and that advice on the frequency and intensity of exercise to follow was often unclear and confusing. Feelings of vulnerability and fear of overexertion were apparent, affecting participants self-efficacy to exercise. CONCLUSIONS: Current CR programmes fail to address PA belief systems and perceptions of self-efficacy to exercise. Interventions that address feelings of vulnerability and fear of overexertion may be beneficial. Providing ongoing PA advice and access to social support may facilitate patients to maintain changes in PA. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-021-01898-7. BioMed Central 2021-02-18 /pmc/articles/PMC7893716/ /pubmed/33602122 http://dx.doi.org/10.1186/s12872-021-01898-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Coull, Alex Pugh, Gemma Maintaining physical activity following myocardial infarction: a qualitative study |
title | Maintaining physical activity following myocardial infarction: a qualitative study |
title_full | Maintaining physical activity following myocardial infarction: a qualitative study |
title_fullStr | Maintaining physical activity following myocardial infarction: a qualitative study |
title_full_unstemmed | Maintaining physical activity following myocardial infarction: a qualitative study |
title_short | Maintaining physical activity following myocardial infarction: a qualitative study |
title_sort | maintaining physical activity following myocardial infarction: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7893716/ https://www.ncbi.nlm.nih.gov/pubmed/33602122 http://dx.doi.org/10.1186/s12872-021-01898-7 |
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