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“It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients

Pulmonary hypertension is a progressive cardiorespiratory disease that is characterized by considerable morbidity and mortality. While physical activity can improve symptoms and quality of life, engagement in this population is suboptimal. The aim of this study was to explore attitudes towards exerc...

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Autores principales: McCormack, Ciara, Cullivan, Sarah, Kehoe, Brona, McCaffrey, Noel, Gaine, Sean, McCullagh, Brian, Moyna, Niall M., Hardcastle, Sarah J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573491/
https://www.ncbi.nlm.nih.gov/pubmed/34777786
http://dx.doi.org/10.1177/20458940211056509
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author McCormack, Ciara
Cullivan, Sarah
Kehoe, Brona
McCaffrey, Noel
Gaine, Sean
McCullagh, Brian
Moyna, Niall M.
Hardcastle, Sarah J.
author_facet McCormack, Ciara
Cullivan, Sarah
Kehoe, Brona
McCaffrey, Noel
Gaine, Sean
McCullagh, Brian
Moyna, Niall M.
Hardcastle, Sarah J.
author_sort McCormack, Ciara
collection PubMed
description Pulmonary hypertension is a progressive cardiorespiratory disease that is characterized by considerable morbidity and mortality. While physical activity can improve symptoms and quality of life, engagement in this population is suboptimal. The aim of this study was to explore attitudes towards exercise and the dimensions that influence physical activity participation in individuals with pulmonary hypertension. Virtual, semi-structured interviews were conducted with individuals, with a formal diagnosis of pulmonary hypertension. Participants were recruited through the Pulmonary Hypertension Association of Ireland. Interviews were transcribed and analysed using thematic analysis. Nineteen patients were interviewed (n = 19). There was a female preponderance (n = 13) and the mean age was 50 ± 12 years. Three themes were identified and included fear, perceived value of exercise and environmental factors. Fear was the primary theme and included three sub-themes of fear of (i) over-exertion, (ii) physical damage and (iii) breathlessness. The perceived value of exercise encompassed two distinct sub-themes of perceived (i) exercise importance and (ii) benefits of exercise. Environmental factors included the terrain, weather conditions and location. Fear of overexertion, harm and dyspnoea strongly influenced attitudes to and engagement in physical activity. This study revealed heterogenous patient perspectives regarding the importance of physical activity and exercise. Future interventions that mitigate fear and promote the value of physical activity for individuals with pulmonary hypertension may have considerable benefits in promoting physical activity engagement. Such interventions require multidisciplinary involvement, including specialised pulmonary hypertension clinicians and exercise and behaviour change specialists.
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spelling pubmed-85734912021-11-09 “It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients McCormack, Ciara Cullivan, Sarah Kehoe, Brona McCaffrey, Noel Gaine, Sean McCullagh, Brian Moyna, Niall M. Hardcastle, Sarah J. Pulm Circ Original Research Article Pulmonary hypertension is a progressive cardiorespiratory disease that is characterized by considerable morbidity and mortality. While physical activity can improve symptoms and quality of life, engagement in this population is suboptimal. The aim of this study was to explore attitudes towards exercise and the dimensions that influence physical activity participation in individuals with pulmonary hypertension. Virtual, semi-structured interviews were conducted with individuals, with a formal diagnosis of pulmonary hypertension. Participants were recruited through the Pulmonary Hypertension Association of Ireland. Interviews were transcribed and analysed using thematic analysis. Nineteen patients were interviewed (n = 19). There was a female preponderance (n = 13) and the mean age was 50 ± 12 years. Three themes were identified and included fear, perceived value of exercise and environmental factors. Fear was the primary theme and included three sub-themes of fear of (i) over-exertion, (ii) physical damage and (iii) breathlessness. The perceived value of exercise encompassed two distinct sub-themes of perceived (i) exercise importance and (ii) benefits of exercise. Environmental factors included the terrain, weather conditions and location. Fear of overexertion, harm and dyspnoea strongly influenced attitudes to and engagement in physical activity. This study revealed heterogenous patient perspectives regarding the importance of physical activity and exercise. Future interventions that mitigate fear and promote the value of physical activity for individuals with pulmonary hypertension may have considerable benefits in promoting physical activity engagement. Such interventions require multidisciplinary involvement, including specialised pulmonary hypertension clinicians and exercise and behaviour change specialists. SAGE Publications 2021-11-05 /pmc/articles/PMC8573491/ /pubmed/34777786 http://dx.doi.org/10.1177/20458940211056509 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
McCormack, Ciara
Cullivan, Sarah
Kehoe, Brona
McCaffrey, Noel
Gaine, Sean
McCullagh, Brian
Moyna, Niall M.
Hardcastle, Sarah J.
“It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients
title “It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients
title_full “It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients
title_fullStr “It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients
title_full_unstemmed “It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients
title_short “It is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients
title_sort “it is the fear of exercise that stops me” – attitudes and dimensions influencing physical activity in pulmonary hypertension patients
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573491/
https://www.ncbi.nlm.nih.gov/pubmed/34777786
http://dx.doi.org/10.1177/20458940211056509
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