Putting the pieces together: A qualitative study exploring perspectives on self-management and exercise behavior among people living with multimorbidity, healthcare professionals, relatives, and patient advocates.

Autor:	Jäger M; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark.; Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark., Lindhardt MC; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark., Pedersen JR; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark., Dideriksen M; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark.; Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark., Nyberg M; Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark., Bricca A; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark.; Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark., Bodtger U; Department of Respiratory Medicine, Zealand University Hospital Næstved, Næstved, Denmark.; Institute for Regional Heath Research, University of Southern Denmark, Odense M, Denmark., Midtgaard J; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.; Mental Health Services in the Capital Region of Denmark, Mental Health Centre Glostrup, University of Copenhagen, Copenhagen, Denmark., Skou ST; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark.; Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark.
Jazyk:	angličtina
Zdroj:	Journal of multimorbidity and comorbidity [J Multimorb Comorb] 2022 May 20; Vol. 12, pp. 26335565221100172. Date of Electronic Publication: 2022 May 20 (Print Publication: 2022).
DOI:	10.1177/26335565221100172
Abstrakt:	Background Behavior change and exercise are considered critical for successful self-management in people with multimorbidity, however, little is known about people's needs, experiences, and preferences. Purpose The aim of this study was to qualitatively explore the perspectives of people living with multimorbidity, healthcare professionals, relatives, and patient advocates in relation to self-management and exercise behavior. Research design Analysis was carried out by means of a hybrid inductive-deductive approach using Framework Analysis that enabled the subsequent use of the COM-B model in relation to the study of exercise behavior specifically. Study sample We conducted 17 interviews (9 focus groups; 8 key informants) with 48 informants from four groups (22 people living with multimorbidity, 17 healthcare professionals, 5 relatives, and 5 patient advocates). Data analysis Through an inductive Framework analysis, we constructed three themes: Patient education, supporting behavior change, and lack of a "burning platform." Subsequent deductive application of the COM-B profile (applied solely to data related to exercise behavior) unveiled a variety of barriers to exercise and self-management support (pain, fatigue, breathlessness, lack of motivation, financial issues, accessibility, decreased social support). Results Overall, the four groups shared common understandings while also expressing unique challenges. Conclusions Future interventions and/or policies targeting exercise behavior in people living with multimorbidity should address some of the barriers identified in this study. Competing Interests: Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr. Skou is co-founder of Good Life with Osteoarthritis in Denmark (GLA:D®), a not-for profit initiative hosted at University of Southern Denmark aimed at implementing clinical guidelines for osteoarthritis in clinical practice. The authors declare that they do not have other significant competing financial, professional, or personal interests that might have influenced the performance or presentation of the work described in this manuscript. (© The Author(s) 2022.)
Databáze:	MEDLINE
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