Exploring barriers and facilitators to the adoption of regular exercise practice in patients at risk of a recurrence of low back pain (MyBack project): a qualitative study.

Autor:	Duarte ST; Comprehensive Health Research Center (CHRC), National School of Public Health, Universidade NOVA de Lisboa, Lisbon, Portugal.; Physiotherapy Department, School of Health, Polytechnic Institute of Setúbal, Setúbal, Portugal., Moniz A; Physiotherapy Department, School of Health, Polytechnic Institute of Setúbal, Setúbal, Portugal.; Comprehensive Health Research Center (CHRC), NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), Universidade NOVA de Lisboa, Lisbon, Portugal.; EpiDoc Unit, NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), Universidade Nova de Lisboa, Lisbon, Portugal., Caeiro C; Physiotherapy Department, School of Health, Polytechnic Institute of Setúbal, Setúbal, Portugal., Heleno B; Comprehensive Health Research Center (CHRC), NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), Universidade NOVA de Lisboa, Lisbon, Portugal., Aguiar P; Comprehensive Health Research Center (CHRC), National School of Public Health, Universidade NOVA de Lisboa, Lisbon, Portugal., Cruz EB; Physiotherapy Department, School of Health, Polytechnic Institute of Setúbal, Setúbal, Portugal.; Comprehensive Health Research Center (CHRC), Universidade NOVA de Lisboa, Lisbon, Portugal.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 Jun 27, pp. 1-10. Date of Electronic Publication: 2024 Jun 27.
DOI:	10.1080/09638288.2024.2369665
Abstrakt:	Purpose: This study aimed to explore potential barriers and facilitators to the adoption of regular exercise practice in patients at risk of a recurrence of low back pain (LBP). Materials and Methods: Eleven patients, who recovered from a previous episode of LBP, participated in two focus groups. The semi-structured interview schedule was informed by the Behaviour Change Wheel and the Theoretical Domains Framework. Focus groups were held through videoconference, audio and video recorded and transcribed verbatim. A deductive content analysis was performed by two researchers independently. Results: Eighteen barriers and 19 facilitators were identified. The most common barriers included "lack of knowledge on how to manage a recurrence of LBP," "lack of behavioural regulation strategies and having other priorities" and "lack of self-efficacy/confidence to practice exercise autonomously and deal with a new episode of LBP." "Knowledge on exercise and recurrences," "regular exercise habits," "having specific behavioural regulation strategies," "exercise practice with others," "willingness to practice exercise and considering it a priority," and "presence of positive emotions related with exercise practice" were the most common facilitators. Conclusions: These findings will inform the development of a behaviour change-informed exercise intervention to promote regular exercise practice among patients at risk of a recurrence of LBP.
Databáze:	MEDLINE
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