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Multiple sclerosis patients need and want information on exercise promotion from healthcare providers: a qualitative study
Ist Teil von
Health expectations : an international journal of public participation in health care and health policy, 2017-08, Vol.20 (4), p.574-583
Ort / Verlag
England: John Wiley & Sons, Inc
Erscheinungsjahr
2017
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
Background
There is growing recognition of the benefits and safety of exercise and its importance in the comprehensive care of persons with multiple sclerosis (MS), yet uptake is low.
Objective
We explored the needs and wants of patients with MS regarding exercise promotion through healthcare providers.
Setting and participants
Participants were adults with MS who had mild‐or‐moderate disability and a range of exercise levels. All participants lived in the Midwest of the United States.
Methods
Fifty semi‐structured interviews were conducted and analysed using thematic analysis. Two themes emerged, namely interactions between patients and healthcare providers and needs and wants of patients.
Results
Analysis of participant accounts illustrate that current exercise promotion by healthcare providers does not meet patient needs and wants. The identified needs and wants of persons with MS involved (i) information and knowledge on the benefits of exercise and exercise prescription, (ii) materials to allow home and community exercise and (iii) tools for initiating and maintaining exercise behaviour.
Discussion and conclusion
Patients with MS frequently interact with healthcare providers and are generally unsatisfied with exercise promotion during interactions. Healthcare providers can address the low uptake of exercise among persons with MS by acting upon the identified unmet needs involving materials, knowledge and behaviour change strategies for exercise.