Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study

Objective: To explore perceived barriers to and facilitators of behaviour change towards a more active lifestyle in people with neuromuscular diseases. Design: A qualitative study. Subjects: Nineteen subjects (63% females, age range 28–73 years), representing 4 different neuromuscular diseases. M...

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Main Authors: Eric L. Voorn, Sander Oorschot, Roos Ritmeester, Lois de Zeeuw, Sandra de Morée, Fieke S. Koopman, Annerieke C. van Groenestijn, Judith G.M. Jelsma
Format: Article
Language:English
Published: Medical Journals Sweden 2025-03-01
Series:Journal of Rehabilitation Medicine
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Online Access:https://medicaljournalssweden.se/jrm/article/view/42577
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author Eric L. Voorn
Sander Oorschot
Roos Ritmeester
Lois de Zeeuw
Sandra de Morée
Fieke S. Koopman
Annerieke C. van Groenestijn
Judith G.M. Jelsma
author_facet Eric L. Voorn
Sander Oorschot
Roos Ritmeester
Lois de Zeeuw
Sandra de Morée
Fieke S. Koopman
Annerieke C. van Groenestijn
Judith G.M. Jelsma
author_sort Eric L. Voorn
collection DOAJ
description Objective: To explore perceived barriers to and facilitators of behaviour change towards a more active lifestyle in people with neuromuscular diseases. Design: A qualitative study. Subjects: Nineteen subjects (63% females, age range 28–73 years), representing 4 different neuromuscular diseases. Methods: Data from a randomized controlled trial were used. Subjects followed a physical activity programme including coaching sessions using motivational interviewing techniques. All sessions were audio-recorded, and thematic analyses were conducted on a random selection of 29 audio recordings, using the International Classification of Functioning, Disability and Health as a framework. Results: Barriers and facilitators were identified in the following domains: body functions and structures (i.e., neuromusculoskeletal, sensory and mental functions), activities and participation (i.e., undertaking multiple tasks and complex interpersonal interactions), environmental factors (i.e., products and technology for personal use in daily living, design/construction of buildings for public and private use, financial assets, climate, natural events, support and relationships) and personal factors (i.e., satisfaction with life, attitude toward health and disease, attitude toward intervention, exercise habits and methodical skills). Conclusion: Identified barriers and facilitators could guide healthcare professionals to facilitate the discussion of physical activity behaviour and to address them in a personalized way during neuromuscular rehabilitation treatment.
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spelling doaj-art-50164e13ea8c475db245a9dfd72907312025-08-20T01:49:11ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-03-015710.2340/jrm.v57.42577Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative studyEric L. Voorn0Sander Oorschot1Roos Ritmeester2Lois de Zeeuw3Sandra de Morée4Fieke S. Koopman5Annerieke C. van Groenestijn6Judith G.M. Jelsma7Amsterdam UMC location University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the NetherlandsAmsterdam UMC location University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the NetherlandsAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational health, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Health Behaviors & Chronic Diseases, Amsterdam, the NetherlandsAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational health, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Health Behaviors & Chronic Diseases, Amsterdam, the NetherlandsAmsterdam UMC location University of Amsterdam, Department of Medical Psychology, Amsterdam, The NetherlandsAmsterdam UMC location University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the NetherlandsAmsterdam UMC location University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, the NetherlandsAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational health, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Health Behaviors & Chronic Diseases, Amsterdam, the NetherlandsObjective: To explore perceived barriers to and facilitators of behaviour change towards a more active lifestyle in people with neuromuscular diseases. Design: A qualitative study. Subjects: Nineteen subjects (63% females, age range 28–73 years), representing 4 different neuromuscular diseases. Methods: Data from a randomized controlled trial were used. Subjects followed a physical activity programme including coaching sessions using motivational interviewing techniques. All sessions were audio-recorded, and thematic analyses were conducted on a random selection of 29 audio recordings, using the International Classification of Functioning, Disability and Health as a framework. Results: Barriers and facilitators were identified in the following domains: body functions and structures (i.e., neuromusculoskeletal, sensory and mental functions), activities and participation (i.e., undertaking multiple tasks and complex interpersonal interactions), environmental factors (i.e., products and technology for personal use in daily living, design/construction of buildings for public and private use, financial assets, climate, natural events, support and relationships) and personal factors (i.e., satisfaction with life, attitude toward health and disease, attitude toward intervention, exercise habits and methodical skills). Conclusion: Identified barriers and facilitators could guide healthcare professionals to facilitate the discussion of physical activity behaviour and to address them in a personalized way during neuromuscular rehabilitation treatment. https://medicaljournalssweden.se/jrm/article/view/42577neuromuscular disordersrehabilitationqualitative researchhealthy lifestylebehavioural change
spellingShingle Eric L. Voorn
Sander Oorschot
Roos Ritmeester
Lois de Zeeuw
Sandra de Morée
Fieke S. Koopman
Annerieke C. van Groenestijn
Judith G.M. Jelsma
Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study
Journal of Rehabilitation Medicine
neuromuscular disorders
rehabilitation
qualitative research
healthy lifestyle
behavioural change
title Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study
title_full Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study
title_fullStr Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study
title_full_unstemmed Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study
title_short Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study
title_sort perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases a qualitative study
topic neuromuscular disorders
rehabilitation
qualitative research
healthy lifestyle
behavioural change
url https://medicaljournalssweden.se/jrm/article/view/42577
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