Barriers to home exercise for patients with Parkinson’s disease: a qualitative study
Objective This study aimed to explore the barriers to home exercise for patients with Parkinson’s disease (PwPDs) and to provide guidelines for healthcare providers to build and implement home exercise strategies for PwPDs.Design A qualitative descriptive method was used. Semistructured interviews w...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e061932.full |
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| author | Li Li Chao Li Yiping Chen Hui Yang Qiaohong Wang Linbo Li Huili Cao |
| author_facet | Li Li Chao Li Yiping Chen Hui Yang Qiaohong Wang Linbo Li Huili Cao |
| author_sort | Li Li |
| collection | DOAJ |
| description | Objective This study aimed to explore the barriers to home exercise for patients with Parkinson’s disease (PwPDs) and to provide guidelines for healthcare providers to build and implement home exercise strategies for PwPDs.Design A qualitative descriptive method was used. Semistructured interviews were conducted and thematic analysis was employed.Setting The study was conducted at the Department of Neurology at a grade 3 Class A general hospital in China.Participants A total of 24 participants were interviewed, including 10 PwPDs, 7 caregivers, 4 nurses, 1head nurse, and 2 Parkinson’s clinicians.Results Five themes were identified in this analysis. (1) Psychosomatic stress and low activity; (2) Lack of early rehabilitation authorisation; (3) Poor ‘flow’ state of home exercise; (4) iInaccessibility of continued service; (5) Sociocultural impact on family coping.Conclusion PwPDs, caregivers and specialised medical staff raised the challenges faced by patients' home exercises from different perspectives. We can improve services and integrate resources through the management of multi-disciplinary, early rehabilitation authorisation, exercise experience, continuous service mode, and family coping strategies under different cultures to gradually adjust the home exercise behaviour of PwPDs. |
| format | Article |
| id | doaj-art-e2241eca5ad445c09b686fe71198ad2c |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e2241eca5ad445c09b686fe71198ad2c2025-08-20T03:02:17ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-061932Barriers to home exercise for patients with Parkinson’s disease: a qualitative studyLi Li0Chao Li1Yiping Chen2Hui Yang3Qiaohong Wang4Linbo Li5Huili Cao6Department of Family Medicine, University of Virginia, Charlottesville, Virginia, USADepartment of Child Care, The First People’s Hospital of Chongqing Liangjiang New Area, Chongqing, China7 Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, UK2 Department of Clinical Spiritual Care, Hunan Cancer Hospital/ The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, CHINACollege of Nursing, Shanxi Medical University, Taiyuan, Shanxi, ChinaCollege of Nursing, Shanxi Medical University, Taiyuan, Shanxi, ChinaCollege of Nursing, Shanxi Medical University, Taiyuan, Shanxi, ChinaObjective This study aimed to explore the barriers to home exercise for patients with Parkinson’s disease (PwPDs) and to provide guidelines for healthcare providers to build and implement home exercise strategies for PwPDs.Design A qualitative descriptive method was used. Semistructured interviews were conducted and thematic analysis was employed.Setting The study was conducted at the Department of Neurology at a grade 3 Class A general hospital in China.Participants A total of 24 participants were interviewed, including 10 PwPDs, 7 caregivers, 4 nurses, 1head nurse, and 2 Parkinson’s clinicians.Results Five themes were identified in this analysis. (1) Psychosomatic stress and low activity; (2) Lack of early rehabilitation authorisation; (3) Poor ‘flow’ state of home exercise; (4) iInaccessibility of continued service; (5) Sociocultural impact on family coping.Conclusion PwPDs, caregivers and specialised medical staff raised the challenges faced by patients' home exercises from different perspectives. We can improve services and integrate resources through the management of multi-disciplinary, early rehabilitation authorisation, exercise experience, continuous service mode, and family coping strategies under different cultures to gradually adjust the home exercise behaviour of PwPDs.https://bmjopen.bmj.com/content/13/2/e061932.full |
| spellingShingle | Li Li Chao Li Yiping Chen Hui Yang Qiaohong Wang Linbo Li Huili Cao Barriers to home exercise for patients with Parkinson’s disease: a qualitative study BMJ Open |
| title | Barriers to home exercise for patients with Parkinson’s disease: a qualitative study |
| title_full | Barriers to home exercise for patients with Parkinson’s disease: a qualitative study |
| title_fullStr | Barriers to home exercise for patients with Parkinson’s disease: a qualitative study |
| title_full_unstemmed | Barriers to home exercise for patients with Parkinson’s disease: a qualitative study |
| title_short | Barriers to home exercise for patients with Parkinson’s disease: a qualitative study |
| title_sort | barriers to home exercise for patients with parkinson s disease a qualitative study |
| url | https://bmjopen.bmj.com/content/13/2/e061932.full |
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