Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee
Identifieur interne : 007A66 ( Main/Exploration ); précédent : 007A65; suivant : 007A67Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee
Auteurs : Maggie Hendry [Royaume-Uni] ; Nefyn H. Williams [Royaume-Uni] ; David Markland [Royaume-Uni] ; Clare Wilkinson [Royaume-Uni] ; Peter MaddisonSource :
- Family Practice [ 0263-2136 ] ; 2006-05-26.
Abstract
Background. Osteoarthritis (OA) of the knee is common and disabling. Exercise is effective in reducing pain and disability, but long-term adherence to exercise regimens is disappointing, and motivation to exercise in those with OA knee is poorly understood. Objectives. To examine the views of primary care patients with OA knee towards exercise, explore factors that determine the acceptability and motivation to exercise, and to identify barriers that limit its use. Method. Semi-structured interviews were conducted with 22 primary care patients with OA knee, six of whom also participated in a focus group for triangulation. Transcripts were coded into categories and themes to develop a conceptual framework and typology of exercise behaviour. Results. Exercise behaviour depended upon physical capacity to exercise; exercise beliefs and other factors such as enjoyment, social support, priority setting and context. Four types of patients were identified: ‘long-term sedentary’ who had never exercised; ‘long-term active’ who continued to exercise; ‘exercise retired’ who used to exercise, but had stopped because of their symptoms, and because they believed that exercise was damaging their joints; and ‘exercise converted’ who recently started to exercise, and preferred a gym because of the supervision and social support they received there. Conclusions. Several physical, cognitive and contextual factors, and a typology of exercise behaviour were identified that could be addressed in primary care consultations. The importance of gyms and GP referral schemes for people who are exercising for the first time, and the high level of patient satisfaction associated with these were highlighted.
Url:
DOI: 10.1093/fampra/cml022
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 001195
- to stream Istex, to step Curation: 001195
- to stream Istex, to step Checkpoint: 001550
- to stream Main, to step Merge: 007C59
- to stream Main, to step Curation: 007A66
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee</title>
<author><name sortKey="Hendry, Maggie" sort="Hendry, Maggie" uniqKey="Hendry M" first="Maggie" last="Hendry">Maggie Hendry</name>
</author>
<author><name sortKey="Williams, Nefyn H" sort="Williams, Nefyn H" uniqKey="Williams N" first="Nefyn H" last="Williams">Nefyn H. Williams</name>
</author>
<author><name sortKey="Markland, David" sort="Markland, David" uniqKey="Markland D" first="David" last="Markland">David Markland</name>
</author>
<author><name sortKey="Wilkinson, Clare" sort="Wilkinson, Clare" uniqKey="Wilkinson C" first="Clare" last="Wilkinson">Clare Wilkinson</name>
</author>
<author><name sortKey="Maddison, Peter" sort="Maddison, Peter" uniqKey="Maddison P" first="Peter" last="Maddison">Peter Maddison</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:272712963F21D6C53AD16E53B2EB0E0894422929</idno>
<date when="2006" year="2006">2006</date>
<idno type="doi">10.1093/fampra/cml022</idno>
<idno type="url">https://api.istex.fr/document/272712963F21D6C53AD16E53B2EB0E0894422929/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001195</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001195</idno>
<idno type="wicri:Area/Istex/Curation">001195</idno>
<idno type="wicri:Area/Istex/Checkpoint">001550</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001550</idno>
<idno type="wicri:doubleKey">0263-2136:2006:Hendry M:why:should:we</idno>
<idno type="wicri:Area/Main/Merge">007C59</idno>
<idno type="wicri:Area/Main/Curation">007A66</idno>
<idno type="wicri:Area/Main/Exploration">007A66</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a">Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee</title>
<author><name sortKey="Hendry, Maggie" sort="Hendry, Maggie" uniqKey="Hendry M" first="Maggie" last="Hendry">Maggie Hendry</name>
<affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of General Practice, Centre for Health Sciences Research/North Wales Clinical School, Cardiff UniversityWrecsam</wicri:regionArea>
<wicri:noRegion>Cardiff UniversityWrecsam</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Williams, Nefyn H" sort="Williams, Nefyn H" uniqKey="Williams N" first="Nefyn H" last="Williams">Nefyn H. Williams</name>
<affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of General Practice, Centre for Health Sciences Research/North Wales Clinical School, Cardiff UniversityWrecsam</wicri:regionArea>
<wicri:noRegion>Cardiff UniversityWrecsam</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Markland, David" sort="Markland, David" uniqKey="Markland D" first="David" last="Markland">David Markland</name>
<affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of General Practice, Centre for Health Sciences Research/North Wales Clinical School, Cardiff UniversityWrecsam</wicri:regionArea>
<wicri:noRegion>Cardiff UniversityWrecsam</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wilkinson, Clare" sort="Wilkinson, Clare" uniqKey="Wilkinson C" first="Clare" last="Wilkinson">Clare Wilkinson</name>
<affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of General Practice, Centre for Health Sciences Research/North Wales Clinical School, Cardiff UniversityWrecsam</wicri:regionArea>
<wicri:noRegion>Cardiff UniversityWrecsam</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maddison, Peter" sort="Maddison, Peter" uniqKey="Maddison P" first="Peter" last="Maddison">Peter Maddison</name>
<affiliation><wicri:noCountry code="subField">TrustUK</wicri:noCountry>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Family Practice</title>
<idno type="ISSN">0263-2136</idno>
<idno type="eISSN">1460-2229</idno>
<imprint><publisher>Oxford University Press</publisher>
<date type="published" when="2006-05-26">2006-05-26</date>
<biblScope unit="volume">23</biblScope>
<biblScope unit="issue">5</biblScope>
<biblScope unit="page" from="558">558</biblScope>
<biblScope unit="page" to="567">567</biblScope>
</imprint>
<idno type="ISSN">0263-2136</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0263-2136</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract">Background. Osteoarthritis (OA) of the knee is common and disabling. Exercise is effective in reducing pain and disability, but long-term adherence to exercise regimens is disappointing, and motivation to exercise in those with OA knee is poorly understood. Objectives. To examine the views of primary care patients with OA knee towards exercise, explore factors that determine the acceptability and motivation to exercise, and to identify barriers that limit its use. Method. Semi-structured interviews were conducted with 22 primary care patients with OA knee, six of whom also participated in a focus group for triangulation. Transcripts were coded into categories and themes to develop a conceptual framework and typology of exercise behaviour. Results. Exercise behaviour depended upon physical capacity to exercise; exercise beliefs and other factors such as enjoyment, social support, priority setting and context. Four types of patients were identified: ‘long-term sedentary’ who had never exercised; ‘long-term active’ who continued to exercise; ‘exercise retired’ who used to exercise, but had stopped because of their symptoms, and because they believed that exercise was damaging their joints; and ‘exercise converted’ who recently started to exercise, and preferred a gym because of the supervision and social support they received there. Conclusions. Several physical, cognitive and contextual factors, and a typology of exercise behaviour were identified that could be addressed in primary care consultations. The importance of gyms and GP referral schemes for people who are exercising for the first time, and the high level of patient satisfaction associated with these were highlighted.</div>
</front>
</TEI>
<affiliations><list><country><li>Royaume-Uni</li>
</country>
</list>
<tree><noCountry><name sortKey="Maddison, Peter" sort="Maddison, Peter" uniqKey="Maddison P" first="Peter" last="Maddison">Peter Maddison</name>
</noCountry>
<country name="Royaume-Uni"><noRegion><name sortKey="Hendry, Maggie" sort="Hendry, Maggie" uniqKey="Hendry M" first="Maggie" last="Hendry">Maggie Hendry</name>
</noRegion>
<name sortKey="Markland, David" sort="Markland, David" uniqKey="Markland D" first="David" last="Markland">David Markland</name>
<name sortKey="Wilkinson, Clare" sort="Wilkinson, Clare" uniqKey="Wilkinson C" first="Clare" last="Wilkinson">Clare Wilkinson</name>
<name sortKey="Williams, Nefyn H" sort="Williams, Nefyn H" uniqKey="Williams N" first="Nefyn H" last="Williams">Nefyn H. Williams</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 007A66 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 007A66 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Exploration |type= RBID |clé= ISTEX:272712963F21D6C53AD16E53B2EB0E0894422929 |texte= Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee }}
This area was generated with Dilib version V0.6.31. |