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Keeping physically active with rheumatoid arthritis: semi-structured interviews to explore patient perspectives, experiences and strategies

Thomas, Rachel; Hewlett, S.; Swales, C.; Cramp, Fiona

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Authors

C. Swales

Fiona Cramp Fiona.Cramp@uwe.ac.uk
Professor in Long Term Conditions



Abstract

© 2018 Chartered Society of Physiotherapy Background: Regular physical activity is safe and beneficial for people with rheumatoid arthritis (RA) but the majority of people with RA are less active than the general population and have a higher risk of co-morbidities. Exploring strategies used by physically active people with RA could inform effective methods to support those who are less active. Objective: To explore the perspectives, experiences and strategies employed by people with RA who successfully engage with regular physical activity. Design: Individual semi-structured interviews and thematic analysis. Participants: A purposive sample of physically active people with RA. Results: Twelve females and three males participated (mean age 56, range 29 to 80; mean disease duration 13 years, range 10 months to 46 years). Analysis revealed eight constructs clustered into three themes. Theme 1: ‘the individual’ incorporated constructs of symptoms, feelings and role; theme 2: ‘management’ incorporated medical and self-management; theme 3: ‘physical activity’ incorporated constructs of type of physical activity, including barriers or facilitators. Participants reported a long history of physical activity prior to diagnosis and good support networks. All participants recognised that physical activity was key to their RA management, acknowledged the benefits from engaging in physical activity and were able to overcome barriers. Participants had strong beliefs that physical function would decline without regular physical activity. Conclusions: People with RA who successfully maintain physical activity are motivated by a desire to manage symptoms, resist functional decline and maintain health and independence. These findings should be explored with a wider range of people with RA.

Journal Article Type Article
Publication Date Sep 1, 2019
Journal Physiotherapy (United Kingdom)
Electronic ISSN 1873-1465
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 105
Issue 3
Pages 378-384
APA6 Citation Thomas, R., Hewlett, S., Swales, C., & Cramp, F. (2019). Keeping physically active with rheumatoid arthritis: semi-structured interviews to explore patient perspectives, experiences and strategies. Physiotherapy, 105(3), 378-384. https://doi.org/10.1016/j.physio.2018.09.001
DOI https://doi.org/10.1016/j.physio.2018.09.001
Keywords rheumatoid arthritis, physical activity, engagement
Publisher URL https://doi.org/10.1016/j.physio.2018.09.001

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