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Behavioural Support for PA and Exercise for People with RA - Coggle Diagram
Behavioural Support for PA and Exercise for People with RA
Perceived barriers to PA in RA
(Velhuijzen van Zanten et al., 2015)
Pain
Fatigue
Mobility
Stiffness
Lack of PA exercise programmes
Perceived benefits of PA in RA
(Veldhuijzen van Zanten et al., 2015)
Symptom management
Pain relief and distraction
Joint function
Independence.
Barriers for Active vs. inactive People with RA
(Veldhuijzen van Zanten et al., 2015)
Similar barriers, but different ways of coping with the barriers
(Wilcox et al., 2006)
Only when impact is considerd, associations between barriers and PA behaviour
(Gyurcsik et al., 2009)
Role for self-efficacy for exercise and barrier self-efficacy.
Facilitators to PA in RA
(Veldhuijzen van Zanten et al., 2015)
Strength and aerobic capcity
Support
Exercise isntructors
Healthcare providers
Family/friends.
Clinician's views on PA in RA
(Hurkmans et al., 2011)
Rheumatologists, clinical nurse specialists, and physical therapists agreed that regular PA was an important goal for patients with RA.
Not sure what to prescribe or where to refer to.
How to promote PA in RA
(Larkin et al., 2015)
Behaviour change interventions to promote PA
Only few used behaviour change theories to develop the intervention.
Intervention to Increase PA in RA
(Knittle et al., 2015, 16)
Targeting motivation and self-regulation
Looking at intensions but also providing tools to translate these intentions into acutual behaviour.
n = 38 treatment; n = 40 control.
Week 1 (Physical Therapist)
Small group education sessions - choose fun activities, start with comfortable intensity and duration, increase duration of PA, increase frequency of PA, increase duration of PA.
Week 2 (1-to-1 MI with Physical Therapist)
Pros and cons, long-term goals, exercise diary to be discussed in next session.