“A gift from heaven” or “This was not for me”. A mixed methods approach to describe experiences of participation in an outsourced physical activity program for persons with rheumatoid arthritis

Clinical Rheumatology

Volumn 34, Issue 3, 2015, Pages 429-439

  Demmelmaier, Ingrid ^a   Lindkvist, Åsa ^b   Nordgren, Birgitta ^a   Opava, Christina H ^a,c  

^a KAROLINSKA INSTITUTE   (Sweden)

^b Nacka Rehabilitation Center   (Sweden)

^c KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Behavioral medicine; Exercise; Qualitative research

Indexed keywords

AGED; ARTHRITIS, RHEUMATOID; CIRCUIT TRAINING; CLINICAL TRIAL; FEMALE; HUMAN; MALE; MIDDLE AGED; PSYCHOLOGY; RESISTANCE TRAINING;

AGED; ARTHRITIS, RHEUMATOID; CIRCUIT-BASED EXERCISE; FEMALE; HUMANS; MALE; MIDDLE AGED; RESISTANCE TRAINING;

EID: 84939881078     PISSN: 07703198     EISSN: 14349949     Source Type: Journal    
DOI: 10.1007/s10067-014-2723-y     Document Type: Article

References (35)

1. Cairns A, McVeigh J (2009) A systematic review of the effects of dynamic exercise in rheumatoid arthritis. Rheumatol Int 30:147–158
2. Hurkmans E, van der Giesen FJ, Vliet Vlieland, et al. Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database Syst Rev. 2009(4):CD006853
3. Sjöquist E, Almqvist L, Åsenlöf P et al (2010) Physical-activity coaching and health status in rheumatoid arthritis: a person-oriented approach. Disabil Rehabil 32:816–825
4. Metsios GS, Stavropoulos-Kalinoglou A, Veldhuijzen van Zanten JJCS et al (2008) Rheumatoid arthritis, cardiovascular disease and physical exercise: a systematic review. Rheumatol 47:239–248
5. Bull F. Physical activity guidelines in the U.K.: review and recommendations. School of Sport, Exercise and Health Sciences, Loughborough University; 2010
6. Haskell W, Lee I, Pate R, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Assocation. Medicine & Science in Sports and Exercise [serial on the Internet]. 2007: Available at: http://www.acsm-msse.org. Accessed Febr 28, 2014.
7. Demmelmaier I, Bergman P, Nordgren B et al (2013) Current and maintained health-enhancing physical activity in rheumatoid arthritis—a cross-sectional study. Arthritis Care Res 65:1166–1176
8. Sokka T, Hakkinen A, Kautiainen H et al (2008) Physical inactivity in patients with rheumatoid arthritis: data from twenty-one countries in a cross-sectional, international study. Arthritis Rheum 59:42–50
9. Tierney M, Fraser A, Kennedy N (2012) Physical activity in rheumatoid arthritis: a systematic review. J Phys Activ Health 9:1036–1048
10. Iversen MD, Brawerman M, Iversen CN (2012) Recommendations and the state of the evidence for physical activity interventions for adults with rheumatoid arthritis: 2007 to present. Int J Clin Rheumtol 7:489–503
11. Bandura A. Social foundations of thought and action. A social cognitive theory. N J: Prentice Hall; 1986
12. Deci EL, Ryan RM (2000) The "What" and "Why" of goal pursuits: human needs and the self-determination of behavior. Psychol Inquiry 11:227–268
13. Demmelmaier I, Åsenlöf P, Opava C (2013) Supporting stepwise change. Improving health behaviors in rheumatoid arthritis with physical activity as the example. Int J Clin Rheumatol 8:89–94
14. Cramp F, Berry J, Gardiner M et al (2013) Health behaviour change interventions for the promotion of physical activity in rheumatoid arthritis: a systematic review. Musculoskel Care 11:238–247
15. Verberkt C, Fridén C, Grooten W et al (2012) Reliability of the Fox-walk test in patients with rheumatoid arthritis. Disabil Rehabil 34:2001–2006
16. Creswell J (2009) Mixed methods procedures. In: Creswell J (ed) Research design. Qualitative, quantitative, and mixed methods approaches. SAGE Publications Inc, Thousand Oaks, pp 203–224
17. Torrance H (2012) Triangulation, respondent validation, and democratic participation in mixed methods research. J Mixed Methods Res 6:111–123
18. Arnett FC, Edworthy SM, Bloch DA et al (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324
19. Fries JF, Spitz P, Kraines RG et al (1980) Measurement of patient outcome in arthritis. Arthritis Rheum 23:137–145
20. Graneheim U, Lundman B (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurs Educ Today 24:105–112
21. Makelainen P, Vehvilainen-Julkunen K, Pietila AM (2009) Rheumatoid arthritis patients’ knowledge of the disease and its treatments: a descriptive study. Musculoskel Care 7:31–44
22. Law R-J, Markland DA, Jones JG et al (2013) Perceptions of issues relating to exercise and joint health in rheumatoid arthritis: a UK-based questionnaire study. Musculoskel Care 11:147–158
23. Ehrlich-Jones L, Lee J, Semanik P et al (2011) Relationship between beliefs, motivation, and worries about physical activity and physical activity participation in persons with rheumatoid arthritis. Arthritis Care Res 63:1700–1705
24. Marcus BH, Dubbert PM, Forsyth LH et al (2000) Physical activity behavior change: issues in adoption and maintenance. Health Psychol January 19:32–41
25. Knittle K, De Gucht V, Hurkmans E et al (2013) Targeting motivation and self-regulation to increase physical activity among patients with rheumatoid arthritis: a randomised controlled trial. Clin Rheumatol 9:9
26. Hurkmans EJ, van den Berg MH, Ronday KH et al (2010) Maintenance of physical activity after Internet-based physical activity interventions in patients with rheumatoid arthritis. Rheumatol 49:167–172
27. van den Berg MH, Ronday HK, Peeters AJ et al (2007) Engagement and satisfaction with an Internet-based physical activity intervention in patients with rheumatoid arthritis. Rheumatol 46:545–552
28. Fjeldsoe B, Neuhaus M, Winkler E et al (2011) Systematic review of maintenance of behavior change following physical activity and dietary interventions. Health Psychol 30:99–109
29. Michie S, Abraham C, Whittington C et al (2009) Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol 28:690–701
30. Jetté M, Sidney K, Blümchen G (1990) Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clin Cardiol 13:555–565
31. Elkan A-C, Hakansson N, Frostegard J et al (2011) Low level of physical activity in women with rheumatoid arthritis is associated with cardiovascular risk factors but not with body fat mass—a cross sectional study. BMC Musculoskel Disord 12:13
32. Stavropoulos-Kalinoglou A, Metsios G, Panoulas V, et al. Physical activity might counteract the adverse effects of smoking cessation on body weight and composition in patients with rheumatoid arhtritis. Rheumatol. 2010;49(i166)
33. Prochaska JO, DiClemente C, Norcross JC (1992) In search of how people change. Am Psychol 47:1002–1014
34. Brittain D, Gyurcsik N, McElroy M et al (2011) General and athritis-specific barriers to moderate physical activity in women with arthritis. Women’s Health Issues 21:57–63
35. Henchoz Y, Zufferey P, So A (2013) Stages of change, barriers, benefits, and preferences for exercise in RA patients: a cross-sectional study. Scand J Rheumatol 42:136–145