Enhancing intrinsic motivation for physical activity among adolescents with cystic fibrosis: a qualitative study of the views of healthcare professionals

Abstract

Objective: To explore the views of healthcare professionals from cystic fibrosis (CF) multidisciplinary teams (MDT) on physical activity for adolescents with CF, the specific strategies used for physical activity promotion and associated challenges. Design: In this exploratory study, in-depth qualitative interviews were conducted with 15 healthcare professionals from CF multi-disciplinary teams to explore their views surrounding physical activity promotion for adolescents with CF. Participants: Eleven physiotherapists (nine female), two consultants (both male) and two dieticians (both female) provided written informed consent and participated in the study. Setting: CF clinics in the United Kingdom. Results: While healthcare professionals highlighted the importance of physical activity in the management of CF, they noted that very few patients were motivated solely by (CF or general) health reasons. Healthcare professionals discussed the need for physical activity to be an enjoyable and routine part of their life, undertaken with significant others, outside the clinic whenever possible. Adopted approaches for physical activity promotion focused on providing individualized recommendations that suit the patients’ individual needs and goals and enhance intrinsic motivation for physical activity. Conclusion: Our research offers valuable information for those seeking to develop interventions to promote physical activity among adolescents with CF. Specifically, intervention developers should focus on developing individualized interventions that focus on enhancing intrinsic motivation and support the integration of physical activity into everyday life.