Barriers and facilitators to physical activity among children, adolescents, and young adults with cystic fibrosis: A systematic review and thematic synthesis of qualitative of research
Denford, S; van Beurden, SB; O’Halloran, P; et al.Williams, CA
Date: 20 February 2020
Journal
BMJ Open
Publisher
BMJ Publishing Group
Publisher DOI
Abstract
Objectives: Physical activity is widely recommended in the treatment and management of
cystic fibrosis (CF). Despite the numerous physical and psychological benefits, many young
people with CF are not achieving the recommended levels of physical activity. The aim of
this systematic review was to identify and synthesise available ...
Objectives: Physical activity is widely recommended in the treatment and management of
cystic fibrosis (CF). Despite the numerous physical and psychological benefits, many young
people with CF are not achieving the recommended levels of physical activity. The aim of
this systematic review was to identify and synthesise available qualitative investigations
exploring the motives for, barriers to and facilitators of physical activity among young
people with CF.
Methods: The following six electronic databases were systematically searched: ASSIA, CINAH,
EMBASE, MEDLINE, MEDLINE-in-process, PsycINFO up to August 2019. Keywords were used to
identify qualitative research that explored engagement in physical activity among young
people with CF. Titles and abstracts were screened by two independent reviewers, and
potentially relevant articles were retrieved in full. Articles were eligible for inclusion if they
employed any qualitative method and recruited participants under the age of 24 years with
CF. Risk of bias of included studies were assessed via the Critical Appraisal Skills Program.
Results were synthesised using a thematic approach.
Results: Seven studies met our inclusion criteria and were included in the review. Overall,
studies were of moderate to high quality. Thematic synthesis identified nine main themes
that encompass motives for, barriers to and facilitators of physical activity among young
people with CF. These were 1) perceptions of physical activity, 2) value attributed to
physical activity, 3) social influences, 4) competing priorities, 5) fluctuating health, 6)
normality, 7) control beliefs, 8) coping strategies, and 9) availability of facilities. Previous
reviews have been unable to identify intervention characteristics that influence physical
activity behaviour.
Conclusions: This review provides detailed information on the physical (biological – clinical),
psychological, social, and environmental influences on physical activity behaviour, thus
providing numerous targets for future interventions. This in turn could facilitate promotion
of physical activity among young people with CF.
Sport and Health Sciences
Collections of Former Colleges
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