Health beliefs before and after participation on an exercised-based rehabilitation programme for chronic knee pain: Doing is believing

Hurley, Michael; Walsh, Nicola; Bhavnani, Vanita; Britten, Nicky; Stevenson, Fiona

doi:10.1186/1471-2474-11-31

Cited by 83 publications

(87 citation statements)

References 37 publications

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“…As focused upon in our previous research (21), some patients disliked taking medicines because of fears surrounding toxicity and addiction. This is a common finding in research on analgesia in OA and medicine-taking in general (20,(26)(27)(28)(29). In the present study, regardless of whether they were skeptical about using medicines, patients were reliant upon their NSAID and took it routinely.…”

Section: Discussionmentioning

confidence: 66%

“It looks after me”: How older patients make decisions about analgesics for osteoarthritis

Milder¹,

Lipworth²,

Williams³

et al. 2011

Arthritis Care & Research

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Objective: To explore the key motivators behind selection of analgesics (non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol and complementary medications (CMs)) by patients with osteoarthritis (OA).Methods: A qualitative study, in which in-depth semi-structured interviews were conducted with 15 OA patients, recruited from four general practices in Sydney, Australia. Patients were aged 65 or above, and were currently taking, or had recently taken, an NSAID for osteoarthritis.Results: Three key themes emerged from the data: reliance, routine and pill load. Reliance: Patients were strongly reliant upon NSAIDs because they consistently satisfied their needs. By contrast, they were much less reliant upon paracetamol because of uncertainty or scepticism about its effectiveness. They were not reliant upon CMs but were willing to take them indefinitely because they were perceived as being without risk. Routine and pill load: Many patients took an NSAID, as well as CMs as part of a 'daily routine'. By contrast, patients had difficulty developing a routine around using paracetamol at the recommended maximum dose because of the implicit frequency of dosing required and an aversion to the associated 'pill load'. Conclusion:The results highlight the importance of exploring the perceptions and preferences of patients with regard to analgesics for OA. Clinician advice regarding analgesia for OA should take account of the possible reliance of the patient upon an NSAID, their medicine routines, and their potential concern about the pill load associated, in particular, with paracetamol.

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Section: Discussionmentioning

confidence: 66%

“It looks after me”: How older patients make decisions about analgesics for osteoarthritis

Milder¹,

Lipworth²,

Williams³

et al. 2011

Arthritis Care & Research

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“…Although qualitative research allows for a flexible examination of individual experiences,16, 36 results cannot be generalized 25. Participants were volunteers and the interview guide was designed by the researchers, which could both influence findings 37. Fall recall may have been improved with use of a standardized fall history questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Balance, falls, and exercise: Beliefs and experiences in people with hemophilia: A qualitative study

Flaherty

Schoeppe

Kruse‐Jarres

et al. 2018

Research and Practice in Thrombosis and Haemostasis

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Essentials Exploring exercise beliefs in people with hemophilia may improve efforts at fall prevention.Semi‐structured interviews of adults with hemophilia.Subjects expressed concerns regarding balance, falling, pain, and risks and benefits of exercise.Individualized treatment based on patient beliefs may facilitate exercise and fall prevention. BackgroundPrior research has established that falls are commonplace in adults with hemophilia, and advises that physical therapy and exercise are successful in fall prevention. Recognizing obstacles and catalysts to physical therapy and exercise in people with hemophilia may augment the efficacy of efforts to prevent falls in this population.ObjectivesTo learn about the experiences and ideas of patients with hemophilia, especially associated with balance, falls, and exercise.MethodsSemi‐structured interviews with 14 adult patients with hemophilia were performed. The interviews were coded for themes founded on the study aims.ResultsMost subjects described difficulty with balance, often ascribed to joint problems. They believed that staying strong and fit could positively influence balance, but expressed concerns and fear related to falling. Those who exercised regularly did not view exercise as hazardous, while those who did not dependably exercise articulated worry that dangers of exercise may offset the benefits. The most common obstacle to exercise was pain and having someone to exercise with was often described as an enabler. Barriers to partaking in physical therapy included weak proof of its success and distrust in the therapist. Positive physical therapy experiences in the past and the connection with the therapist were reported as facilitators.ConclusionsPeople with hemophilia describe some attitudes and experiences that are unique to hemophilia while others are found in the general population. Attending to fear, pain, and support for interventions, while encouraging a robust therapeutic alliance and a plan for routine exercise may aid fall prevention behaviors.

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“…In addition, in a longitudinal interview study nested within a randomized controlled trial of exercise for older adults with knee pain, Hurley et al (16) found that older adults with knee problems commonly attributed their pain to wear and tear or arthritis, believed that no cure was available, and expressed concerns over the safety of exercise. Other qualitative studies have also identified a large number of barriers and facilitators to exercise adherence in individuals with arthritis (35)(36)(37).…”

Section: Discussionmentioning

confidence: 99%

“…Some qualitative studies have already suggested that individuals may hold unhelpful attitudes and beliefs about their knee problems and about the role of exercise in managing their pain, which could be a barrier to exercise and physical activity behavior (16,17). However, very few studies have described the patterns of attitudes and beliefs about exercise among older adults with knee pain at a population level, particularly within the UK.…”

Section: Introductionmentioning

confidence: 99%

Role of exercise for knee pain: What do older adults in the community think?

Holden¹,

Young²,

Hay³

et al. 2012

Arthritis Care & Research

116

108

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Objective. Older adults with knee pain report low levels of exercise and physical activity. One explanation for this might be that they believe exercise is unhelpful or even harmful for knee pain. We therefore explored the attitudes and beliefs of older adults in the community about the role of exercise for knee pain using mixed methods. Methods. A survey was mailed to 2,234 older adults registered with 1 general practice within the UK. The survey included 23 attitude statements derived from published exercise recommendations. Semistructured interviews were completed in a purposeful sample of questionnaire responders (n ‫؍‬ 22) and were recorded and analyzed thematically. Results. The questionnaire response rate was 59% (n ‫؍‬ 1,276), and 611 respondents reported knee pain in the past 12 months. There was considerable uncertainty about the benefits of exercise; <50% largely or totally agreed on any attitude statement relating to the benefit of exercise for knee pain. The interviews revealed that attitudes and beliefs about exercise for knee pain are linked to the individuals' perceptions about their knee problems, and that many different barriers and facilitators to exercise and physical activity exist. These barriers and facilitators could be grouped as those relating to the person, the knee problem itself, and social or environmental factors. Barriers and facilitators varied between different individuals and over time. Conclusion. The overall uncertainty within the community about the role of exercise for knee pain highlights the challenges faced by those living with knee pain in completing physical activity, and for health care professionals prescribing exercise for this patient group.

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Health beliefs before and after participation on an exercised-based rehabilitation programme for chronic knee pain: Doing is believing

Cited by 83 publications

References 37 publications

“It looks after me”: How older patients make decisions about analgesics for osteoarthritis

“It looks after me”: How older patients make decisions about analgesics for osteoarthritis

Balance, falls, and exercise: Beliefs and experiences in people with hemophilia: A qualitative study

Role of exercise for knee pain: What do older adults in the community think?

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