L’activité physique adaptée chez les patients atteints de mucoviscidose : étude qualitative des barrières et facilitateurs

Filleul, Valentine; Falzon, Charlène; Fuchs, Amélie; Ladune, Raphaëlle; Mély, Laurent; Vallier, Jean‐Marc; Gruet, Mathieu; d’Arripe-Longueville, Fabienne

doi:10.1016/j.scispo.2018.03.042

Cited by 1 publication

(3 citation statements)

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“…The development of the CF-DB-PA respected the stages of Vallerand’s [ 20 ] and Boateng’s [ 19 ] methodologies. The preliminary version was based on the findings of a qualitative study that identified the specific characteristics of facilitators of and barriers to PA in adults with CF [ 15 ], and the existing scales on the Decisional Balance for PA in the general population [ 18 ] and other vulnerable populations [ 21 ]. The CF-DB-PA comprises 23 items divided into six subscales: physical facilitators (4 items), psychological facilitators (3 items), environmental facilitators (3 items), physical barriers (4 items), psychological barriers (6 items), and environmental barriers (3 items).…”

Section: Discussionmentioning

confidence: 99%

“…Items were developed based on existing scales in the general population (e.g., the Decisional Balance Scale for PA) [ 17 ], or other vulnerable populations (e.g., the Cancer Exercise Stereotypes Scale) [ 21 ] and on the results of a qualitative study of our research team [ 15 ]. The Wideband Delphi method, which entails successive rounds of expert input, was employed until consensus was reached [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

“…Concerning the facilitators in these patients, the same team of researchers identified the following: improved respiratory capacity and general health, positive perceptions of PA and peer and family social support [ 10 ]. A preliminary qualitative study conducted on adults with CF [ 15 ], highlighted relationships between physical barriers (i.e., fatigue, respiratory difficulties) and psychological barriers (i.e., lack of perceived physical ability; perceived risk of contamination), which were accentuated by environmental barriers (i.e., lack of time or social support). This study also identified: (a) physical benefits (e.g., improved respiratory capacity), (b) psychological benefits (e.g., well-being), and (c) social support from the environment and time-saving as the main facilitators of PA in adults with CF [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Development and validation of the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA)

et al. 2021

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Background People with cystic fibrosis (pwCF) derive several physiological and psychological benefits from regular physical activity (PA), but the practice is lower than recommended. Knowledge about the facilitators of and barriers to PA at the individual level is important to act positively on PA behaviors. This study validated the Cystic Fibrosis Decisional Balance for Physical Activity scale (CF-DB-PA) for adults with CF. Methods French adults with CF were recruited in several specialist centres in France. The CF-DB-PA scale was validated following a quantitative study protocol comprising four stages: (1) tests of the clarity and relevance of a preliminary 44-item version and reduction analysis, (2) confirmatory factor analysis and tests of dimensionality through equation modelling analysis, (3) tests of reliability with Cronbach alphas for the internal consistency and a test–retest with a 2-to-3 week interval for temporal stability, and 4) tests of construct validity with Spearman correlations to measure the associations between each subscale and the theoretically related constructs (i.e., quality of life, PA and exercise tolerance). Results A total of 201 French adults with CF participated in the validation study. The CF-DB-PA comprises 23 items divided into two factors: facilitators of and barriers to PA. Each factor is divided into three subscales: physical, psychological and environmental. The factors (facilitators and barriers) can be used independently or combined as a whole. A general score of decisional balance for PA can also be calculated. The bi-factor model presented satisfactory adjustment indexes: χ2 (194) = 362.33; p < .001; TLI = .87; CFI = .90; RMSEA = .067. The scale showed satisfactory internal consistency (Cronbach’s α = .77). The test–retest reliability was not significant for either subscale, indicating stability over time. The facilitators subscale correlated significantly with the self-reported score of PA (r = .33, p < .01) and quality of life (r = .24, p < .05). The barriers subscale correlated significantly with the self-reported scores of PA (r = − .42, p > .01), quality of life (r = − .44, p < .01), exercise tolerance (r = − .34, p < .01) and spirometry tests (r = − .30, p < .05). Conclusions The CF-DB-PA is a reliable and valid questionnaire assessing the decisional balance for PA, the facilitators of and the barriers to PA for adults with CF in French-speaking samples.

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