Managing fatigue transdiagnostically: a qualitative study among people with chronic conditions on optimizing daily activity.

IF 2.1 4区 医学 Q1 REHABILITATION
Disability and Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-08-27 DOI:10.1080/09638288.2024.2393798
Ioulia Barakou, Katie L Hackett, Ulric S Abonie, Florentina J Hettinga, Tracy Finch
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引用次数: 0

Abstract

Purpose: To explore fatigue and physical activity behavior experiences and management, with an emphasis on activity pacing among adults with chronic conditions.

Materials and methods: Semi-structured interviews were conducted with 15 adults with chronic conditions and the symptoms of chronic fatigue who had either received or not received fatigue management advice. Interviews were audio-recorded and transcribed verbatim, then analyzed using reflexive thematic analysis.

Results: Participants reported barriers to fatigue management such as overactivity, mental health issues, and workplace challenges. Additionally, they highlighted rest, restful activities, and supportive social environment as facilitators of effective fatigue management, along with the importance of nutrition and physical activity. In some cases, there were conflicting experiences with social environment and physical activity. Activity pacing was identified as a promising solution and participants recommended several strategies for future consideration.

Conclusions: Participants identified fatigue as a significant denominator in daily living and recognized the importance of activity pacing in fatigue management. Through reflective processes, they uncovered crucial factors for effective fatigue management, highlighting a multidimensional, interdisciplinary, and tailored approach to activity pacing as a promising solution. Further research should explore clinicians' perspectives of a multidimensional fatigue management approach to further support optimal intervention design.

跨诊断管理疲劳:一项针对慢性病患者优化日常活动的定性研究。
目的:探讨患有慢性疾病的成年人的疲劳和体育锻炼行为经验及管理,重点是活动步调:对 15 名患有慢性疾病并伴有慢性疲劳症状的成年人进行了半结构化访谈,这些成年人接受过或未接受过疲劳管理建议。对访谈进行了录音和逐字记录,然后使用反思性主题分析法对访谈进行了分析:结果:参与者报告了疲劳管理的障碍,如过度活动、心理健康问题和工作场所的挑战。此外,他们还强调了休息、休息性活动、支持性社会环境以及营养和体育锻炼的重要性,认为它们是有效控制疲劳的促进因素。在某些情况下,社会环境和体育锻炼会产生冲突。活动步调被认为是一种很有前景的解决方案,与会者还推荐了几种供今后考虑的策略:参与者认为疲劳是日常生活中的一个重要因素,并认识到活动节奏在疲劳管理中的重要性。通过反思过程,他们发现了有效疲劳管理的关键因素,强调了多维度、跨学科和量身定制的活动步调方法是一种有前途的解决方案。进一步的研究应探讨临床医生对多维疲劳管理方法的看法,以进一步支持最佳干预设计。
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来源期刊
Disability and Rehabilitation
Disability and Rehabilitation 医学-康复医学
CiteScore
5.00
自引率
9.10%
发文量
415
审稿时长
3-6 weeks
期刊介绍: Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.
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