Experiences and Perceptions of Older People With Chronic Low Back Pain After 8 Weeks of a Specific Group-Based Exercise: Qualitative Analysis of the ESCAPE Trial.
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引用次数: 0
Abstract
Introduction: Chronic low back pain (CLBP) is a prevalent musculoskeletal condition worldwide, with physical exercise being the primary management strategy. However, this approach poses a significant challenge among the older population, as older people with CLBP often demonstrate low adherence to exercise-based treatments. Despite this, there is limited research evaluating the perceptions and experiences of older people regarding group exercise protocol (GEP) specifically designed for this population, which could enhance adherence and outcomes.
Objective: To explore the perceptions and experiences of older people with CLBP regarding a GEP tailored to their needs.
Methods: A qualitative interpretative phenomenological approach was employed to investigate participants' experiences after an 8-week GEP. Data were collected through focus groups guided by a trained researcher. The Bardin's content analysis was conducted. To facilitate the analysis and generate graphical representations, IRAMUTEQ (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires) software was used.
Results: The results suggest that the perceptions of older people with CLBP regarding the GEP can be categorized into three thematic clusters: (a) social interaction, mutual support, and community integration with group exercise; (b) comprehensive benefits of specific group exercise on quality of life, sleep, and autonomy for older people with CLBP; and (c) perceived benefits of group exercise in managing low back pain and improving balance and mobility.
Conclusion: Older people with CLBP can achieve biopsychosocial improvements through adherence to a tailored GEP. Strategies such as locating sessions in community centers, adapting exercises to individual capabilities, and fostering social bonds effectively promoted high adherence, enhanced social relationships, and improved sleep quality.
慢性腰痛（CLBP）是一种世界范围内普遍存在的肌肉骨骼疾病，体育锻炼是主要的治疗策略。然而，这种方法在老年人群中提出了重大挑战，因为患有CLBP的老年人通常表现出较低的运动治疗依从性。尽管如此，评估老年人对专门为老年人设计的团体运动方案（GEP）的看法和经验的研究有限，该方案可以提高依从性和结果。目的：探讨老年CLBP患者对适合其需求的GEP的看法和经验。方法：采用定性解释现象学方法调查参与者在8周GEP后的体验。数据是通过由训练有素的研究人员指导的焦点小组收集的。进行了巴丁含量分析。为了便于分析和生成图形表示，使用IRAMUTEQ （Interface de R pour les Analyses Multidimensionnelles de Textes et de questionnaire）软件。结果：结果表明，老年CLBP患者对GEP的认知可分为三个主题集群：(a)社会互动、相互支持和团体运动的社区融合；(b)特定团体运动对老年CLBP患者的生活质量、睡眠和自主性的综合益处；(c)集体锻炼在治疗腰痛、改善平衡和活动能力方面的益处。结论：老年CLBP患者可以通过遵守量身定制的GEP来实现生物心理社会改善。在社区中心安排课程、根据个人能力调整练习、培养社会联系等策略有效地促进了高依从性、增强了社会关系、改善了睡眠质量。
期刊介绍：
The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults.
In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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