巴基斯坦抑郁症和2型糖尿病患者体育活动的障碍和促进因素：一项定性研究，旨在探讨患者参与者、护理人员和医护人员的观点

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2023-10-01 DOI:10.1016/j.mhpa.2023.100542

Aatik Arsh , Saima Afaq , Claire Carswell , Karen Coales , Najma Siddiqi

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引用次数: 0

摘要

背景患有抑郁症和2型糖尿病（T2DM）的成年人进行体育活动对健康的益处是公认的，但患有抑郁症和T2DM的人通常没有达到推荐的体育活动水平。关于如何支持这一群体的体育活动的证据有限；低收入和中等收入国家尤其如此。要制定促进体育活动的干预措施，首先必须了解这一人群中的障碍和促进因素。方法采用半结构化的个体访谈法在巴基斯坦进行定性研究。包括被诊断为抑郁症和T2DM的成年人、他们的护理人员和医护人员。访谈录音并逐字转录。归纳主题分析用于确定主题。结果共招募23名参与者（12名男性，11名女性）。数据产生了五个主题：1）文化和宗教规范和实践影响体育活动行为2）资源的可用性和将体育活动纳入日常生活的潜力决定了体育活动行为3）可用的医疗资源可用于促进体育活动4）患者的个人水平特征影响他们的体育活动行为5）基于技术的干预措施可用于促进体育活动。结论个体、文化和医疗系统层面的障碍和促进者会影响抑郁症和2型糖尿病患者参与体育活动。宗教、社会、文化、家庭和职业活动提供了进行体育活动的机会。此外，利用常规可用的医疗资源和使用基于技术的干预措施可以促进体育活动。

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Barriers & facilitators to physical activity in people with depression and type 2 diabetes mellitus in Pakistan: A qualitative study to explore perspectives of patient participants, carers and healthcare staff

Background

The health benefits of physical activity in adults with depression and type 2 diabetes mellitus (T2DM) are well established, however people with depression and T2DM do not generally reach recommended levels of physical activity. Evidence on how to support physical activity in this group is limited; this is particularly the case in low- and middle-income countries. To develop interventions to promote physical activity, it is important first to understand the barriers and facilitators in this population.

Methods

A qualitative study was conducted in Pakistan using semi-structured individual interviews. Adults diagnosed with depression and T2DM, their carers, and healthcare staff were included. Interviews were audio-recorded and transcribed verbatim. Inductive thematic analysis was used to identify themes.

Results

Twenty-three participants (12 male; 11 female) were recruited. Five themes were generated from the data: 1) Cultural and religious norms and practices influence physical activity behaviours 2) Availability of resources and the potential for incorporating physical activity into routine life determine physical activity behaviours 3) Available healthcare resources can be used to promote physical activity 4) Patients’ individual-level characteristics affect their physical activity behaviours 5) Technology-based interventions may be used to promote physical activity.

Conclusion

Individual, cultural, and healthcare system level barriers and facilitators can affect the participation of people with depression and T2DM in physical activity. Religious, social, cultural, domestic, and occupational activities provide opportunities to perform physical activities. Furthermore, harnessing routinely available healthcare resources and the use of technology-based interventions can facilitate the promotion of physical activity.

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;