From: Facilitators, barriers and support needs to GLA:D exercise adherence – a mixed method study
Items rated as rather facilitating/very facilitating by | ||||||
---|---|---|---|---|---|---|
n (%)** | ||||||
Facilitators | Items rated as not applicable | All | GE adherent | GE non-adherent | OR (95% CI) | *p-value |
n = 339 | n = 339 | n = 178 (53%) | n = 161 (47%) | |||
Health-related factors | ||||||
High energy | 33 (10) | 237 (77) | 129 (79) | 108 (76) | 1.23 (0.69–2.18) | 0.49 |
Pain before exercising | 58 (17) | 125 (44) | 61 (41) | 64 (48) | 0.74 (0.45–1.21) | 0.23 |
Pain-free before exercising | 39 (12) | 195 (65) | 116 (74) | 79 (55) | 2.38 (1.43-4) | 0.00 |
Pain-free during or after exercising | 36 (11) | 216 (71) | 119 (74) | 97 (68) | 1.38 (0.81–2.34) | 0.25 |
No swelling, no feeling of blockage or stiffness | 51 (15) | 207 (72) | 118 (77) | 89 (66) | 1.65 (0.96–2.88) | 0.07 |
Physical limitations in daily life | 57 (17) | 147 (52) | 78 (53) | 69 (51) | 1.05 (0.64–1.72) | 0.91 |
Good general health | 29 (9) | 238 (77) | 134 (80) | 104 (73) | 1.52 (0.87–2.68) | 0.14 |
Clarity about how GE can positively influence the course of osteoarthritis | 20 (6) | 271 (85) | 148 (86) | 123 (84) | 1.2 (0.62–2.33) | 0.64 |
Clarity about practical GE performance | 18 (5) | 271 (84) | 148 (86) | 123 (83) | 1.2 (0.63–2.31) | 0.64 |
Exercising before GLA:D programme participation | 76 (22) | 194 (74) | 106 (75) | 88 (73) | 1.1 (0.61–1.99) | 0.78 |
GE programme-related factors | ||||||
GE programme is varied | 26 (8) | 266 (85) | 148 (86) | 118 (84) | 1.2 (0.61–2.35) | 0.63 |
Appropriate duration of the GE programme | 21 (6) | 275 (86) | 159 (91) | 116 (81) | 2.55 (1.25–5.39) | 0.01 |
GE are individually adapted | 20 (6) | 287 (90) | 156 (90) | 131 (90) | 0.93 (0.41–2.06) | 0.85 |
GE are easy to perform | 17 (5) | 300 (93) | 166 (95) | 134 (91) | 1.79 (0.68–4.89) | 0.27 |
Social factors | ||||||
Support and encouragement from family and/or friends | 65 (19) | 195 (71) | 107 (73) | 88 (69) | 1.25 (0.71–2.18) | 0.43 |
Exercise-partner available | 111 (33) | 128 (56) | 60 (52) | 68 (60) | 0.72 (0.41–1.26) | 0.23 |
Possibility to exercise in a group | 95 (28) | 149 (61) | 69 (56) | 80 (67) | 0.63 (0.36–1.09) | 0.09 |
Relationship of trust between patient and GLA:D physiotherapist | 71 (21) | 234 (87) | 121 (86) | 113 (88) | 0.85 (0.38–1.85) | 0.72 |
Support from GLA:D physiotherapist | 77 (23) | 225 (86) | 115 (85) | 110 (87) | 0.8 (0.37–1.7) | 0.60 |
Encouragement from GLA:D physiotherapist | 77 (23) | 222 (85) | 113 (82) | 109 (87) | 0.69 (0.33–1.44) | 0.31 |
Personal factors | ||||||
Progress and improvements | 13 (4) | 303 (93) | 167 (94) | 136 (91) | 1.59 (0.62–4.2) | 0.29 |
Intention to perform GE | 14 (4) | 288 (89) | 165 (93) | 123 (84) | 2.47 (1.16–5.51) | 0.01 |
Motivation to perform GE | 14 (4) | 285 (88) | 161 (91) | 124 (84) | 1.94 (0.94–4.1) | 0.06 |
Self-discipline to perform GE | 15 (4) | 272 (84) | 155 (88) | 117 (79) | 1.95 (1.03–3.77) | 0.03 |
Fun while performing GE | 20 (6) | 263 (82) | 145 (84) | 118 (80) | 1.32 (0.71–2.46) | 0.38 |
Confidence to perform GE independently | 18 (5) | 284 (88) | 161 (91) | 123 (85) | 1.92 (0.91–4.15) | 0.08 |
Organisational factors | ||||||
Enough time to perform GE | 20 (6) | 286 (90) | 157 (90) | 129 (90) | 1.01 (0.46–2.23) | 1.00 |
Established regularity to perform GE | 26 (8) | 279 (89) | 152 (89) | 127 (89) | 1.06 (0.49–2.31) | 1.00 |
Good integration of GE into the daily/weekly structure | 26 (8) | 279 (89) | 158 (91) | 121 (86) | 1.65 (0.76–3.65) | 0.2 |
External pressure (e.g. appointment) | 104 (31) | 131 (56) | 51 (44) | 80 (67) | 0.38 (0.22–0.67) | 0.00 |
Supporting aids for GE available | 25 (7) | 279 (89) | 156 (91) | 123 (87) | 1.5 (0.7–3.27) | 0.28 |