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Experiences and attitudes about physical activity and exercise in patients with chronic pain: a qualitative interview study
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Finnish Inst Occupat Hlth, Finland.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research. Karolinska Inst, Sweden.ORCID iD: 0000-0003-4753-6745
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2018 (English)In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 11, p. 133-144Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this study was to describe how patients with chronic pain experience physical activity and exercise (PAamp;E). Method: This qualitative interview study included 16 women and two men suffering from chronic pain and referred to a multimodal pain rehabilitation program. Semi-structured interviews were conducted and qualitative content analysis was used to analyze the interviews. Results: One main theme emerged: "To overcome obstacles and to seize opportunities to be physically active despite chronic pain." This main theme was abstracted from five themes: "Valuing a life with physical activity," "Physical activity and exercise - before and after pain," "A struggle - difficulties and challenges," "The enabling of physical activity," and "In need of continuous and active support." Conclusion: Although these participants valued PAamp;E, they seldom achieved desirable levels, and performance of PAamp;E was undermined by difficulties and failure. The discrepancy between the intention to perform physical activity and the physical activity accomplished could be related to motivation, self-efficacy, and action control. The participants desired high-quality interaction with healthcare providers. The findings can be applied to chronic pain rehabilitation that uses PAamp;E as treatment.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD , 2018. Vol. 11, p. 133-144
Keywords [en]
chronic pain; experiences; physical activity; rehabilitation; qualitative content analysis
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-145074DOI: 10.2147/JPR.S149826ISI: 000422618600002PubMedID: 29379314OAI: oai:DiVA.org:liu-145074DiVA, id: diva2:1181259
Note

Funding Agencies|Swedish Council for Working Life and Social Research [2007-0760]; AFA Insurance [140341]; Swedish Research Council [2014-2979]; County Council of Ostergotland [LiO-536211]

Available from: 2018-02-08 Created: 2018-02-08 Last updated: 2018-03-05

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Karlsson, LinnGerdle, BjörnAndersson, GerhardLarsson, Britt
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Division of Community MedicineFaculty of Medicine and Health SciencesPain and Rehabilitation CenterPsychologyFaculty of Arts and SciencesThe Swedish Institute for Disability Research
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