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Therapy-based exercise from the perspective of adult patients: a qualitative systematic review conducted using an ethnographic approach

Davenport, S; Dickinson, A; Minns Lowe, C; (2019) Therapy-based exercise from the perspective of adult patients: a qualitative systematic review conducted using an ethnographic approach. Clinical Rehabilitation 10.1177/0269215519868797. (In press). Green open access

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Abstract

Objectives: Many patients do not meet recommended levels of therapy-based exercise. This review aims to explore how adult patients view being prescribed therapy-based exercise, the information/education they are given and receive and if/how they independently practise and adhere. / Design: A qualitative systematic review conducted using an ethnographic approach and in accordance with the PRISMA statement. / Sources: PubMed, CINAHL, SCOPUS and EMBASE databases (01 January 2000–31 December 2018). / Methods: Qualitative studies with a focus on engagement/adherence with therapy-based exercise were included. Data extraction and quality appraisal were undertaken by two reviewers. Results were discussed and data synthesized. / Results: A total of 20,294 titles were screened, with data extracted from 39 full texts and data from 18 papers used to construct three themes. ‘The Guidance received’ suggests that the type of delivery desired to support and sustain engagement was context-dependent and individually situated. ‘The Therapist as teacher’ advocates that patients see independent therapy-based exercise as a shared activity and value caring, kind and professional qualities in their therapist. ‘The Person as learner’ proposes that when having to engage with and practise therapy-based exercise because of ill-health, patients often see themselves as new learners who experience fear and uncertainty about what to do. Patients may have unacknowledged ambivalences about learning that impact on engagement and persistence. / Conclusion: The quality of the interaction between therapists and patients appears integral to patients engaging with, and sustaining practice of, rehabilitation programmes. Programmes need to be individualized, and health care professionals need to take patients’ previous experiences and ambivalences in motivation and empowerment into account.

Type: Article
Title: Therapy-based exercise from the perspective of adult patients: a qualitative systematic review conducted using an ethnographic approach
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/0269215519868797
Publisher version: https://doi.org/10.1177/0269215519868797
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Patient education, learning and teaching, adherence, qualitative synthesis, therapy-based exercise
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10083068
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