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Enablers and barriers for being physically active: experiences from adults with congenital heart disease
Umeå University, Department of Public Health and Clinica Medicine, Sweden.
Umeå University, Department of Nursing, Umeå, Sweden.
University West, Department of Health Sciences, Section for nursing - graduate level. Department of Paediatrics, The Queen Silvia Children’s Hospital . (LOV)ORCID iD: 0000-0002-4181-695x
Umeå University, Department of Public Health and Clinical Medicine, Sweden; Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden.
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2021 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 20, no 3, p. 276-284Article in journal (Refereed) Published
Abstract [en]

Background: In general, adults with congenital heart disease have reduced exercise capacity and many do not reach the recommended level of physical activity. A physically active lifestyle is essential to maintain health and to counteract acquired cardiovascular disease, therefore enablers and barriers for being physically active are important to identify.

Aim: To describe what adults with complex congenital heart diseases consider as physical activity, and what they experience as enablers and barriers for being physically active. Methods: A qualitative study using semi-structured interviews in which 14 adults with complex congenital heart disease (seven women) participated. The interviews were analysed using qualitative content analysis.

Results: The analysis revealed four categories considered enablers and barriers - encouragement, energy level, approach and environment. The following is exemplified by the category encouragement as an enabler: if one had experienced support and encouragement to be physically active as a child, they were more positive to be physically active as an adult. In contrast, as a barrier, if the child lacked support and encouragement from others, they had never had the opportunity to learn to be physically active.

Conclusion: It is important for adults with congenital heart disease to have the opportunity to identify barriers and enablers for being physically active. They need knowledge about their own exercise capacity and need to feel safe that physical activity is not harmful. This knowledge can be used by healthcare professionals to promote, support and eliminate misconceptions about physical activity. Barriers can potentially be transformed into enablers through increased knowledge about attitudes and prerequisites. © The European Society of Cardiology 2020.

Place, publisher, year, edition, pages
Sage Publications, 2021. Vol. 20, no 3, p. 276-284
Keywords [en]
Congenital heart disease, content analysis, healthcare professionals, physical activity, prevention
National Category
Cardiac and Cardiovascular Systems Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-16026DOI: 10.1177/1474515120963314ISI: 000646298100012Scopus ID: 2-s2.0-85094650837OAI: oai:DiVA.org:hv-16026DiVA, id: diva2:1501375
Funder
The Swedish Heart and Lung Association, E143-15Swedish Heart Lung Foundation, 20150579Region Västerbotten
Note

Funders:  Svensk sjuksköterskeförening

Available from: 2020-11-16 Created: 2020-11-16 Last updated: 2022-04-01Bibliographically approved

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Berghammer, Malin

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