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Published VersionCC BY V4.0, Open Access
Journal article
Adding Behaviour-Change Counselling to an Exercise Program for Adults Preparing for Hip and Knee Arthroplasty Improves Psychological and Physical Wellness: Focus Group Reflections
International Journal of Environmental Research and Public Health, Vol.20(20), pp.1-10
2023
PMID: 37887698
Abstract
Purpose: To explore participant experiences for people on an arthroplasty waitlist, randomised to an exercise and behaviour-change counselling program (ENHANCE). The ENHANCE program for arthroplasty patients was led by an accredited exercise physiologist who delivered an individually tailored and structured exercise program. Included in the exercise program were up to five in-person counselling sessions, based on the Health Action Process Approach (HAPA) applied specifically to people with osteoarthritis. Nine adults (mean 69.4 years) who were on the waiting list for a total hip or knee arthroplasty and who had completed a 12-week program (ENHANCE) as part of a randomised controlled trial were recruited for this study. Methods: Two focus groups were conducted to explore participant experiences of ENHANCE. Data were analysed using inductive thematic analysis with constructs of the HAPA (motivational and volitional factors) as a framework. Results: We identified three themes (1) ‘The structured program addressed inactivity and improved feelings of wellness and preparation for the operation’. The benefits were not only physical, but psychological and were contextualised in terms of preparation for the upcoming surgery. (2) ‘People as enablers of participation’: Participants identified that the attitude, and skill of the experienced instructor were supportive and motivating, especially in tailoring the intervention. Within the program, the support of the group was considered a positive attribute (3) ‘Improved awareness changed attitudes to self-efficacy and perceived self-control’. Participants described an increased awareness of their condition and a better understanding of health expectations. They felt more control and ownership over their health journey. Conclusion: Goal setting and social support were identified factors in a behaviour-change counselling program, delivered in conjunction with structured exercise that led to a positive experience. Improved psychological and physical health were described. Participants were better prepared for their upcoming surgery, with increased self efficacy and mastery to support long-term physical-activity engagement.
Details
- Title
- Adding Behaviour-Change Counselling to an Exercise Program for Adults Preparing for Hip and Knee Arthroplasty Improves Psychological and Physical Wellness: Focus Group Reflections
- Authors
- Marie-Louise Bird (Corresponding Author) - University of TasmaniaJonathan Mulford - Launceston General Hospital (Australia)Andrew Daffyd Williams - University of TasmaniaMichael Cheney - University of TasmaniaJane O’Brien - Queensland University of Technology
- Publication details
- International Journal of Environmental Research and Public Health, Vol.20(20), pp.1-10
- Publisher
- MDPI AG
- Date published
- 2023
- DOI
- 10.3390/ijerph20206960
- ISSN
- 1660-4601
- PMID
- 37887698
- Copyright note
- © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- Data Availability
- Data are available from the corresponding author on reasonable request.
- Grant note
- B0024656 / The Clifford Craig Medical Research Trust
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 991212661502621
- Output Type
- Journal article
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