Physical activity during and after a residential rehabilitation programme for people living with axial spondyloarthritis
A qualitative exploration of patient and health care professional perspectives
Bibliographic Data
| ID | 21579933 |
|---|---|
| Authors | Thomas A Ingram (0000-0003-2319-9342, University of Bath), Raj Sengupta (0000-0002-9720-0396, Royal National Hospital for Rheumatic Diseases, Royal United Hospitals NHS Foundation Trust), Martyn Standage (0000-0002-9683-8590, University of Bath), Bryan C Clift (0000-0001-6493-6017, North Carolina State University), Peter Rouse (0000-0001-8761-4299, University of Bath, corresponding author) |
| Year | 2025 |
| Pages | 1-21 |
| Publication date | 2025-12-09 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Psychology & Health (JOURNAL) |
| Journal identifiers | ISSN: 0887-0446 • E-ISSN: 1476-8321 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/08870446.2025.2598043 |
| PMID | 41369110 |
| OpenAlex | W4417180630 |
| Language | EN |
| References cited | 56 |
OBJECTIVE: To explore the experiences of people living with axial spondyloarthritis (axSpA), and views of health care professionals (HCPs), on physical activity engagement and maintenance during and after a structured physiotherapy led residential rehabilitation programme. METHODS AND MEASURES: Nineteen individuals with axSpA who attended a two-week residential rehabilitation programme, and nine HCPs were recruited. Patient focus groups and HCP interviews were audio recorded, transcribed verbatim, and thematic analysis was conducted. Where appropriate, self-determination theory was used in the interpretation and discussion of inductively constructed themes. RESULTS: Four key themes were identified: Interactions within the social environment (Immersion, Group dynamic, Interactions with health care professionals, Interactions with family and others); Adjusting to PA (Enjoyment & interest, Balance & body awareness, Routine & habit, Feedback); Transformative experience (Education as a foundation, Perception of PA, Ownership, Visible difference); and Psychological challenges (Frustration, Guilt, Fear, Normalisation). CONCLUSION: Rehabilitation programmes for people with axSpA should be holistic. Framing PA in terms of enjoyment, instead of purely for health, may support PA maintenance. For HCPs, creating a more socially supportive environment, involving important others, and focusing on techniques to support autonomous motivation can help those with axSpA maintain PA after a rehabilitation programme
Activities of daily living · Health care · Physical activity · Qualitative research · Social support · Musculoskeletal pain and rehabilitation · Rheumatoid Arthritis Research and Therapies · Spondyloarthritis Studies and Treatments · Rehabilitation
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| Highly cited | No |
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