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Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community

Sara Sadek Attalla, Nadya L Ow Orcid Logo, Melitta McNarry Orcid Logo, Anna De Simoni Orcid Logo

BJGP Open, Volume: 6, Issue: 3, Start page: BJGPO.2021.0162

Swansea University Author: Melitta McNarry Orcid Logo

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DOI (Published version): 10.3399/bjgpo.2021.0162

Abstract

BackgroundEngagement with exercise in adults with asthma is suboptimal. Limited information is available regarding factors affecting engagement with exercise. AimTo explore experiences of exercise and linked unmet needs in adults with asthma.Design & settingQualitative thematic analysis of posts...

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Published in: BJGP Open
ISSN: 2398-3795
Published: Royal College of General Practitioners 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa59325
first_indexed 2022-02-08T08:38:40Z
last_indexed 2023-01-11T14:40:31Z
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spelling 2022-10-19T12:21:25.5111483 v2 59325 2022-02-08 Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 2022-02-08 EAAS BackgroundEngagement with exercise in adults with asthma is suboptimal. Limited information is available regarding factors affecting engagement with exercise. AimTo explore experiences of exercise and linked unmet needs in adults with asthma.Design & settingQualitative thematic analysis of posts in a UK asthma online community, written between 2015 and 2020. MethodPosts were identified using keywords searches. Posts in the ‘Exercise’ topic section were additionally included. Thematic analysis of posts was undertaken. Results143 relevant posts were analysed. 92 participants were identified through posts (11M, 33F, 48 gender not stated, aged 26–73 years). Emerging themes included: fear of experiencing asthma symptoms during exercise, lack of information about how to deal with symptoms, external barriers, emotional response, and involvement of healthcare providers. Environmental factors, concomitant life stressors, distrust of healthcare professionals and embarrassment of displaying asthma symptoms during exercise were barriers to engagement. Facilitators included experiencing positive health outcomes following exercise and positive discussions regarding exercise with healthcare professionals. Strategies participants developed to enable exercise were warming up, increasing reliever and preventer inhalers when exercising and finding exercises felt as enjoyable. ConclusionFuture interventions to address fears of exercise-induced physical symptoms, and clear instructions on the use of inhalers when exercising are needed. Exploring patients’ attitudes to exercise in clinical consultations, especially in primary care, may be beneficial. Journal Article BJGP Open 6 3 BJGPO.2021.0162 Royal College of General Practitioners 2398-3795 Asthma, exercise, strategies, primary care 28 9 2022 2022-09-28 10.3399/bjgpo.2021.0162 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Anna De Simoni was partly funded by Barts Charity MGU0419. REAL - Health: REsearch Actionable Learning Health Systems Asthma programme 2022-10-19T12:21:25.5111483 2022-02-08T08:34:53.9434113 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Sara Sadek Attalla 1 Nadya L Ow 0000-0002-0094-9772 2 Melitta McNarry 0000-0003-0813-7477 3 Anna De Simoni 0000-0001-6955-0885 4 59325__25502__1050086f062940418fbc457f4b9674ba.pdf 59325_VoR.pdf 2022-10-19T12:19:05.5915682 Output 640987 application/pdf Version of Record true This article is Open Access: CC BY license true eng https://creativecommons.org/licenses/by/4.0/
title Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community
spellingShingle Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community
Melitta McNarry
title_short Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community
title_full Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community
title_fullStr Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community
title_full_unstemmed Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community
title_sort Experiences of exercise in patients with asthma: a qualitative analysis of discussions in a UK asthma online community
author_id_str_mv 062f5697ff59f004bc8c713955988398
author_id_fullname_str_mv 062f5697ff59f004bc8c713955988398_***_Melitta McNarry
author Melitta McNarry
author2 Sara Sadek Attalla
Nadya L Ow
Melitta McNarry
Anna De Simoni
format Journal article
container_title BJGP Open
container_volume 6
container_issue 3
container_start_page BJGPO.2021.0162
publishDate 2022
institution Swansea University
issn 2398-3795
doi_str_mv 10.3399/bjgpo.2021.0162
publisher Royal College of General Practitioners
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
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description BackgroundEngagement with exercise in adults with asthma is suboptimal. Limited information is available regarding factors affecting engagement with exercise. AimTo explore experiences of exercise and linked unmet needs in adults with asthma.Design & settingQualitative thematic analysis of posts in a UK asthma online community, written between 2015 and 2020. MethodPosts were identified using keywords searches. Posts in the ‘Exercise’ topic section were additionally included. Thematic analysis of posts was undertaken. Results143 relevant posts were analysed. 92 participants were identified through posts (11M, 33F, 48 gender not stated, aged 26–73 years). Emerging themes included: fear of experiencing asthma symptoms during exercise, lack of information about how to deal with symptoms, external barriers, emotional response, and involvement of healthcare providers. Environmental factors, concomitant life stressors, distrust of healthcare professionals and embarrassment of displaying asthma symptoms during exercise were barriers to engagement. Facilitators included experiencing positive health outcomes following exercise and positive discussions regarding exercise with healthcare professionals. Strategies participants developed to enable exercise were warming up, increasing reliever and preventer inhalers when exercising and finding exercises felt as enjoyable. ConclusionFuture interventions to address fears of exercise-induced physical symptoms, and clear instructions on the use of inhalers when exercising are needed. Exploring patients’ attitudes to exercise in clinical consultations, especially in primary care, may be beneficial.
published_date 2022-09-28T14:17:38Z
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