Original Article

You have full text access to this OnlineOpen article

Perceived exercise barriers, enablers, and benefits among exercising and nonexercising adults with arthritis: Results from a qualitative study†

  1. Sara Wilcox1,*,
  2. Cheryl Der Ananian1,
  3. Jill Abbott2,
  4. JoEllen Vrazel1,
  5. Cornelia Ramsey1,
  6. Patricia A. Sharpe1,
  7. Teresa Brady3

Article first published online: 27 JUL 2006

DOI: 10.1002/art.22098

Issue

Arthritis Care & Research

Arthritis Care & Research

Volume 55, Issue 4, pages 616–627, 15 August 2006

Additional Information

How to Cite

Wilcox, S., Der Ananian, C., Abbott, J., Vrazel, J., Ramsey, C., Sharpe, P. A. and Brady, T. (2006), Perceived exercise barriers, enablers, and benefits among exercising and nonexercising adults with arthritis: Results from a qualitative study. Arthritis & Rheumatism, 55: 616–627. doi: 10.1002/art.22098

Author Information

  1. 1

    University of South Carolina, Columbia

  2. 2

    The Ohio State University Comprehensive Cancer Center, Columbus

  3. 3

    US Centers for Disease Control and Prevention, Atlanta, Georgia

*Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 1300 Wheat Street (Blatt), Columbia, SC 29208

  1. †

    The views expressed in this report are not the official views of the Centers for Disease Control and Prevention or the Association of Schools of Public Health.

Publication History

  1. Issue published online: 27 JUL 2006
  2. Article first published online: 27 JUL 2006
  3. Manuscript Accepted: 3 NOV 2005
  4. Manuscript Received: 14 JUN 2005

Funded by

  • US Centers for Disease Control and Prevention
  • Association of Schools of Public Health. Grant Number: S2109-22/22

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

View Full Article (HTML) Get PDF (123K)

REFERENCES

  • 1
    Centers for Disease Control and Prevention. Prevalence of disabilities and associated health conditions among adults: United States, 1999 [published erratum appears in MMWR Morb Mortal Wkly Rep 2001;50:149]. MMWR Morb Mortal Wkly Rep 2001; 50: 120–5.
  • 2
    Yelin E, Cisternas MG, Pasta DJ, Trupin L, Murphy L, Helmick CG. Medical care expenditures and earnings losses of persons with arthritis and other rheumatic conditions in the United States in 1997: total and incremental estimates. Arthritis Rheum 2004; 50: 2317–26.
    Direct Link:
  • 3
    Arthritis Foundation Association of State and Territorial Health Officials and Centers for Disease Control and Prevention. National arthritis action plan: a public health strategy. Atlanta (GA): Centers for Disease Control and Prevention; 1999.
  • 4
    US Department of Health and Human Services. Healthy People 2010: understanding and improving health. 2nd ed. Washington (DC): US Government Printing Office; 2000.
  • 5
    Calkins E. Management of rheumatoid arthritis and the other autoimmune rheumatic diseases. In: HazzardWR, BlassJP, EttingerWH, HalterJB, OuslanderJG, editors. Principles of geriatric medicine and gerontology. New York: McGraw-Hill; 1999. p. 1135–53.
  • 6
    Creamer P, Hochberg MC. Management of osteoarthritis. In: HazzardWR, BlassJP, EttingerWH, HalterJB, OuslanderJG, editors. Principles of geriatric medicine and gerontology. New York: McGraw-Hill; 1999. p. 1155–62.
  • 7
    Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee. Arthritis Rheum 1995; 38: 1541–6.
    Direct Link:
  • 8
    Van Baar ME, Assendelft WJ, Dekker J, Oostendorp RA, Bijlsma JW. Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a systematic review of randomized clinical trials. Arthritis Rheum 1999; 42: 1361–9.
    Direct Link:
  • 9
    Hall J, Skevington SM, Maddison PJ, Chapman K. A randomized and controlled trial of hydrotherapy in rheumatoid arthritis. Arthritis Care Res 1996; 9: 206–15.
    Direct Link:
  • 10
    Hakkinen A, Sokka T, Kotaniemi A, Hannonen P. A randomized two-year study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity, and bone mineral density in early rheumatoid arthritis. Arthritis Rheum 2001; 44: 515–22.
    Direct Link:
  • 11
    Ettinger WH Jr, Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T, et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis: the Fitness Arthritis and Seniors Trial (FAST). JAMA 1997; 277: 25–31.
  • 12
    Messier SP, Royer TD, Craven TE, O'Toole ML, Burns R, Ettinger WH Jr. Long-term exercise and its effect on balance in older, osteoarthritic adults: results from the Fitness, Arthritis, and Seniors Trial (FAST). J Am Geriatr Soc 2000; 48: 131–8.
  • 13
    Minor MA. Physical activity and management of arthritis. Ann Behav Med 1991; 13: 117–24.
  • 14
    Rossy LA, Buckelew SP, Dorr N, Hagglund KJ, Thayer JF, McIntosh MJ, et al. A meta-analysis of fibromyalgia treatment interventions. Ann Behav Med 1999; 21: 180–91.
  • 15
    Penninx BW, Messier SP, Rejeski WJ, Williamson JD, DiBari M, Cavazzini C, et al. Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis. Arch Intern Med 2001; 161: 2309–16.
  • 16
    US Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Atlanta (GA): National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, US Department of Health and Human Services; 1996.
  • 17
    Friedenreich CM. Physical activity and cancer prevention: from observational to intervention research. Cancer Epidemiol Biomarkers Prev 2001; 10: 287–301.
  • 18
    Hootman JM, Macera CA, Ham SA, Helmick CG, Sniezek JE. Physical activity levels among the general US adult population and in adults with and without arthritis. Arthritis Rheum 2003; 49: 129–35.
    Direct Link:
  • 19
    Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults' participation in physical activity: review and update. Med Sci Sports Exerc 2002; 34: 1996–2001.
  • 20
    Wilcox S, der Ananian C, Sharpe PA, Robbins J, Brady T. Correlates of physical activity in persons with arthritis: review and recommendations. J Phys Activ Health 2005; 2: 230–52.
  • 21
    Morgan DL. Planning focus groups. Volume 2. Thousand Oaks (CA): Sage; 1998. p. 139.
  • 22
    Centers for Disease Control and Prevention. Targeting arthritis: the nation's leading cause of disability. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and Prevention; 2001.
  • 23
    Eurenius E, Biguet G, Stenstrom CH. Attitudes toward physical activity among people with rheumatoid arthritis. Physiother Theory Pract 2003; 19: 53–62.
  • 24
    Lambert BL, Butin DN, Moran D, Zhao SZ, Carr BC, Chen C, et al. Arthritis care: comparison of physicians' and patients' views. Semin Arthritis Rheum 2000; 30: 100–10.
  • 25
    Kamwendo K, Askenbom M, Wahlgren C. Physical activity in the life of the patient with rheumatoid arthritis. Physiother Res Int 1999; 4: 278–92.
    Direct Link:
  • 26
    Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs (NJ): Prentice-Hall; 1986. p. 617.
  • 27
    McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988; 15: 351–77.
  • 28
    Sallis JF, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med 1998; 15: 379–97.
  • 29
    Schoster B, Callahan LF, Meier A, Mielenz T, DiMartino L. The People with Arthritis Can Exercise (PACE) program: a qualitative evaluation of participant satisfaction. Prev Chronic Dis [serial online]. 2005; 2(3). URL: http://www.cdc.gov/pcd/issues/2005/jul/05_0009.htm.
  • 30
    Terpstra SJ, de Witte LP, Diederiks JP. Compliance of patients with an exercise program for rheumatoid arthritis. Physiother Can 1992; 44: 37–41.
  • 31
    Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washigton (DC): National Academy Press; 2001.
  • 32
    Marcus BH, King TK, Clark MM, Pinto BM, Bock BC. Theories and techniques for promoting physical activity behaviours. Sports Med 1996; 22: 321–31.
  • 33
    Bandura A. Self-efficacy mechanism in human agency. Am Psychol 1982; 37: 122–47.
  • 34
    American Geriatrics Society Panel on Exercise and Osteoarthritis. Exercise prescription for older adults with osteoarthritis pain: consensus practice recommendations: a supplement to the AGS Clinical Practice Guidelines on the management of chronic pain in older adults [published erratum appears in J Am Geriatr Soc 2001;49:1400]. J Am Geriatr Soc 2001; 49: 808–23.
  • 35
    Stenstrom CH, Minor MA. Evidence for the benefit of aerobic and strengthening exercise in rheumatoid arthritis. Arthritis Rheum 2003; 49: 428–34.
    Direct Link:
  • 36
    Minor MA, Brown JD. Exercise maintenance of persons with arthritis after participation in a class experience. Health Educ Q 1993; 20: 83–95.
View Full Article (HTML) Get PDF (123K)