All authors have read and approved of the manuscript
Populations at Risk Across the Lifespan: Case Studies
Punjabi Sikh Patients’ Perceived Barriers to Engaging in Physical Exercise Following Myocardial Infarction
Article first published online: 14 FEB 2012
© 2012 Wiley Periodicals, Inc.
Public Health Nursing
Volume 29, Issue 6, pages 534–541, November 2012
How to Cite
Galdas, P. M., Oliffe, J. L., Kang, H. B. K. and Kelly, M. T. (2012), Punjabi Sikh Patients’ Perceived Barriers to Engaging in Physical Exercise Following Myocardial Infarction. Public Health Nursing, 29: 534–541. doi: 10.1111/j.1525-1446.2012.01009.x
- Issue published online: 19 OCT 2012
- Article first published online: 14 FEB 2012
- ethnic minority health;
- health promotion;
- heart disease
The aim of this research was to describe Punjabi Sikh patients’ perceived barriers to engaging in physical exercise following myocardial infarction (MI).
Design and Sample
A qualitative, interpretive descriptive methodology was used. The sample included 15 Punjabi Sikh patients who were attending a cardiac rehabilitation education program in an urban center of British Columbia, Canada, following MI.
Data were collected via semi-structured interviews and were audio recorded, translated from Punjabi to English, and transcribed verbatim. Data were analyzed using an interpretive thematic approach that involved a process of coding and constant comparison.
Four key factors emerged that related to participants’ perceived barriers to sustained engagement in physical activity: (1) difficulty in determining safe exertion levels independently; (2) fatigue and weakness; (3) preference for ‘informal’ exercise; and (4) migration-related challenges.
The findings have implications for the design and delivery of health promotion strategies aimed at Punjabi Sikh patients’ post-MI that is contingent on the use of ‘formal’ exercise settings to promote regular physical activity. The willingness among Punjabi Sikh patients to practise brisk walking offers a positive direction that public health nurses and other healthcare professionals may want to capitalize on in the delivery of exercise-related health promotion.