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dc.contributor.authorDavenport, Sally
dc.contributor.authorDickinson, Angela
dc.contributor.authorMinns Lowe, Catherine
dc.date.accessioned2019-10-24T00:10:13Z
dc.date.available2019-10-24T00:10:13Z
dc.date.issued2019-08-13
dc.identifier.citationDavenport , S , Dickinson , A & Minns Lowe , C 2019 , ' Therapy-based exercise from the perspective of adult patients: a qualitative systematic review conducted using an ethnographic approach ' , Clinical Rehabilitation . https://doi.org/10.1177/0269215519868797
dc.identifier.issn0269-2155
dc.identifier.otherPURE: 17446834
dc.identifier.otherPURE UUID: 1ab1b853-8bd9-4c50-a99b-9f79045f4e21
dc.identifier.otherScopus: 85071516492
dc.identifier.otherORCID: /0000-0001-7681-2732/work/63687240
dc.identifier.urihttp://hdl.handle.net/2299/21792
dc.description© The Author(s) 2019.
dc.description.abstractObjectives: Many patients do not meet recommended levels of therapy-based exercise. This review aims to explore how adult patients view being prescribed therapy-based exercise, the information/education they are given and receive and if/how they independently practise and adhere. Design: A qualitative systematic review conducted using an ethnographic approach and in accordance with the PRISMA statement. Sources: PubMed, CINAHL, SCOPUS and EMBASE databases (01 January 2000–31 December 2018). Methods: Qualitative studies with a focus on engagement/adherence with therapy-based exercise were included. Data extraction and quality appraisal were undertaken by two reviewers. Results were discussed and data synthesized. Results: A total of 20,294 titles were screened, with data extracted from 39 full texts and data from 18 papers used to construct three themes. ‘The Guidance received’ suggests that the type of delivery desired to support and sustain engagement was context-dependent and individually situated. ‘The Therapist as teacher’ advocates that patients see independent therapy-based exercise as a shared activity and value caring, kind and professional qualities in their therapist. ‘The Person as learner’ proposes that when having to engage with and practise therapy-based exercise because of ill-health, patients often see themselves as new learners who experience fear and uncertainty about what to do. Patients may have unacknowledged ambivalences about learning that impact on engagement and persistence. Conclusion: The quality of the interaction between therapists and patients appears integral to patients engaging with, and sustaining practice of, rehabilitation programmes. Programmes need to be individualized, and health care professionals need to take patients’ previous experiences and ambivalences in motivation and empowerment into account.en
dc.language.isoeng
dc.relation.ispartofClinical Rehabilitation
dc.rightsOpen
dc.subjectadherence
dc.subjectlearning and teaching
dc.subjectPatient education
dc.subjectqualitative synthesis
dc.subjecttherapy-based exercise
dc.subjectPhysical Therapy, Sports Therapy and Rehabilitation
dc.subjectRehabilitation
dc.titleTherapy-based exercise from the perspective of adult patients: a qualitative systematic review conducted using an ethnographic approachen
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionDepartment of Pharmacy, Pharmacology and Postgraduate Medicine
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85071516492&partnerID=8YFLogxK
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2019-08-13
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1177/0269215519868797
rioxxterms.licenseref.uriOther
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


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