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  4. Qualitative analysis of perceived motivators and barriers to exercise in individuals with spinal cord injury enrolled in an exercise study

Qualitative analysis of perceived motivators and barriers to exercise in individuals with spinal cord injury enrolled in an exercise study

Spinal Cord Series and Cases, 2022 · DOI: https://doi.org/10.1038/s41394-022-00539-1 · Published: August 25, 2022

Spinal Cord InjuryRehabilitationResearch Methodology & Design

Simple Explanation

This study explores why people with spinal cord injuries (SCI) join exercise programs, what stops them from exercising, and how they think these problems can be solved. The study found that people with SCI wanted to exercise to improve their health, function, and mood. However, they faced barriers like lack of time, motivation, and accessibility. To overcome these barriers, participants suggested scheduling exercise, making it fun, getting home equipment, and finding accessible facilities.

Study Duration
16 weeks
Participants
144 US individuals ≥18 years old with SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The leading reasons reported for enrolling were to improve their physical health (69%), function (61%), and attitude (59%).
  • 2
    Commonly reported barriers were time constraints (54%), lack of motivation (31%), accessibility issues (24%), and SCI-specific barriers (23%).
  • 3
    Participant-generated solutions were scheduling exercise (47.9%) for time constraints, making exercise more fun (21.8%) to increase motivation.

Research Summary

This study examines the motivators and barriers to exercise among individuals with SCI enrolled in an internet-based exercise intervention program. Participants reported that improving physical health, function, and attitude were leading motivators for enrolling in the program. Time constraints, lack of motivation, accessibility issues, and SCI-specific barriers were identified as common barriers, with corresponding solutions proposed by participants.

Practical Implications

Tailored Exercise Programs

Exercise programs for people with SCI should be tailored to address their unique motivational and environmental factors.

Addressing Key Barriers

Clinicians and programs should address concerns about time, motivation, accessibility, and SCI-specific issues to promote physical activity.

Future Research

Future studies should examine the effectiveness of implementing knowledge of motivators, barriers, and problem-solving strategies into physical activity programs.

Study Limitations

  • 1
    Scientific rigor reduced due to secondary analysis of data.
  • 2
    Self-selection bias may limit generalizability.
  • 3
    Potential misinterpretation of participants’ intentions.

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