title: A qualitative study of fitness instructors' experiences leading an exercise program for children with juvenile idiopathic arthritis.
abstract: Children with arthritis face challenges when they try to increase their physical activity. The study's objective was to identify elements of a successful community-based exercise program for children with arthritis by investigating the perspectives of fitness instructors who led the program. This qualitative study used a phenomenological approach. Four fitness instructors participated in individual interviews. Themes were developed through inductive analytic methods. Three main themes were identified: (a) children with arthritis require encouragement and guidance throughout the program from fitness instructors who understand their arthritis, and support from parents and peers; (b) children need help to overcome their negative perceptions about exercise; and (c) exercise program participation can launch the adoption of a more active lifestyle. Pediatric physiotherapists can encourage the establishment of successful exercise programs for children with arthritis in nonmedical or community environments through the formation of supportive, education-based partnerships with community-based fitness instructors.
authors.affiliation: Hospital for Sick Children, Toronto, Canada.
authors.forename: Carolyn E
authors.initials: CE
authors.lastname: Hutzal
authors.forename: F Virginia
authors.initials: FV
authors.lastname: Wright
authors.forename: Samantha
authors.initials: S
authors.lastname: Stephens
authors.forename: Jane
authors.initials: J
authors.lastname: Schneiderman-Walker
authors.forename: Brian M
authors.initials: BM
authors.lastname: Feldman
mesh_terms: D001171:Arthritis, Juvenile / Q000523:psychology / Q000534:rehabilitation*; D001290:Attitude; D001945:Breathing Exercises; D002648:Child; D015444:Exercise; D005081:Exercise Therapy / Q000009:adverse effects / Q000523:psychology; D006801:Humans; D010147:Pain Measurement