title: Perceptions of physical activity in a group of adolescents with cystic fibrosis.
abstract: BACKGROUND
  Participation in regular physical activity is routinely recommended for adolescents with cystic fibrosis (CF), however, past research suggests that many patients are not regularly physically active. There may be a variety of reasons for this inconsistent participation. In this study, we used qualitative methods to explore attitudes toward physical activity with a focus on identifying facilitators and barriers in a small group of adolescents with CF.
  
  
  METHODS
  Ten participants with CF aged 13-17 volunteered for this study. Two, open-ended semi-structured telephone interviews were conducted. Participants were questioned about their current and past physical activity participation, their feelings about physical activity, and factors that made them want to be physically active or not. Participants were also questioned about their perceptions of physical activity for themselves and other adolescents with CF. Initial interviews were recorded, transcribed, and coded into categories. During a follow-up interview, 3 to 4 weeks later, participants were reminded of their initial responses and allowed to elaborate or clarify their initial responses. All responses were categorized and became major themes describing facilitators and barriers to exercise.
  
  
  RESULTS
  All participants articulated understanding the importance of participating in physical activity for health benefits. Factors that served as facilitators to participation in physical activity included improving general or lung-specific health, as well as mental health. Barriers included general discomfort, increased lung symptoms, and disinterest.
  
  
  CONCLUSIONS
  A group of adolescents with CF perceived positive general and lung health effects of physical activity, but also perceived barriers to participating in regular physical activity. Further work is needed to determine ways to accentuate facilitators and decrease barriers to promote regular physical activity in adolescents with CF.
authors.affiliation: Division of Physical Therapy, West Virginia University, Morgantown, WV.
authors.forename: Anne K
authors.initials: AK
authors.lastname: Swisher
authors.forename: Mia
authors.initials: M
authors.lastname: Erickson
references.citation: Med Sci Sports Exerc. 2001 Jan;33(1):30-5
references.pmid: 11194108
references.citation: Am J Phys Med Rehabil. 1997 Jul-Aug;76(4):311-5
references.pmid: 9267191
references.citation: Acta Paediatr Scand. 1980 May;69(3):353-8
references.pmid: 7376861
references.citation: Phys Ther. 2004 Jun;84(6):496-509
references.pmid: 15161416
references.citation: Aust Paediatr J. 1984 Nov;20(4):297-301
references.pmid: 6529386
references.citation: Chest. 1989 Feb;95(2):344-7
references.pmid: 2914486
references.citation: Eur Respir J. 2006 Oct;28(4):734-9
references.pmid: 16807261
references.citation: Thorax. 2004 Dec;59(12):1074-80
references.pmid: 15563708
references.citation: Diabetes Care. 2005 May;28(5):1209-10
references.pmid: 15855592
references.citation: Int J Sports Med. 1999 Jul;20(5):334-8
references.pmid: 10452232
references.citation: Chest. 2004 Oct;126(4):1204-14
references.pmid: 15486384
references.citation: J Pediatr Nurs. 2006 Jun;21(3):197-210
references.pmid: 16713510
references.citation: Chest. 1997 Feb;111(2):338-43
references.pmid: 9041979
references.citation: J Cardiopulm Rehabil Prev. 2007 May-Jun;27(3):166-74; quiz 175-6
references.pmid: 17558200
references.citation: Int J Sports Med. 1988 Feb;9 Suppl 1:25-31
references.pmid: 3360540
references.citation: J Pediatr. 2000 Mar;136(3):304-10
references.pmid: 10700685
references.citation: Public Health Nurs. 2007 Mar-Apr;24(2):141-50
references.pmid: 17319886
references.citation: J Sch Health. 2002 Nov;72(9):374-80
references.pmid: 12557633
references.citation: N Engl J Med. 1992 Dec 17;327(25):1785-8
references.pmid: 1435933