title: Facilitators and barriers to engagement in physical activity for people with multiple sclerosis: a qualitative investigation.
abstract: OBJECTIVE
  To explore the barriers and facilitators to engagement in physical activity from the perspective of people with multiple sclerosis (MS).
  
  
  METHODS
  This study adopted a qualitative descriptive design, using semi-structured interviews. Participants were recruited through local MS Societies and one District Health Board as part of a larger study. Ten people with a definite diagnosis of MS were purposefully selected aiming for diversity on a range of characteristics.
  
  
  RESULTS
  A number of factors were identified that seemed to interact and work to tip the decisional balance regarding physical activity engagement for people with MS. The most prominent themes included beliefs about physical activity; related emotional responses; and the role of fatigue in the decision to take part in physical activity. One of the most striking findings was the apparent tension surrounding the decision to take part in physical activity which seemed to be related to the co-existence of conflicting beliefs.
  
  
  CONCLUSIONS
  For people with MS, the decision to engage in physical activity (or not) is complex, fluid and individual; made more complex by the unpredictable nature of MS. Rehabilitation professionals attempting to engage people with MS in a physical activity programme should consider adopting an individualised approach to barrier management which takes into account personal beliefs and perceptions regarding physical activity engagement.
authors.affiliation: Health and Rehabilitation Research Institute, AUT University, Auckland, New Zealand. nkayes@aut.ac.nz
authors.forename: Nicola M
authors.initials: NM
authors.lastname: Kayes
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: McPherson
authors.forename: Denise
authors.initials: D
authors.lastname: Taylor
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Schlüter
authors.forename: Gregory S
authors.initials: GS
authors.lastname: Kolt
mesh_terms: D000328:Adult; D001294:Attitude to Health; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation; D015444:Exercise / Q000502:physiology / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009103:Multiple Sclerosis / Q000503:physiopathology* / Q000523:psychology*; D009520:New Zealand; D010465:Perception; D036301:Qualitative Research; D012931:Social Environment