title: Barriers to Physical Activity Following Rehabilitation: Perspectives of Older Adults with Chronic Disease.
abstract: Nonadherence to exercise is a main cause of reduced function for older adults with chronic disease following completion of rehabilitation. This quantitative study used a questionnaire to evaluate the barriers and facilitators to community-based exercise following rehabilitation, from the perspectives of older adults with chronic diseases and their healthcare professionals (HCPs). Questionnaires were administered one-on-one to 83 older adults and 35 HCPs. Those with chronic disease perceived cost (43%), travel time (43%), and physical symptoms (39%) as primary barriers to program participation, with similar perceptions across all chronic conditions. Access to a case manager (82%), a supported transition following rehabilitation (78%), and a condition-specific program (78%) were the primary facilitators. Significant between group differences were found between HCPs and older adults with chronic disease across all barriers (p < .001), with a greater number of HCPs perceiving barriers to exercise participation. There were no between-group differences in the perception of factors that facilitate participation in exercise.
authors.affiliation: Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.
authors.forename: Laura
authors.initials: L
authors.lastname: Desveaux
authors.forename: Roger
authors.initials: R
authors.lastname: Goldstein
authors.forename: Sunita
authors.initials: S
authors.lastname: Mathur
authors.forename: Dina
authors.initials: D
authors.lastname: Brooks
mesh_terms: D000368:Aged; D000674:Amputees / Q000523:psychology / Q000534:rehabilitation; D002908:Chronic Disease / Q000523:psychology / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D015444:Exercise; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006297:Health Services Accessibility; D006333:Heart Failure / Q000503:physiopathology / Q000534:rehabilitation; D006801:Humans; D008297:Male; D009042:Motivation; D010465:Perception; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology; D011788:Quality of Life; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation