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Perceived barriers to physical activity behaviour among patients with diabetes and hypertension in Kosovo: a qualitative study
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4651494
Author(s) Bytyci Katanolli, A.; Probst-Hensch, N.; Obas, K. A.; Gerold, J.; Zahorka, M.; Jerliu, N.; Ramadani, Q.; Fota, N.; Merten, S.
Author(s) at UniBasel Bytyši Katanolli, Ariana
Probst-Hensch, Nicole
Obas, Katrina
Merten, Sonja
Year 2022
Title Perceived barriers to physical activity behaviour among patients with diabetes and hypertension in Kosovo: a qualitative study
Journal BMC Prim Care
Volume 23
Number 1
Pages / Article-Number 257
Keywords *Diabetes Mellitus/epidemiology; Exercise; Humans; *Hypertension/epidemiology; Kosovo/epidemiology; Qualitative Research; Barriers; Diabetes; Hypertension; Kosovo; Physical activity
Mesh terms Built Environment; Diabetes Mellitus, epidemiology; Exercise; Health Status; Humans; Hypertension, epidemiology; Kosovo, epidemiology; Neighborhood Characteristics; Qualitative Research; Social Support
Abstract BACKGROUND: In a cohort of primary health care users across Kosovo (KOSCO cohort), high rates and poor control of diabetes and hypertension were observed. These conditions can be prevented and better controlled by adapting to a healthy lifestyle. Physical activity is an important target, as inactivity and related obesity were very prevalent in the KOSCO cohort. This qualitative study aims to identify individual and structural barriers to physical activity perceived by patients with diabetes and/or hypertension so as to inform health care providers and policy-makers in Kosovo on strategies for promoting physical activity. METHODS: Interviews were conducted from July to October 2020 with 26 public primary health care users from five municipalities of Kosovo (Mitrovica, Vushtrri, Fushe Kosova, Gjakova, and Malisheva). The qualitative study was nested into the KOSCO cohort. KOSCO was implemented in 2019 and recruited consecutive patients visiting the public primary health care centres in these municipalities. Participants of this qualitative sub-study were selected if they had a doctor's diagnosis of diabetes and/or hypertension. The interview guide consisted of questions related to physical activity barriers these patients are facing, despite having received motivational counselling sessions in primary healthcare centres. Data were analysed using a framework methodology. RESULTS: Three main themes moderating physical activity behaviour were identified: 1) neighbourhood built environment, 2) health-related problems, and 3) social support. The barriers to physical activity related to the first theme were structural features of the neighbourhoods such as: crowded sidewalks, lack of green spaces, lack of proper lighting in public spaces, as well as dense traffic. In regards to the second theme, the main health reasons for study participants to delay physical activity were related to: physical discomfort as well as stress, worry, and lack of energy. An additional barrier to exercise was lack of social support specifically from friends. CONCLUSION: The study identifies structural and individual targets for integrated and inter-sectoral physical activity promotion efforts.
ISSN/ISBN 2731-4553 (Electronic)2731-4553 (Linking)
URL https://doi.org/10.1186/s12875-022-01866-w
edoc-URL https://edoc.unibas.ch/90399/
Full Text on edoc Available
Digital Object Identifier DOI 10.1186/s12875-022-01866-w
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/36180857
ISI-Number WOS:000862402900001
Document type (ISI) Journal Article
 
   

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29/11/2023