Professionals' perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Hoekstra, F, Hettinga, Florentina, Breejen, M, Duijf, M, Woude, L, Dekker, R and Schans, C (2017) Professionals' perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study. Journal of Rehabilitation Medicine, 49 (5). pp. 385-394. ISSN 1650-1977

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Abstract

Objective: To describe professionals' perceptions of factors that facilitate or hamper the implementation and continuation of a physical activity promotion programme in rehabilitation. Design: This study used a qualitative design. Methods: Semi-structured interviews (n = 22) were conducted with rehabilitation professionals (n = 28) involved in the implementation of a physical activity promotion programme. Two additional interviews were conducted with the programme coordinators (n = 2). The study involved 18 rehabilitation organizations implementing the programme that targets people with disabilities or chronic diseases. Organizations were supported in the implementation process by the programme coordinators. Results: Commonly perceived facilitating factors were: involvement of committed and enthusiastic professionals; agreement with their organizations' vision/wishes; the perceived additional value of the programme; and opportunities to share knowledge and experience with professionals from other organizations. Commonly perceived hampering factors were: uncertainty about continuing the programme; limited flexibility; and lack of support from physicians and therapists to implement the programme. Conclusion: Professionals perceived a heterogeneous set of factors that facilitate and/or hamper the implementation and continuation of a physical activity promotion programme in rehabilitation. Based on these findings, recommendations were formulated to enhance embedding of physical activity promotion during and after rehabilitation.

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