A formative study exploring perceptions of physical activity and physical activity monitoring among children and young people with cystic fibrosis and health care professionals
Open accessAbstract
BACKGROUND: Physical activity (PA) is associated with reduced hospitalisations and maintenance of lung function in patients with Cystic Fibrosis (CF). PA is therefore recommended as part of standard care. Despite this, there is no consensus for monitoring of PA and little is known about perceptions of PA monitoring among children and young people with CF. Therefore, the research aimed to explore patients' perceptions of PA and the acceptability of using PA monitoring devices with children and young people with CF. METHODS: An action research approach was utilised, whereby findings from earlier research phases informed subsequent phases. Four phases were utilised, including patient interviews, PA monitoring, follow-up patient interviews and health care professional (HCP) interviews. Subsequently, an expert panel discussed the study to develop recommendations for practice and future research. RESULTS: Findings suggest that experiences of PA in children and young people with CF are largely comparable to their non-CF peers, with individuals engaging in a variety of activities. CF was not perceived as a barrier per se, although participants acknowledged that they could be limited by their symptoms. Maintenance of health emerged as a key facilitator, in some cases PA offered patients the opportunity to 'normalise' their condition. Participants reported enjoying wearing the monitoring devices and had good compliance. Wrist-worn devices and devices providing feedback were preferred. HCPs recognised the potential benefits of the devices in clinical practice. Recommendations based on these findings are that interventions to promote PA in children and young people with CF should be individualised and involve families to promote PA as part of an active lifestyle. Patients should receive support alongside the PA data obtained from monitoring devices. CONCLUSIONS: PA monitoring devices appear to be an acceptable method for objective assessment of PA among children and young people with CF and their clinicians. Wrist-worn devices, which are unobtrusive and can display feedback, were perceived as most acceptable. By understanding the factors impacting PA, CF health professionals will be better placed to support patients and improve health outcomes.
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Physical activity monitoring devices can contribute to better understanding of the barriers preventing exercise.
“In 2018 Shelley et al. surveyed children/adolescents with CF and their clinicians in the UK and found that physical activity monitoring devices were acceptable to both patients and medical professionals and can contribute to better understanding of the barriers preventing exercise (4).”
From Virtual monitoring in CF – the importance of continuous monitoring in a multi-organ chronic condition (2023) · cites this paper as [4]
The Discussion (Phase 2 and phase 3; page not provided) reports that monitoring devices were acceptable to both patients and clinicians. The Background says clinicians need to understand barriers to physical activity, but the paper does not establish that the devices themselves identify barriers preventing exercise; it describes their potential to provide activity data and inform interventions. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPhysical activity monitoring devices were acceptable to both patients and medical professionals.
“In 2018 Shelley et al. surveyed children/adolescents with CF and their clinicians in the UK and found that physical activity monitoring devices were acceptable to both patients and medical professionals and can contribute to better understanding of the barriers preventing exercise (4).”
From Virtual monitoring in CF – the importance of continuous monitoring in a multi-organ chronic condition (2023) · cites this paper as [4]
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“surveyed children/ adolescents with CF and their clinicians in the UK and found that physical activity monitoring devices were acceptable to both patients and medical professionals and can contribute to better understanding of the barriers preventing exercise (4).”
Background
- Authors
- Shelley, J., Fairclough, S. J., Knowles, Z. R., Southern, K. W., McCormack, P., Dawson, E. A., Graves, L. E. F., & Hanlon, C.
- Affiliations
- Liverpool John Moores University (GB)
- Edge Hill University (GB)
- University of Liverpool (GB)
- Alder Hey Children's NHS Foundation Trust (GB)
- Corresponding author
- Shelley, James
- ORCID
- Venue
- BMC Pediatrics
- Published
- 2018-10-23
- Volume
- 18
- Issue
- 1
- Pages
- 335-335
- ISSN
- 1471-2431 (ISSN-L)
- PMC
- PMC6198445
- OpenAlex
- W2897789466
- Cited by
- 31
- References
- 34
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 14 · 2021: 3 · 2020: 4
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pediatrics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Liverpool John Moores University (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- Edge Hill University Research Information Repository (Edge Hill University) (submittedVersion, cc-by)
- Funders
- Bupa Foundation
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- cystic fibrosis, physical activity, physical activity monitoring, wearable activity trackers, children and young people, patient perspectives, healthcare workers, acceptability, wrist-worn devices, feedback devices, family involvement, individualised intervention, lung function
- MeSH terms
- Fitness Trackers, Attitude of Health Personnel, Attitude to Health, Cystic Fibrosis, Humans, Interviews as Topic, Patient Compliance, Perception, Exercise
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