Page 151 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem

key items should be addressed: ‘exercise self-e
‘physical limitations’ and ‘low expectations and self-con
low levels of exercise self-e
Physical activity in recipients of solid organ transplantation
negative e

ects’ and ‘physical limitations’, and the motivator component ‘health and
physical outcomes’. Associated factors of the amount of sedentary time were ‘gender’, ‘age’,
‘employment status’, and the barriers ‘physical limitations’ and ‘low expectations and self-
con

dence’. In rehabilitation programs and physical therapy interventions, the following
component ‘health and physical outcomes’. A reduction of physical limitations by

cacy’, the barriers ‘fear of negative e
dence’, and the motivator
cacy that were discussed in Chapter 6. Recipients, therefore,

ects’,

treatment and training in combination with an increase in experience with physical activity
and training will lead to an increase of knowledge and becoming aware of new physical
limits. A rehabilitation program thereby will likely induce a reduction in fear of negative
e
ects and an increase in self-con

dence. Clinical experience demonstrates that recipients
often do not know what their capabilities are after transplantation which is endorsed by the

are likely to retain physical activity patterns of the pre-transplantation phase. Insight into
realistic goals and adjusting their expectations accordingly will likely result in higher levels
of exercise self-e

cacy and an increase of expectations.
e results for factors that were associated with the level of physical activity are
reinforced by a recent qualitative study in recipients of lung transplantation in which it was
indicated that physical complaints, fear of organ rejection and infections, adverse e

ects of
medication, and restrictions in daily life were the primary concerns early after
transplantation.
Another recent study in recipients of renal transplantation indicated
experienced fear of movement and low self-e

cacy as important barriers to physical
activity.
22 23
Type of transplantation
Although it is often assumed that the type of organ transplantation that is received
in

uences the level of physical activity and its associated factors, the results of this thesis
showed that this ‘organ e

ect’ is limited.
physical activity as described in Chapter 4 indicated no overt di

e experienced barriers to and facilitators of

erences between the
transplant groups.

type of organ received was not of signi
e case was the same in the study described in Chapter 6 whereby the

cant in

uence on ful

lling the activity guidelines,
the amount of physical activity, or the amount of sedentary time. In an additional analysis
of the study on the multidimensional structure of the barriers and motivators questionnaire
(Chapter 5), potential di

erences between the organ transplantation groups were studied.

is analysis revealed a number of minor di

erences between groups (when corrected for
age and gender) for all barrier components, and two out of the four indicated motivator
components. However, the indicated di

negligible. Considering the relatively small di
erences were very minimal and clinically

erences indicated between organ transplant
groups, the components appear to be generic for transplant recipients in general rather than
organ group speci

c.

e indicated barriers to and facilitators of physical activity that can
be addressed in the development of rehabilitation programs or physical therapy
interventions and, therefore, do not need to be organ speci

c. Where the initial

gure
(Figure 1) representing the components that in

uence physical activity contained the
149.
8