Page 63 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem

Physical activity in recipients of solid organ transplantation
guide was tested and evaluated in a pilot setting with two organ transplant recipients not
participating in the actual study, after which

nal alterations were made.

e content of the
interview guide could be revised during the process, and additional questions could be
added in order to address newly emerged topics derived from the ongoing data analysis.
e interviews were recorded and transcribed verbatim.
Data analyses
e data were analyzed using line-by-line thematic analysis.
reviewers (EA and SZ) familiarized themselves with the raw data after which initial codes
32,33
First, two individual
were generated of interesting features of the data.

e data from the

rst four interviews
were reviewed and coded independently by the two reviewers, and inconsistencies were
reviewed and discussed with a third reviewer (PD). A codebook was subsequently created
which the two reviewers used to independently code the remaining interviews.
codebook was used as a guide, however, new codes could be given as well. After completing
e
the coding of interviews, the reviewers compared results, and consensus was reached.
e
codes used were subsequently collated into potential themes, which were reviewed by
checking them against the coded extracts and the original data. Initially, all themes were
placed in a scheme to add insight into themes being absolute barriers, absolute facilitators,
or being positioned in between this continuum, and to clarify which themes were stronger
or weaker. A

ve category scale was chosen indicating (1) absolute barriers; (2) themes
being mentioned mainly as barriers but sometimes as a facilitator; (3) themes being
mentioned as a barrier or facilitator equally; (4) themes being mentioned mainly as
facilitator but sometimes as a barrier; and (5) absolute facilitators.

e themes were
subsequently ordered into personal factors and environmental factors as part of the
Physical Activity for people with a Disability (PAD) Model (Fig 1).
Attitude, Social In
uence and Self-E
cacy (ASE) Model and was selected because of its
34

is model is based
on the International Classi

cation of Functioning (ICF), Disability and Health and the

integration of the concept of PA behavior and its relationship with functioning. Although
the PAD Model was developed as a theoretical framework on PA of people with a
disability, both underlying models (ICF and ASE model) were developed for the general
population and are not disease speci

c.

e content of the PAD model was judged as
generic enough to be suitable for the population under study. After classi
model, de
nitions and names for each theme were clari
32
ed, and quotes (given in italic
Peer debrie

cation in the

font) were selected that illustrated the derived themes.

ng (review by

eld
expert) secured quality assessment. In the process, the qualitative data analysis program
‘ATLAS.ti’ was used to manage, organize, store, and annotate the data (ATLAS.ti, v 6.2.23,
Scienti

c Software Development GmbH, Berlin, Germany).
61.
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