Page 72 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem

Chapter 4
new organ was described as a facilitator to PA.

e sheer fact of having the ability to be
physically active was mentioned as facilitator as well.
‘For me it is very, but really very connected to each other. You know, like my life after the
transplantation is a life in which I can be active, so I am.’
(HeartTx, female, 56 years)
factors classi
Receiving a transplantation is not mentioned as a barrier, per se, but a number of

ed under the psychological personal barrier fear are related to the
transplanted organ. Fear of damaging the new organ and insecurity with the body and
body signals were indicated as a barrier.
Environmental barriers and facilitators to PA
Social environment
‘
‘
‘ Yes, look, when I would go cycling into the forest, what I would like to do, but then you
are alone. . . And you think, what if something happens, well. . . it might take a day before
they

nd me. So I do not,. . . no I do not dare to.’
(KidneyTx,male, 45 years)

e most salient aspect of the social environment mentioned as a barrier as well as a
facilitator is the expertise of personnel. Inadequate expertise was identi
ed as a factor that
could incite a negative feeling about being physically active and even in
discontinue training. Su
cient expertise, on the other hand, was indicated as a great
uence people to

stimulant. Learning how to train and becoming educated regarding their new boundaries
in a controlled setting was described as a stimulant to be physically active.

ere was a program set up [by the local physiotherapist] and the only thing I remember is
that it made me completely worn out. One day, another therapist took over and asked
what part of the program I did today and what part at the other session of the week. I said
I had to do the entire program, but he said that it was way too much. So it was split in
two and since then I started to make progress.’
(LiverTx, female, 63 years)

e physical therapist provided excellent help. It was especially helpful in improving your
self-con

dence. And that was very useful afterwards with

tness training and all.’
(HeartTx, female, 56 years)
Furthermore, participant perceived that PA behavior was in

uenced through social
support and by exercising in a group. Family and friends were indicated to motivate or
function as an exercise partner. Professionals also were mentioned to have a stimulating role
by providing a pleasant environment in which to exercise. Exercising in a group was
70.
‘Especially with biking and so on. Because you have another kidney, I want to live longer,
healthier, all o

that plays along.’
(KidneyTx, female, 42 years)