Barriers and facilitators for adherence to exercise practice by people with chronic pain in Primary Health Care: Qualitative study

Abstract

Background

Exercise and physical activity are main components in the treatment of people with chronic pain, being encouraged by professionals in Primary Health Care. However, their adherence is often low.

Objective

To analyze the participant’s perception in chronic pain groups about barriers and facilitators for adherence to exercise.

Methods

Qualitative, descriptive study conducted through interviews with 16 participants in groups of chronic pain offered by Basic Health Units in the city of Florianópolis, Brazil. Content analysis was used to interpret the data.

Results

The facilitators were perceived results, professional monitoring, pleasure in physical activity and exercise groups as social support. As barriers: exacerbation of pain, fear of injury or worsening of symptoms and financial resources. The physical environment and the daily demands and routines fit into both - barriers and facilitators.

Conclusion

The results provided subsidies for Primary Care professionals to plan and develop strategies that ensure the engagement of people with chronic pain in exercise and/or physical activity programs.

Keywords:
Exercise; Chronic Pain; Primary Health Care