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Views of men with Parkinson's disease regarding physical activity health messaging
Institution:1. Faculty of Physical Education, Shenzhen University, Shenzhen, China;2. Cardiac Rehabilitation Center, Fuwai Hospital, CAMS&PUMC, Beijing, China;3. Children''s Healthcare & Mental Health Center, Shenzhen Children''s Hospital, Shenzhen, China;1. Division of Fire Safety Engineering, Lund University, Box 118, SE-221 00, Lund, Sweden;2. Department of Health Science, Lund University, Box 157, SE-221 00, Lund, Sweden;1. Health Policy Research Center-Mongan Institute, Massachusetts General Hospital, USA;2. Department of Medicine, Harvard Medical School, USA;3. Boston University School of Public Health, USA;4. Center for Bioethics and Humanities, Department of Medicine, USA;5. University of Colorado School of Medicine, Center for Survey Research, University of Massachusetts-Boston, USA;1. Institute for Social Research, University of Michigan, Ann Arbor, MI, USA;2. Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA;3. University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA;4. Department of Sociology, Indiana University School of Liberal Arts, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA;5. Department of Ophthalmology & Visual Sciences, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;6. Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;7. Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;8. Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;1. Children''s Hospital Los Angeles, 4650 Sunset Blvd., Los Angeles, CA 90027, USA;2. Department of Pediatrics, Keck School of Medicine, University of Southern California, 1975 Zonal Ave, Los Angeles, CA 90033, USA;3. University of Southern California, Dornsife College of Letters, Arts and Sciences, 3551 Trousdale Pkwy, Los Angeles, CA 90089, USA
Abstract:BackgroundMany men with Parkinson's Disease (PD) do not meet the recommended levels of physical activity (PA) for health benefits. Tailored, meaningful, and culturally sensitive PA health messages may be a catalyst to shape men's motivations toward participation.ObjectiveWe explored the views of New Zealand (NZ) men with PD about existing PA health messages, and how these could be adapted to be more effective.MethodsThis qualitative study recruited six community dwelling, regularly physically active, NZ European men with PD (aged 54–69 years, 2–18 years post-diagnosis) from a community exercise class in Canterbury, NZ. Participants engaged in semi-structured interviews which were audio-recorded, transcribed verbatim, and analyzed inductively for themes.ResultsParticipants expressed that effective PA health messages should reflect men's motivations for PA which included physical and mental well-being and social connection. Inclusive, positive, and relatable language and imagery were considered crucial PA message communication strategies. Participants viewed health professionals' PA advice as superficial and unhelpful; however, celebrities with PD were considered inspirational messengers. Messages endorsed by trustworthy sources, such as the Parkinson's Society, were perceived to enhance the credibility.ConclusionsEffective PA messages should be gain framed and tailored to the target audience. We recommend health professionals provide comprehensive PA advice or consider onward referral. Future research which uses a co-design participatory methodology to collaborate with men with PD from culturally diverse backgrounds and represent all stages of PA behaviour change is recommended to provide comprehensive insights for meaningful, effective, and culturally sensitive PA health messaging.
Keywords:Parkinson's disease  Men  Physical activity  Health messaging
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