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Facilitators and Barriers of Physical Activity Participation in Children with a Single Ventricle Physiology: a Mixed Methods Study

Leo, D, Lane, D, Riley, M, Lotto, AA and Lotto, R (2022) Facilitators and Barriers of Physical Activity Participation in Children with a Single Ventricle Physiology: a Mixed Methods Study. Cardiology in the Young. ISSN 1047-9511

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Background: The present study focuses on assessing the physical activity level of children with Fontan circulation for Hypoplastic Left Heart Syndrome, and identifying potential barriers and facilitators toward their participation in physical activity.
Patients and Methods: Seven children aged 5 to 16 years (mean(SD) 8.8 (3.7) years) with a Fontan procedure for HLHS, their parents (n=7) and siblings (n=1) were recruited. Data were collected using a mixed-methods approach: (i) children wore an activity monitor for 7 days to record physical activity, with sedentary time and level of activity calculated from accelerometer data; (ii) children completed a bespoke questionnaire recording limitations in physical activity; (iii) parents completed a semi-structured interview discussing perceptions about their child’s physical activity participation. Qualitative data were analysed using thematic analysis.
Results: Activity monitors data recorded highly active children with a mean(SD) of 153 (36) minutes/day spent in moderate-to-vigorous physical activity. Time spent in sedentary behaviour was also high (57.5% of total accelerometer wearing time). Four key themes relating to parental perceptions of physical activity were identified: (i) A new lease of life –post Fontan; (ii) Setting limits – managing limitations; (iii) The wider world – how others set limits; and (iv) “I fear the future” – parental concerns.
Conclusion: Following completion of the Fontan circulation, children engaged in higher levels of physical activity in comparison to the national average. However, more than half their time was spent in sedentary behaviour. Fears and anxiety from parents and teachers may act as a barrier toward physical activity participation.

Item Type: Article
Uncontrolled Keywords: 1102 Cardiorespiratory Medicine and Haematology; Cardiovascular System & Hematology
Subjects: Q Science > QP Physiology
R Medicine > R Medicine (General)
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Nursing & Allied Health
Publisher: Cambridge University Press (CUP)
SWORD Depositor: A Symplectic
Date Deposited: 07 Dec 2022 10:06
Last Modified: 09 Jun 2023 00:50
DOI or ID number: 10.1017/S1047951122003754
URI: https://researchonline.ljmu.ac.uk/id/eprint/18336
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