Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group Study

Background: Exercise has indisputable advantages for people with chronic conditions. Engaging in physical activity within natural environments, known as green exercise, contributes to both physical and mental well-being. The aim of this study was to investigate the perceptions of people with chronic...

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Main Authors: Aristi Tsokani, Theodoros Dimopoulos, Evangelos Vourazanis, Nikolaos Strimpakos, Evdokia Billis, Garyfallia Pepera, Eleni Kapreli
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/18/10077
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author Aristi Tsokani
Theodoros Dimopoulos
Evangelos Vourazanis
Nikolaos Strimpakos
Evdokia Billis
Garyfallia Pepera
Eleni Kapreli
author_facet Aristi Tsokani
Theodoros Dimopoulos
Evangelos Vourazanis
Nikolaos Strimpakos
Evdokia Billis
Garyfallia Pepera
Eleni Kapreli
author_sort Aristi Tsokani
collection DOAJ
description Background: Exercise has indisputable advantages for people with chronic conditions. Engaging in physical activity within natural environments, known as green exercise, contributes to both physical and mental well-being. The aim of this study was to investigate the perceptions of people with chronic conditions and health professionals and the perceived facilitators and barriers to therapeutic green exercise. Methods: This was a qualitative study based on two focus groups. Ethical approval was received, and a thematic analysis was used to analyze the discussions. Results: Seven patients and eight health professionals participated in the study. The thematic analysis yielded thirteen main themes. Safety concerns and inadequate infrastructures were key barriers. Core facilitators were socialization, and multisensory exposure. Conclusions: Patients with chronic conditions and health professionals believe that green exercise improves physical activity engagement, and it would be beneficial if incorporated in the rehabilitation process. There are challenges to overcome to make therapeutic green exercise for people with chronic conditions more accessible.
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spelling doaj.art-d4459a7b443e4d6d92d3fe9d6cedb7192023-11-19T09:22:42ZengMDPI AGApplied Sciences2076-34172023-09-0113181007710.3390/app131810077Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group StudyAristi Tsokani0Theodoros Dimopoulos1Evangelos Vourazanis2Nikolaos Strimpakos3Evdokia Billis4Garyfallia Pepera5Eleni Kapreli6Health Assessment and Quality of Life Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, GreeceHealth Assessment and Quality of Life Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, GreeceClinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, GreeceHealth Assessment and Quality of Life Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, GreeceTherapeutic Exercise and Sports Rehabilitation Laboratory, Physiotherapy Department, University of Patras, 26504 Egio, GreeceClinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, GreeceClinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, GreeceBackground: Exercise has indisputable advantages for people with chronic conditions. Engaging in physical activity within natural environments, known as green exercise, contributes to both physical and mental well-being. The aim of this study was to investigate the perceptions of people with chronic conditions and health professionals and the perceived facilitators and barriers to therapeutic green exercise. Methods: This was a qualitative study based on two focus groups. Ethical approval was received, and a thematic analysis was used to analyze the discussions. Results: Seven patients and eight health professionals participated in the study. The thematic analysis yielded thirteen main themes. Safety concerns and inadequate infrastructures were key barriers. Core facilitators were socialization, and multisensory exposure. Conclusions: Patients with chronic conditions and health professionals believe that green exercise improves physical activity engagement, and it would be beneficial if incorporated in the rehabilitation process. There are challenges to overcome to make therapeutic green exercise for people with chronic conditions more accessible.https://www.mdpi.com/2076-3417/13/18/10077green exercisechronic conditionsbarriersfacilitatorsperceptions
spellingShingle Aristi Tsokani
Theodoros Dimopoulos
Evangelos Vourazanis
Nikolaos Strimpakos
Evdokia Billis
Garyfallia Pepera
Eleni Kapreli
Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group Study
Applied Sciences
green exercise
chronic conditions
barriers
facilitators
perceptions
title Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group Study
title_full Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group Study
title_fullStr Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group Study
title_full_unstemmed Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group Study
title_short Barriers and Facilitators for Therapeutic Green Exercise in Patients with Chronic Conditions: A Qualitative Focus Group Study
title_sort barriers and facilitators for therapeutic green exercise in patients with chronic conditions a qualitative focus group study
topic green exercise
chronic conditions
barriers
facilitators
perceptions
url https://www.mdpi.com/2076-3417/13/18/10077
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