Professionals? perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Abstract

Objective: To describe professionals? perceptions of factors that facilitate or hamper the implementation and continuation of a physical activity promotion programme in rehabilitation. Design: This study used a qualitative design. Methods: Semi-structured interviews (=2) were conducted with rehabilitation professionals (=8) involved in the implementation of a physical activity promotion programme. Two additional interviews were conducted with the programme coordinators (=). The study involved 18 rehabilitation organizations implementing the programme that targets people with disabilities or chronic diseases. Organizations were supported in the implementation process by the programme coordinators. Results: Commonly perceived facilitating factors were: involvement of committed and enthusiastic professionals; agreement with their organizations? vision/wishes; the perceived additional value of the programme; and opportunities to share knowledge and experience with professionals from other organizations. Commonly perceived hampering factors were: uncertainty about continuing the programme; limited flexibility; and lack of support from physicians and therapists to implement the programme. Conclusion: Professionals perceived a heterogeneous set of factors that facilitate and/or hamper the implementation and continuation of a physical activity promotion programme in rehabilitation. Based on these findings, recommendations were formulated to enhance embedding of physical activity promotion during and after rehabilitation.