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The Impact of Exercise and Motivational Strategies on Symptoms, Pulmonary Function, and Quality of Well-Being among Youth with Cystic Fibrosis

Wilkinson, Whitney Hastwell
http://rave.ohiolink.edu/etdc/view?acc_num=osu1400858964

Abstract Details

2006, Master of Science, Ohio State University, Allied Medical Professions.
Cystic Fibrosis (CF) is a chronic multi-system disease with no known cure. Throughout the years, many medical efforts have been made to alleviate this fatal disease. However, CF continues to progress forward and afflict thousands of children and young adults each year. As individuals diagnosed with CF grow older, their pulmonary function, symptoms and quality of well-being worsen, as well as, their exercise tolerance. This study evaluated the impact of exercise and motivational strategies on symptoms, pulmonary function and quality of well-being among youth and young adults with CF. This study included approximately eighty (n=80) individuals between the ages of six and eighteen years, previously diagnosed with CF (sweat test > 60mg/ml) and who demonstrated a FEV1= 40%. Additional inclusion criteria include a MET level < 12. Once participation was determined and informed consent was completed, patients were divided into two groups, experimental (n=40) and control (n=40). Both groups performed pulmonary function tests (PFTs), recorded clinical symptoms scores, completed the Godin Leisure Exercise-Time questionnaire and completed the Quality of Well-Being questionnaire. The experimental group were then given an educational session on exercise and CF. During this session, the experimenter collected home phone numbers and e-mail addresses and distributed home exercise guidelines, home exercise journals, and one extrinsic gift. The control group received none of these items. The investigator contacted the experimental group once per week to provide motivational strategies and encourage home exercise. Both groups were sent home and encouraged to return in six to eight weeks. At their next scheduled clinic visit, individuals completed the Godin Leisure Exercise-Time questionnaire, Quality of Well-Being questionnaire, PFTs, clinical symptoms score and the experimental group turned in the exercise journal. The experimental group received a final extrinsic gift if 80% of the program was completed. Collected data was entered into SPSS v. 14 and group means were calculated and compared using the 2-way Analysis of Variance with Repeated Measures (ANOVA for dependent samples). Statistically significant differences were defined as an alpha level of 0.05 (p<0.05). This study showed that a simple, self-directed, home exercise program resulted in a statistically significant increase in average MET levels over a 7 day period (p = 0.037). The same home exercise program did not result in a statistically significant difference between the control group (n=4) and experimental group (n=5) for lung function, clinical symptom score, resting heart rate, pulse oxygen saturations, average body weight, or quality of well-being. Subjects in the experimental group were motivated to exercise at the recommended MET levels. Exercise holds promise as a means of improving lung function, clinical symptoms, resting heart rate, pulse oxygen saturations, average body weight and quality of well-being.
F. Herbert Douce (Advisor)
Karen McCoy (Committee Member)
Jill Clutter (Committee Member)
84 p.
Public Health; Rehabilitation

Recommended Citations

Citations

  • Wilkinson, W. H. (2006). The Impact of Exercise and Motivational Strategies on Symptoms, Pulmonary Function, and Quality of Well-Being among Youth with Cystic Fibrosis [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1400858964

    APA Style (7th edition)

  • Wilkinson, Whitney. The Impact of Exercise and Motivational Strategies on Symptoms, Pulmonary Function, and Quality of Well-Being among Youth with Cystic Fibrosis. 2006. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1400858964.

    MLA Style (8th edition)

  • Wilkinson, Whitney. "The Impact of Exercise and Motivational Strategies on Symptoms, Pulmonary Function, and Quality of Well-Being among Youth with Cystic Fibrosis." Master's thesis, Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=osu1400858964

    Chicago Manual of Style (17th edition)

osu1400858964
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© 2006, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.