Perceptions of Physical Activity in African American Older Adults on Hemodialysis: Themes From Key Informant Interviews

Objective: To determine key themes underlying the perceptions of older (>= 65y) adults on hemodialysis regarding physical activity using qualitative methodology. Design: Semistructured key informant interviews. Setting: Academic medical center. Participants: Convenience sample of older adults on hemodialysis (NZ10). Interventions: None. Main Outcome Measures: Interview transcripts were coded and analyzed using the framework method to extract themes and subthemes. Participants also answered Likert statements regarding their perceptions of physical activity, and the responses were tallied. Results: Ten older adults on hemodialysis participated (mean age 73 +/- 5y; 60% women); all were African American. All participants stated physical activity would make them feel better. The major themes that emerged were barriers and facilitators. Facilitators included internal motivators, family and friend support, and feasibility of incorporating physical activity into routine activities. Barriers were lack of motivation, health issues, and environmental restric-tions. Conclusions: Physical activity potentially could prevent the physical decline commonly seen in older adults on hemodialysis. Yet information regarding the perceptions of this population to-ward physical activity is sparse. Although the study is limited by selection bias, our study presents qualitative evidence that black older adults on hemodialysis desire physical activity for their health. Future interventions to increase physical activity in this population should consider leveraging existing facilitators, such as the support of family and friends, and use strategies to address barriers like minimal motivation. 2020 The Authors. Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/).