Exploring experiences, barriers, and enablers to home- and class-based exercise in rotator cuff tendinopathy: A qualitative study

Abstract

Study design: Qualitative study.

Introduction: Adherence is paramount to the successful outcome of exercise-based treatment.

Purpose of study: The barriers and enablers to adherence to a home- and class-based exercise program were explored in this qualitative study.

Methods: Semi-structured interviews were carried out to establish common themes relating to the participants' experiences during a year-long randomized controlled trial.

Results/discussion: Twelve participants were interviewed. The main enablers to exercise were highlighted as equipment, perceived benefit from the exercises, and longer and more intensive monitoring. Barriers included the lack of motivation, lack of equipment, and pain.

Conclusions: Implications for practice are incorporating enablers and addressing barriers including self-discharge from classes; the importance of longer term follow-up and the benefits of adopting exercise into a well-established routine may provide potential benefits.

Level of evidence: N/A.

Keywords: Adherence; Barriers; Enablers; Exercise; Rotator cuff tendinopathy.