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Title: Perceived barriers and enablers to physical activity participation in people with Alopecia Areata: a constructivist grounded theory study.
Austin Authors: Rajoo, Yamuna;Wong, J;Raj, I S;Kennedy, Gerard A 
Affiliation: School of Education, RMIT University, Melbourne, Australia
School of Health and Biomedical Science, RMIT University, Bundoora Campus, Bundoora, Melbourne, VIC, 3083, Australia
School of Health and Life Sciences, Federation University, Ballarat, Australia
Institute for Breathing and Sleep
Issue Date: 10-Dec-2020
Date: 2020
Publication information: BMC Psychology 2020; 8(1): 132
Abstract: Alopecia Areata (AA) is an autoimmune disease that is characterised by hair loss. Individuals diagnosed with it often describe feelings of trauma and social rejection due to cosmetic repercussions and are at high risk of experiencing psychological distress. Physical activity (PA) participation has been associated with better mental health outcomes in diverse populations. A preliminary study of individuals with AA indicated that severe hair loss is associated with symptomatic depression, anxiety and stress, which negatively impacted PA participation. While strategies to increase PA participation in the general population have been established, little is known about PA participation in people with AA. This study aimed to understand barriers and enablers to PA participation in people with AA to inform the development of evidence-based interventions. The study used a grounded theory (GT) methodology, relying on an iterative and simultaneous process of data collection, coding, theory development, and data comparisons to explore the perceived barriers and enablers to PA. Data were collected through a focus group (8 participants [33.38 ± 10.81 years]) and individual telephone interviews (8 participants [33.89 ± 11.87 years]). The study was conducted in Melbourne, Australia. Interview data were recorded digitally, transcribed verbatim and analysed. Recruitment continued until theoretical saturation was achieved. The constructivist grounded theory method used has assisted to develop an explanatory model which is used to explain the themes for barriers and enablers to PA participation. The four phases in the explanatory model are as follows (1) onset of AA; (2) reaction towards the condition; (3) adjustment; and (4) acceptance. The findings highlighted perceived barriers and enablers to PA participation in people with AA. Future interventions could consider addressing these barriers specifically to maximise effectiveness and to improve mental health status based on the phases of the explanatory model.
DOI: 10.1186/s40359-020-00502-5
ORCID: 0000-0002-8339-6631
Journal: BMC Psychology
PubMed URL: 33303012
Type: Journal Article
Subjects: Adjustment and acceptance
Alopecia areata
Body image
Constructivist grounded theory
Mental health
Physical activity
Appears in Collections:Journal articles

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