Physical activity and mental health in individuals with multimorbidity during COVID-19: an explanatory sequential mixed-method study

TY - JOUR

T1 - Physical activity and mental health in individuals with multimorbidity during COVID-19

T2 - an explanatory sequential mixed-method study

AU - Ambrosio, Leire

AU - Faulkner, James

AU - Morris, Jacqui H.

AU - Stuart, Beth

AU - Lambrick, Danielle

AU - Compton, Eric

AU - Portillo, Mari Carmen

N1 - © Author(s) (or their employer(s)) 2024.

PY - 2024/4

Y1 - 2024/4

N2 - Objective To understand the physical activity and mental health of individuals living with long-term conditions during the COVID-19 pandemic. Design A sequential explanatory mixed-methods study with two phases: phase 1: quantitative survey and phase 2: qualitative follow-up interviews. Setting For the quantitative phase, an online survey was launched in March 2021, using Microsoft Forms. For the qualitative phase, in-depth semistructured interviews were conducted via online. Participants 368 adults over 18 years old living in the UK with at least one long-term condition completed the survey. Interviews were conducted in a subsample of participants from the previous quantitative phase, with 26 people. Data were analysed using thematic analysis. Results Responses from the survey showed that people with one long-term condition were significantly more physically active and spent less time sitting, than those with two or more conditions, presenting with significantly higher well-being (p<0.0001), and lower levels of anxiety (p<0.01), and depression (p<0.0001). Interviews found that people developed a range of strategies to cope with the impact of changeability and the consequences of their long-term condition on their physical activity. Conclusions The number of long-term conditions influenced physical activity and how people coped with their condition during COVID-19. Findings will inform policy developments in preparation for future pandemics to support and remain people to remain physically active and mental health.

AB - Objective To understand the physical activity and mental health of individuals living with long-term conditions during the COVID-19 pandemic. Design A sequential explanatory mixed-methods study with two phases: phase 1: quantitative survey and phase 2: qualitative follow-up interviews. Setting For the quantitative phase, an online survey was launched in March 2021, using Microsoft Forms. For the qualitative phase, in-depth semistructured interviews were conducted via online. Participants 368 adults over 18 years old living in the UK with at least one long-term condition completed the survey. Interviews were conducted in a subsample of participants from the previous quantitative phase, with 26 people. Data were analysed using thematic analysis. Results Responses from the survey showed that people with one long-term condition were significantly more physically active and spent less time sitting, than those with two or more conditions, presenting with significantly higher well-being (p<0.0001), and lower levels of anxiety (p<0.01), and depression (p<0.0001). Interviews found that people developed a range of strategies to cope with the impact of changeability and the consequences of their long-term condition on their physical activity. Conclusions The number of long-term conditions influenced physical activity and how people coped with their condition during COVID-19. Findings will inform policy developments in preparation for future pandemics to support and remain people to remain physically active and mental health.

KW - Coronavirus

KW - exercise

KW - behaviour change

KW - long term conditions

KW - mental health

KW - mixed methods

KW - COVID-19

KW - chronic disease

KW - nursing care

UR - https://www.scopus.com/pages/publications/85191626154

U2 - 10.1136/bmjopen-2023-079852

DO - 10.1136/bmjopen-2023-079852

M3 - Article

C2 - 38670621

SN - 2044-6055

VL - 14

JO - BMJ Open

JF - BMJ Open

IS - 4

M1 - e079852

ER -