The perceptions of caregivers toward physical activity and health in youth with congenital heart disease. Moola, F., Fusco, C., & Kirsh, J. A. Qualitative health research, 21(2):278–291, February, 2011. Place: United States
doi  abstract   bibtex   
Medical advances have reduced mortality in youth with congenital heart disease (CHD). Although physical activity is associated with enhanced quality of life, most patients are inactive. By addressing medical and psychological barriers, previous literature has reproduced discourses of individualism which position cardiac youth as personally responsible for physical inactivity. Few sociological investigations have sought to address the influence of social barriers to physical activity, and the insights of caregivers are absent from the literature. In this study, caregiver perceptions toward physical activity for youth with CHD were investigated at a Canadian hospital. Media representations, school liability, and parental overprotection construct cardiac youth as "at risk" during physical activity, and position their health precariously. Indeed, from the perspective of hospital staff, the findings indicate the centrality of sociological factors to the physical activity experiences of youth with CHD, and the importance of attending to the contextual barriers that constrain their health and physical activity.
@article{moola_perceptions_2011,
	title = {The perceptions of caregivers toward physical activity and health in youth with  congenital heart disease.},
	volume = {21},
	issn = {1049-7323 1049-7323},
	doi = {10.1177/1049732310384119},
	abstract = {Medical advances have reduced mortality in youth with congenital heart disease  (CHD). Although physical activity is associated with enhanced quality of life, most  patients are inactive. By addressing medical and psychological barriers, previous  literature has reproduced discourses of individualism which position cardiac youth  as personally responsible for physical inactivity. Few sociological investigations  have sought to address the influence of social barriers to physical activity, and  the insights of caregivers are absent from the literature. In this study, caregiver  perceptions toward physical activity for youth with CHD were investigated at a  Canadian hospital. Media representations, school liability, and parental  overprotection construct cardiac youth as "at risk" during physical activity, and  position their health precariously. Indeed, from the perspective of hospital staff,  the findings indicate the centrality of sociological factors to the physical  activity experiences of youth with CHD, and the importance of attending to the  contextual barriers that constrain their health and physical activity.},
	language = {eng},
	number = {2},
	journal = {Qualitative health research},
	author = {Moola, Fiona and Fusco, Caroline and Kirsh, Joel A.},
	month = feb,
	year = {2011},
	pmid = {20935236},
	note = {Place: United States},
	keywords = {*Health Knowledge, Attitudes, Practice, *Motor Activity, *Social Perception, Adolescent, Age Factors, Canada/epidemiology, Caregivers/*psychology, Child, Health Status, Heart Defects, Congenital/epidemiology/mortality/*psychology, Hospitals, Pediatric, Humans, Interview, Psychological, Qualitative Research, Quality of Life/*psychology, Risk},
	pages = {278--291},
}

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