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. 2024 Jun 13;11:e52811. doi: 10.2196/52811

Table 5.

Perceived barriers and facilitators to physical activity participation and their associations with Consolidated Framework for Implementation Research domains.

CFIRa domain and construct Theme Barrier Facilitator
Outer setting (broader external context in which the behavior or implementation occurs)

External policies and incentives Availability of services and incentives
  • Absence of community rehabilitation services

  • Financial support


Patient needs and resources Provision of prosthetic services
  • Unequal distribution of prosthetic services

  • Free of charge prosthetic services

Inner setting (specific context within the organization or system where the behavior or implementation takes place)

Structural characteristics Living as clusters in allocated villages
  • Isolation from the wider society

  • Inclusive community environment


Networks and communications Kinship with family and peers
  • Family commitments

  • Family support

  • Peer support

  • Soldier societies


Available resources Adequacy and quality of available resources
  • Limited physical space at home

  • Absence of exercise equipment

  • Low-quality prosthetic legs

  • Calm environment in the village

  • Adequate space in the village


Access to information and knowledge Access to necessary information and knowledge
  • Lack of access to knowledge and information on rehabilitation professional services

N/Ab
Individual characteristics (the personal attributes and characteristics of individuals performing the behavior or involved in the implementation)

Knowledge and beliefs Knowledge and beliefs on recovery expectations and exercises
  • Uncertainty of recovery expectations

  • Knowledge of the basic principles of exercise

  • Preinjury active lifestyle


Self-efficacy Ability to carry out physical activities and exercises
  • Burden of chronic pain and persistent comorbidities

  • Higher level of amputation

  • Active prosthetic use

  • Age (middle-aged adult)


Individual stage of change Present stage of change
  • Present sedentary lifestyle

  • Current engagement in exercise


Personal attributes Motivation for exercises
  • Laziness

  • Motivation to be more active and independent

  • Positive attitude toward exercise

aCFIR: Consolidated Framework for Implementation Research.

bN/A: not applicable.