ArticleBMC primary care2022
Perceived barriers to physical activity behaviour among patients with diabetes and hypertension in Kosovo: a qualitative study.
Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07213479 (Feasibility and Acceptability of Remote Home-Based Isometric Exercise and Lifestyle Change for the Management of Hypertension), which is not on this map. Cited by 8 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility and Acceptability of Remote Home-Based Isometric Exercise and Lifestyle Change for the Management of Hypertension
Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Physical activity and diabetes in german primary care: a qualitative interview study with individuals living with diabetes.BMC primary care · 2026Article
- From sedentary volume to sedentary content in older inpatients with type 2 diabetes: a multicenter study.Frontiers in public health · 2026Article
- Physical Activity and Cardiovascular Health.Journal of diabetes research · 2026Review
- Article
- Pre-exercise health screening in the UAE: A necessity or barrier to engage in physical activity?PloS one · 2025Article
- Article
- Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study.Open heart · 2023Article
- Management of Non-Communicable Diseases in Kosovo: A Scoping Review.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn a cohort of primary health care users across Kosovo (KOSCO cohort), high rates and poor control of diabetes and hypertension were observed. These conditions can be prevented and better controlled by adapting to a healthy lifestyle. Physical activity is an important target, as inactivity and related obesity were very prevalent in the KOSCO cohort. This qualitative study aims to identify individual and structural barriers to physical activity perceived by patients with diabetes and/or hypertension so as to inform health care providers and policy-makers in Kosovo on strategies for promoting physical activity.
methodsInterviews were conducted from July to October 2020 with 26 public primary health care users from five municipalities of Kosovo (Mitrovica, Vushtrri, Fushe Kosova, Gjakova, and Malisheva). The qualitative study was nested into the KOSCO cohort. KOSCO was implemented in 2019 and recruited consecutive patients visiting the public primary health care centres in these municipalities. Participants of this qualitative sub-study were selected if they had a doctor's diagnosis of diabetes and/or hypertension. The interview guide consisted of questions related to physical activity barriers these patients are facing, despite having received motivational counselling sessions in primary healthcare centres. Data were analysed using a framework methodology.
resultsThree main themes moderating physical activity behaviour were identified: 1) neighbourhood built environment, 2) health-related problems, and 3) social support. The barriers to physical activity related to the first theme were structural features of the neighbourhoods such as: crowded sidewalks, lack of green spaces, lack of proper lighting in public spaces, as well as dense traffic. In regards to the second theme, the main health reasons for study participants to delay physical activity were related to: physical discomfort as well as stress, worry, and lack of energy. An additional barrier to exercise was lack of social support specifically from friends.
conclusionThe study identifies structural and individual targets for integrated and inter-sectoral physical activity promotion efforts.
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