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Parkinson's Disease: Exploring Motives for Long-Term Adherence to a Group Exercise Program.

PURPOSE: The aim of this study was to explore why people with Parkinson's disease maintained attendance at a community group exercise program.

DESIGN: Qualitative design was used for this study.

METHODS: A purposive sample was used to recruit participants. Interviews with individual and focus groups collected narrative data that were interpreted using content analysis.

FINDINGS: Eighteen participants enrolled in the study. Four themes emerged: (1) changing and challenging workout; (2) gaining strength, inspiration, and knowledge and doing it among friends; (3) professionals, not amateurs; and (4) holistic lasting benefit.

CONCLUSIONS: For the participants in this study, exercising in a group among peers in an enjoyable, varied, and challenging program that was structured, supportive, and supervised provided incentive for maintaining attendance.

CLINICAL RELEVANCE: Exercise is a life-long recommendation for everyone, including people with Parkinson's disease, for whom maintaining attendance is more challenging. The words of these participants encourage healthcare providers to consider the relevance of socialization, supervision, and structure when developing exercise programs for this population.

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