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Two coders characterised patient-perceived barriers and facilitators to resuming meaningful activities. To facilitate clinical application, we mapped the codes onto the Person-Task-Environment model of performance, a patient-centred rehabilitation model that characterises complex interactions among the person, task and environment when performing activities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>United Kingdom, 2005\u20132006.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>39 adult critical illness survivors, sampled for variation among demographics and illness experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Person-related barriers<\/jats:italic>\n                      included negative mood or affect, perceived setbacks; weakness or limited endurance; pain or discomfort; inadequate nutrition or hydration; poor concentration\/confusion; disordered sleep\/hallucinations\/nightmares; mistrust of people or information; and altered appearance.\n                      <jats:italic>Task-related barriers<\/jats:italic>\n                      included miscommunication and managing conflicting priorities.\n                      <jats:italic>Environment-related barriers<\/jats:italic>\n                      included non-supportive health services and policies; challenging social attitudes; incompatible patient\u2013family coping (emotional trauma and physical disability); equipment problems; overstimulation; understimulation; and environmental inaccessibility.\n                      <jats:italic>Person-related facilitators<\/jats:italic>\n                      included motivation or attitude; experiencing progress; and religion or spirituality.\n                      <jats:italic>Task-related facilitators<\/jats:italic>\n                      included communication.\n                      <jats:italic>Environment-related facilitators<\/jats:italic>\n                      included support from family, friends or healthcare providers; supportive health services and policies; equipment; community resources; medications; and accessible housing. Barriers decreased and facilitators increased over time. Six barrier\u2013facilitator domains dominated based on frequency and emphasis across all performance goals: mood\/motivation, setbacks\/progress, fatiguability\/strength; mis\/communication; lack\/community support; lack\/health services and policies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Critical illness survivors described a comprehensive inventory of 18 barriers and 11 facilitators that align with the Person-Task-Environment model of performance. Six dominant barrier\u2013facilitator domains seem strong targets for impactful interventions. These results verify previous knowledge and offer novel opportunities for optimising patient-centred care and reducing disability after critical illness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-050592","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T08:11:40Z","timestamp":1652775100000},"page":"e050592","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Barriers and facilitators to resuming meaningful daily activities among critical illness survivors in the UK: a qualitative content analysis"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4907-9330","authenticated-orcid":false,"given":"Leslie","family":"Scheunemann","sequence":"first","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology in the Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"},{"name":"Division of Pulmonary, Allergy, and Critical Care Medicine in the Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer S","family":"White","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suman","family":"Prinjha","sequence":"additional","affiliation":[{"name":"Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, Oxfordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0348-0527","authenticated-orcid":false,"given":"Tammy L","family":"Eaton","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"},{"name":"Critical Illness Recovery Center (CIRC), UPMC Mercy, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Hamm","sequence":"additional","affiliation":[{"name":"Division of General Medicine in the Department of Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy D","family":"Girard","sequence":"additional","affiliation":[{"name":"Clinical Research, Investigation, and Systems Modeling of Acute illness (CRISMA) Center in the Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Leland","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R","family":"Skidmore","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"2025121407151332000_12.4.e050592.1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318232da75"},{"key":"2025121407151332000_12.4.e050592.2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000148"},{"key":"2025121407151332000_12.4.e050592.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-0779"},{"key":"2025121407151332000_12.4.e050592.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-015-3689-1"},{"key":"2025121407151332000_12.4.e050592.5","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1513\/AnnalsATS.201904-332OC","article-title":"Post\u2013Intensive care unit care. 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