How does increased physical activity impact the quality of life of people with Cystic Fibrosis who engage in physical exercises/activities? b. What are the barriers and facilitators of increased engagement in physical activity in persons living with cystic Fibrosis? c. What are some of the interventions that can motivate persons living with CF to engage in physical activities?

Researchers must adhere to ethical standards to preserve the subjects’ rights, dignity, and well-being while ensuring their safety. The first stage in implementing the proposed intervention would consist of ensuring that every participant has been approved to be included in the intervention. Informed consent, the process by which participants in an intervention can provide their authorization to take part voluntarily and without being coerced, will be sought (Liew & Winston, 2021). Before agreeing to sign up for the structured physical exercise program, they will be given detailed information to consider regarding the intervention: the risks and benefits of participation, the consequences of not participating, and their right to withdraw from the intervention at any time they wish to do so.

The issue of privacy and confidentiality will also be affected. Patient information will be collected and stored in a database for program evaluation. All healthcare workers ensure that patient information remains private and should only be communicated if the patient consents or has a legal requirement (Shekhawat et al., 2020). Data obtained from these patients will be shared among different healthcare workers for evaluation of their progress and recommendations on adjustments needed to render the proposed intervention successful. Therefore, all healthcare workers with whom the information will be shared must uphold confidentiality and obtain informed consent from the rightful owners.

Issues around the principle of non-maleficence are also likely to arise. Most patients living with CF have a limited capacity to perform physical exercises, and thus, this proposed intervention may aggravate complications. The purpose of non-maleficence is to ensure that all interventions offered by healthcare workers do not induce any harm to the clients (Elton, 2020). The strategy of assessing all individuals before joining this program aims to ensure that only those with the optimal capacity to engage in physical activities are enrolled. Healthcare workers and the participants will be educated on the importance of reporting any unusual developments that occur with engagement in physical activities so that prompt interventions are undertaken to curb any complications.

Theory or Model

The Theory of Planned Behavior principles will be utilized in implementing the structured physical exercise program.  It is a paradigm for analyzing the processes underlying setting goals and objectives and behavior changes in individuals. Applying this theory reveals that a person’s inclinations and behavior are partly shaped by their attitude, deals, and perceptions of the urgency of the situations surrounding them (Ursavaş, 2022). People’s attitudes reveal what they anticipate the results of their efforts to be. A person’s standards are founded on their assumptions of the expectations that their colleagues have of them. People with self-confidence are likely to succeed at whatever they are doing (Ursavaş, 2022).  When introducing an intervention supported by evidence into a healthcare setting, it is vital to have a solid understanding of the factors that can influence an individual’s choice to embrace it.

The theory of planned behavior will promote the comprehension of facilitators who influence people whenever they want to make choices about adopting an intervention, such as engagement in physical activity. Some of the factors identified that may promote the uptake of the proposed intervention among people living with CF include having the autonomy to decide the specific exercises they would like to engage in, having professional guidance, scheduling the activities at times that favor them and availability of the essential equipment required. It will also aid in identifying the perspectives and attitudes held by those people and how they can be modified to promote the uptake of the intervention.

Proposed Solution

Developing a structured physical exercise program can help increase patients’ quality of life living with CF and improve their overall health outcomes. Evidence suggests that patients with CF who engage in regular physical exercises enjoy good health and live longer. Implementing a PA program in a health institution can help remove the barriers that face individuals living with CF who are willing to exercise, like the absence of the facilities. The availability of professional help and different multidisciplinary teams can motivate them to engage in PA and promote compliance. The proposed solution will also ensure that the healthcare professionals involved in the PA program acquire the essential knowledge that can be applied to ensure that positive health outcomes are achieved. A structured PA program will allow CF patients to interact with others and share strategies they have developed to manage the co