The experiences of gravitational insecurity in adults: An interpretative phenomenological analysis

Introduction: Experience of gravitational insecurity (GrI) is evident in heightened fear responses to movement during everyday activities. In adults, it has been suggested to lead to increased anxiety and avoidance of activities to minimise the impact of GrI. The perceptions of adults on the lived experience of GrI are absent from the existing evidence base, and this study aims to begin to meet this gap. Method: Semi-structured interviews were completed with six participants from the UK and Ireland who experience gravitational insecurity. Participant responses were analysed using interpretative phenomenological analysis to identify themes. Findings: Three main themes were identified: a not-so-disproportionate response, moving from judgement to acceptance, and learning to manage gravitational insecurity. Participants reflected on how having an explanation for their difficulties supported a more compassionate reframing. Rather than avoidance, participants described prioritising and planning as key strategies to enable occupational engagement. Conclusion: Increased awareness and knowledge of GrI are needed to enable occupational therapists to best support individuals who experience this difficulty. Providing information to support understanding of GrI is likely to be a key first step when working with adults to reduce negative self-perceptions and support self-management.