A qualitative theory guided analysis of stroke survivors’ perceived barriers and facilitators to physical activity

冲程(发动机) 心理干预 背景(考古学) 定性研究 情感(语言学) 中风恢复 医学 体力活动 社会支持 心理学 老年学 物理疗法 康复 护理部 社会心理学 工程类 社会学 古生物学 生物 机械工程 沟通 社会科学
作者
Sarah Nicholson,Marie Donaghy,Marie Johnston,Falko F. Sniehotta,Frederike van Wijck,Derek Johnston,Carolyn Greig,Marion E. T. McMurdo,Gillian Mead
出处
期刊:Disability and Rehabilitation [Informa]
卷期号:36 (22): 1857-1868 被引量:129
标识
DOI:10.3109/09638288.2013.874506
摘要

Purpose: After stroke, physical activity and physical fitness levels are low, impacting on health, activity and participation. It is unclear how best to support stroke survivors to increase physical activity. Little is known about the barriers and facilitators to physical activity after stroke. Thus, our aim was to explore stroke survivors’ perceived barriers and facilitators to physical activity. Methods: Semi-structured interviews with 13 ambulatory stroke survivors exploring perceived barriers and facilitators to physical activity post stroke were conducted in participants’ homes, audio-recorded and transcribed verbatim. The Theoretical Domains Framework (TDF) informed content analysis of the interview transcripts. Results: Data saturation was reached after interviews with 13 participants (median age of 76 years (inter-quartile range (IQR) = 69–83 years). The median time since stroke was 345 d (IQR = 316–366 d). The most commonly reported TDF domains were “beliefs about capabilities”, “environmental context and resources” and “social influence”. The most commonly reported perceived motivators were: social interaction, beliefs of benefits of exercise, high self-efficacy and the necessity of routine behaviours. The most commonly reported perceived barriers were: lack of professional support on discharge from hospital and follow-up, transport issues to structured classes/interventions, lack of control and negative affect. Conclusions: Stroke survivors perceive several different barriers and facilitators to physical activity. Stroke services need to address barriers to physical activity and to build on facilitators to promote physical activity after stroke. Implications for RehabilitationPhysical activity post stroke can improve physical fitness and function, yet physical activity remains low among stroke survivors.Understanding stroke survivors’ perceived barriers and facilitators to physical activity is essential to develop targeted interventions to increase physical activity.Beliefs about capabilities, environmental context and resources and social influences were the mostly commonly report influences on stroke survivors’ perceived barriers and facilitators to physical activity.
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