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

Nicholson, Sarah L. and Donaghy, Marie and Johnston, Marie and Sniehotta, Falko F. and van Wijck, Frederike and Johnston, Derek and Greig, Carolyn and McMurdo, Marion E. T. and Mead, Gillian (2014) A qualitative theory guided analysis of stroke survivors’ perceived barriers and facilitators to physical activity. Disability and Rehabilitation, 36 (22). pp. 1857-1868. ISSN 0963-8288

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Official URL: http://dx.doi.org/10.3109/09638288.2013.874506

Abstract

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.

Item Type: Article
Date Deposited: 24 Nov 2014 09:26
Last Modified: 02 Feb 2017 15:42
URI: http://eresearch.qmu.ac.uk/id/eprint/3606

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