PMID- 24377329
OWN - NLM
STAT- MEDLINE
DCOM- 20150701
LR  - 20220129
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 36
IP  - 22
DP  - 2014
TI  - A qualitative theory guided analysis of stroke survivors' perceived barriers and 
      facilitators to physical activity.
PG  - 1857-68
LID - 10.3109/09638288.2013.874506 [doi]
AB  - 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 REHABILITATION: Physical 
      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.
FAU - Nicholson, Sarah L
AU  - Nicholson SL
AD  - School of Clinical Sciences and Community Health, The University of Edinburgh , 
      Edinburgh , UK .
FAU - Donaghy, Marie
AU  - Donaghy M
FAU - Johnston, Marie
AU  - Johnston M
FAU - Sniehotta, Falko F
AU  - Sniehotta FF
FAU - van Wijck, Frederike
AU  - van Wijck F
FAU - Johnston, Derek
AU  - Johnston D
FAU - Greig, Carolyn
AU  - Greig C
FAU - McMurdo, Marion E T
AU  - McMurdo ME
FAU - Mead, Gillian
AU  - Mead G
LA  - eng
GR  - MR/K02325X/1/MRC_/Medical Research Council/United Kingdom
GR  - MR/K026992/1/MRC_/Medical Research Council/United Kingdom
GR  - BHF_/British Heart Foundation/United Kingdom
GR  - CRUK_/Cancer Research UK/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20131231
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Activities of Daily Living
MH  - Affect
MH  - Aged
MH  - Aged, 80 and over
MH  - Attitude to Health
MH  - Continuity of Patient Care
MH  - Female
MH  - Humans
MH  - Interpersonal Relations
MH  - Interviews as Topic
MH  - Male
MH  - *Motivation
MH  - *Motor Activity
MH  - Self Efficacy
MH  - Stroke/*psychology
MH  - *Stroke Rehabilitation
MH  - Transportation
OTO - NOTNLM
OT  - Barriers
OT  - facilitators
OT  - physical activity
OT  - stroke
EDAT- 2014/01/01 06:00
MHDA- 2015/07/02 06:00
CRDT- 2014/01/01 06:00
PHST- 2014/01/01 06:00 [entrez]
PHST- 2014/01/01 06:00 [pubmed]
PHST- 2015/07/02 06:00 [medline]
AID - 10.3109/09638288.2013.874506 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2014;36(22):1857-68. doi: 10.3109/09638288.2013.874506. Epub 
      2013 Dec 31.