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A qualitative theory guided analysis of stroke survivors’ perceived barriers and facilitators to physical activity
Open accessAbstract
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 b…
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“In addition to understanding health professional behaviour, the TDF was extended to be relevant to other areas in which changing behaviour is important such as changing patient behaviours.”
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Metadata
- Authors
- Nicholson, S. L., Donaghy, M., Johnston, M., Sniehotta, F. F., van Wijck, F., Johnston, D., Greig, C., McMurdo, M. E. T., & Mead, G.
- Affiliations
- University of Edinburgh (GB)
- Queen Margaret University (GB)
- University of Aberdeen (GB)
- Newcastle University (GB)
- Glasgow Caledonian University (GB)
- University of Birmingham (GB)
- University of Dundee (GB)
- Corresponding author
- Nicholson, Sarah L.
- ORCID
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2013-12-31
- Volume
- 36
- Issue
- 22
- Pages
- 1857-1868
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2070427565
- Cited by
- 156
- References
- 35
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 19 · 2023: 13 · 2022: 27 · 2021: 19 · 2020: 7 · 2019: 13 · 2018: 10 · 2017: 8 · 2016: 11 · 2015: 6 · 2014: 1 · 2013: 1
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Queen Margaret University Publications Repository (Queen Margaret University) (acceptedVersion)
- ResearchOnline (Glasgow Caledonian University) (acceptedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Queen Margaret University Publications Repository (Queen Margaret University) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- Cancer Research UK
- British Heart Foundation
- Medical Research Council (MR/K02325X/1, MR/K026992/1)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- stroke survivors, physical activity, barriers to physical activity, Theoretical Domains Framework, self-efficacy, social influence, environmental context and resources, post-discharge care, stroke rehabilitation, exercise motivation
- MeSH terms
- Stroke Rehabilitation, Activities of Daily Living, Affect, Aged, Aged, 80 and over, Attitude to Health, Continuity of Patient Care, Female, Humans, Interpersonal Relations, Interviews as Topic, Male, Motivation, Motor Activity, Transportation, Self Efficacy, Stroke
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