Barriers and facilitators to physical activity participation among community-dwelling physically inactive individuals after stroke: a qualitative exploratory study.

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2024-03-01 Epub Date: 2024-01-06 DOI:10.1097/MRR.0000000000000610
Evrim Karadag-Saygi, Esra Giray, Nurullah Eren, Gunay Yolcu, Ozge Kenis Coskun, Serap Cifcili
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Abstract

Physical activity has been shown to reduce the risk for first-ever stroke as well as recurrent stroke with positive effects on almost all known modifiable risk factors. However, the perceived barriers and facilitators for engaging in physical activity have been insufficiently studied and may differ between cultures. Therefore, the aim of this study was to explore the perceptions of community-dwelling physically inactive individuals with stroke about barriers and facilitators to their participation in physical activity. This qualitative study included two focus groups of ten individuals with stroke classified as physically inactive based on accelerometer recordings. A semi-structured set of questions was posed in each focus group session and the transcripts were analysed using thematic analysis. The results revealed three main themes and subthemes: individual factors (physical impairments, psychological factors, spirituality), interaction with the family (attitudes of family members/close community) and social and environmental factors (hobbies, lack of or presence of facilities, the use of orthosis). We conclude that physical activity participation is affected by a multitude of factors as well as cultural differences. Thus, interventions aimed at increasing participation in physical activity after stroke should not only be planned according to individual clinical characteristics but also take into account a range of personal-to-social factors, including cultural differences.

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中风后在社区居住的非体育活动人士参与体育活动的障碍和促进因素:一项定性探索性研究。
事实证明,体育锻炼可降低首次中风和复发中风的风险,对几乎所有已知的可改变风险因素都有积极影响。然而,对参与体育锻炼的障碍和促进因素的认识研究不足,而且不同文化之间可能存在差异。因此,本研究旨在探讨居住在社区的非体力活动中风患者对参与体育锻炼的障碍和促进因素的看法。这项定性研究包括两个焦点小组,由 10 名根据加速度计记录被归类为身体不活跃的中风患者组成。每个焦点小组会议都提出了一系列半结构化问题,并使用主题分析法对记录誊本进行了分析。结果发现了三个主要主题和次主题:个人因素(身体缺陷、心理因素、精神因素)、与家庭的互动(家庭成员/近邻社区的态度)以及社会和环境因素(爱好、设施缺乏或存在、矫形器的使用)。我们的结论是,体育活动的参与受到多种因素和文化差异的影响。因此,旨在提高脑卒中后体育活动参与率的干预措施不仅要根据个体临床特征进行规划,还要考虑一系列个人与社会因素,包括文化差异。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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