Lynch P1, Baer G1, Jagadamma K1
1Queen Margaret University, Edinburgh, United Kingdom
Background: There is considerable evidence supporting the benefits of physical activity on health, fitness, function and prevention of secondary stroke, yet, physical activity participation amongst people living with stroke is low. Research suggests chronic stroke survivors perceive multiple influences that facilitate or hinder being physically active.
Purpose: This study synthesised qualitative research based on stroke survivors' own views of physical activity participation to develop a new theoretical conceptual model.
Methods: Four electronic databases (CINAHL, MEDLINE, PSYCinfo and Scopus) were searched for relevant primary data qualitative studies that specifically explored stroke survivors' views, experiences or understanding of influences for being physically active post-stroke. An independent reviewer assessed methodological quality and extracted data. Findings were synthesised following a meta-ethnographic approach (Noblit and Hare 1988). Visual graphics illustrating thought processes in the data synthesis and generation of key influences were developed using MindManager software.
Results: Eleven studies met the criteria for this review. Six key influences relating to physical activity participation were generated: 1) Emotion; 2) Psychological influences; 3) Environmental and Social contextual influences; 4) Cognition and cognitive skills; 5) Service provision and 6) Physical capability. These influences were related and are illustrated in a person-centred influenced conceptual model of behaviour.
Conclusion(s): This synthesis enhances our understanding of influences for physical activity participation relevant to people living with stroke. The influences identified in this synthesis were related and were conceptualised to form new theory illustrated using a model.
Implications: This model may be useful for developing person-centred, tailored individualised physical activity interventions for stroke survivors.
Keywords: Stroke, Exercise; Physical Activity, Barrier; Access; Influence; Facilitator; Motivator
Funding acknowledgements: No funding was required in the development of this study.
Purpose: This study synthesised qualitative research based on stroke survivors' own views of physical activity participation to develop a new theoretical conceptual model.
Methods: Four electronic databases (CINAHL, MEDLINE, PSYCinfo and Scopus) were searched for relevant primary data qualitative studies that specifically explored stroke survivors' views, experiences or understanding of influences for being physically active post-stroke. An independent reviewer assessed methodological quality and extracted data. Findings were synthesised following a meta-ethnographic approach (Noblit and Hare 1988). Visual graphics illustrating thought processes in the data synthesis and generation of key influences were developed using MindManager software.
Results: Eleven studies met the criteria for this review. Six key influences relating to physical activity participation were generated: 1) Emotion; 2) Psychological influences; 3) Environmental and Social contextual influences; 4) Cognition and cognitive skills; 5) Service provision and 6) Physical capability. These influences were related and are illustrated in a person-centred influenced conceptual model of behaviour.
Conclusion(s): This synthesis enhances our understanding of influences for physical activity participation relevant to people living with stroke. The influences identified in this synthesis were related and were conceptualised to form new theory illustrated using a model.
Implications: This model may be useful for developing person-centred, tailored individualised physical activity interventions for stroke survivors.
Keywords: Stroke, Exercise; Physical Activity, Barrier; Access; Influence; Facilitator; Motivator
Funding acknowledgements: No funding was required in the development of this study.
Topic: Neurology: stroke; Disability & rehabilitation
Ethics approval required: No
Institution: Queen Margaret University
Ethics committee: Queen Margaret University
Reason not required: This study was a meta-synthesis which synthesised data from previous research in which informed consent has already been obtained by the investigators of the included research
All authors, affiliations and abstracts have been published as submitted.
