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Stroke survivorsí perceptions of the factors that influence engagement in activity outside dedicated therapy sessions in a rehabilitation unit: A qualitative study

Citation

Janssen, H and Bird, ML and Luker, J and McCluskey, A and Blennerhassett, J and Ada, L and Bernhardt, J and Spratt, NJ, Stroke survivors' perceptions of the factors that influence engagement in activity outside dedicated therapy sessions in a rehabilitation unit: A qualitative study, Clinical Rehabilitation, 36, (6) pp. 822-830. ISSN 0269-2155 (2022) [Refereed Article]


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DOI: doi:10.1177/02692155221087424

Abstract

Objective

To investigate stroke survivorsí perceptions of factors influencing their engagement in activity outside of dedicated therapy sessions during inpatient rehabilitation.

Design

Qualitative study.

Setting

Four metropolitan rehabilitation units in Australia.

Participants

People undertaking inpatient rehabilitation after stroke.

Methods

Semi-structured interviews conducted in person by a speech pathologist A stepped iterative process of inductive analysis was employed until data saturation was achieved with themes then applied against the three domains of the Theory of Planned Behaviour (perceived behavioural control, social norms and attitude).

Results

Interviews of 33 stroke survivors (60% female, median age of 73 years) revealed five themes (i) uncertainty about how to navigate and what was available for use in the rehabilitation unit restricts activity and (ii) post-stroke mobility, fatigue and pre- and post-stroke communication impairments restrict activity (perceived behavioural control); (iii) unit set up, rules (perceived and actual) and staff expectations influence activity and (iv) visiting family and friends are strong facilitators of activity (social norms), and (v) personal preferences and mood influence level of activity (attitude).

Conclusion

At the individual level, stroke survivors perceived that their ability to be active outside of dedicated therapy sessions was influenced by their impairments, including mood, and their attitude towards and preference for activity. At the ward level, stroke survivors perceived that their ability to be active was influenced by ward set-up, rules and staff expectations. Visitors were perceived to be important facilitators of activity outside of therapy sessions.

Item Details

Item Type:Refereed Article
Keywords:Stroke, qualitative, rehabilitation, barriers, activity, exercise, physiotherapy, environment
Research Division:Biomedical and Clinical Sciences
Research Group:Neurosciences
Research Field:Neurology and neuromuscular diseases
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Preventive medicine
UTAS Author:Bird, ML (Dr Marie-Louise Bird)
ID Code:151114
Year Published:2022
Deposited By:Health Sciences
Deposited On:2022-07-19
Last Modified:2022-07-26
Downloads:0

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