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"Just that four letter word, hope": stroke survivors' perspectives of participation in an intensive upper limb exercise program; a qualitative exploration.
- Source :
- Physiotherapy Theory & Practice; Nov2022, Vol. 38 Issue 11, p1624-1638, 15p, 4 Charts
- Publication Year :
- 2022
-
Abstract
- Less than half of stroke survivors will be able to use their arm at 6 months post-stroke. Guidelines recommend the use of intensive upper limb exercise programs to optimize recovery; however, there has been limited research exploring experiences of participation in intensive programs. To identify factors influencing adherence to an intensive upper limb exercise program in people with stroke. Qualitative design. Semi-structured interviews were conducted with 20 stroke survivors who had participated in an intensive upper limb program. Perspectives of participation, including perceived barriers and enablers to program adherence were explored. Interviews were audio-recorded, transcribed, and imported into NVivo for analysis. Two authors mapped themes to the Capability, Opportunity, Motivation-Behavior (COM-B) behavior change model to identify barriers and enablers to adherence. Enablers influencing adherence included: 1) routine practice times (Motivation – automatic); 2) accountability to staff (Motivation – reflective); and 3) social support (Opportunity – social). Barriers to adherence included: 1) exercises being too difficult (Capability - physical); 2) reliance on others to help (Capability - physical); and 3) difficulty 'fitting it in' (Motivation – reflective). Findings will inform recommendations for the delivery of intensive upper limb exercise programs to improve adherence and assist services to provide rehabilitation in a manner that enables self-directed practice by stroke survivors. [ABSTRACT FROM AUTHOR]
- Subjects :
- STROKE treatment
HOME environment
PATIENT participation
SOCIAL support
PAIN
HEALTH services accessibility
CONVALESCENCE
RESEARCH methodology
MOTIVATION (Psychology)
INTERVIEWING
PSYCHOLOGY
HELP-seeking behavior
ARM
PATIENTS' attitudes
QUALITATIVE research
RESPONSIBILITY
CONCEPTUAL structures
REINFORCEMENT (Psychology)
PSYCHOSOCIAL factors
STROKE patients
CONCEPTUAL models
PROFESSIONAL identity
RESEARCH funding
PATIENT compliance
DATA analysis software
THEMATIC analysis
FATIGUE (Physiology)
EMOTIONS
EXERCISE therapy
LONGITUDINAL method
TRUST
OPTIMISM
GOAL (Psychology)
Subjects
Details
- Language :
- English
- ISSN :
- 09593985
- Volume :
- 38
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Physiotherapy Theory & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 159687148
- Full Text :
- https://doi.org/10.1080/09593985.2021.1875525