Personal and social factors that influence physical activity levels in community-dwelling stroke survivors: A systematic review of qualitative literature. (July 2021)

• Record Type: Journal Article
• Authors: Espernberger, Karl R; Fini, Natalie A; Peiris, Casey L
• Is Part Of: Clinical rehabilitation. Volume 35:Number 7(2021)
• Page Start: 1044
• Page End: 1055
• Publication Date: 2021-07
• Subjects: Stroke -- physical activity -- exercise -- community participation -- social engagement; Medical rehabilitation -- Periodicals; 617.03
• DOI: 10.1177/0269215521993690
• Languages: English
• ISSNs: 0269-2155

Abstract

Objectives: To determine the personal and social factors perceived to influence physical activity levels in stroke survivors. Data sources: Four electronic databases (MEDLINE, CINAHL, PubMed and Embase) were searched from inception to November 2020, including reference and citation list searches. Study selection: The initial search yielded 1499 papers, with 14 included in the review. Included articles were peer-reviewed, qualitative studies, reporting on the perceived factors influencing physical activity levels of independently mobile community-dwelling adults, greater than 3 months post stroke. Data extraction: Data extracted included location, study aim, design, participant and recruitment information and how data were collected and analysed. Data synthesis: Thematic analysis was undertaken to identify meanings and patterns, generate codes and develop themes. Five main themes were identified: (i) Social networks are important influencers of physical activity; (ii) Participation in meaningful activities rather than 'exercise' is important; (iii) Self-efficacy promotes physical activity and physical activity enhances self-efficacy; (iv) Pre-stroke identity related to physical activity influences post-stroke physical activity; and (v) Formal programmes are important for those with low self-efficacy or a sedentary pre-stroke identity. Conclusions: Physical activity levels in stroke survivors are influenced by social activities and support, pre-stroke identity, self-efficacy levels and completion of activities that are meaningful to stroke survivors.