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Classifying physical activity research following stroke using the behavioral epidemiologic framework.

Samantha Cleveland, Simon Driver, Chad Swank

    Topics in Stroke Rehabilitation
    |August 11, 2015
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    Physical activity research for stroke survivors is in early development. Most studies focus on basic associations, with little research on interventions or dissemination, highlighting a need for advancement.

    Keywords:
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    Area of Science:

    • Public Health
    • Behavioral Epidemiology
    • Rehabilitation Science

    Background:

    • Stroke represents a significant public health concern in the USA, necessitating strategies to mitigate co-morbidity risks.
    • Increased physical activity is recognized for its potential to reduce morbidity and mortality risks in individuals.
    • The behavioral epidemiological framework offers a method to assess if research addresses public health needs.

    Purpose of the Study:

    • To categorize physical activity research for stroke survivors into distinct developmental phases.
    • To identify research gaps and facilitate the dissemination of evidence-based practices in stroke rehabilitation.

    Main Methods:

    • A systematic literature search was conducted using keywords across EBSCO host, PubMed, and Google Scholar.
    • Physical activity and stroke literature published between 2000 and 2014 was classified into five phases.
    • Phases included: Phase 1 (associations), Phase 2 (measurement), Phase 3 (determinants), Phase 4 (interventions), and Phase 5 (dissemination).

    Main Results:

    • A total of 202 articles were reviewed and categorized.
    • Phase 1 research constituted the majority (70%), focusing on activity-health associations.
    • Limited research was found in later phases: Phase 2 (11%), Phase 3 (10%), Phase 4 (8%), and Phase 5 (1%).

    Conclusions:

    • Physical activity research for stroke survivors is in its nascent stages.
    • Less than 10% of the reviewed literature focused on evaluating or disseminating interventions.
    • There is a critical need to advance research towards intervention and evidence-based practice dissemination for stroke recovery.