The process of commitment to exercise among stroke survivors in Canada

Area of Science:

• Rehabilitation Medicine
• Neuroscience
• Health Psychology

Background:

• Stroke survivors often face challenges in maintaining long-term exercise participation for functional recovery post-rehabilitation.
• Understanding the process of commitment to exercise is crucial for developing effective interventions.
• Community-living stroke survivors require tailored strategies to sustain physical activity.

Purpose of the Study:

• To explore and understand the process of commitment to exercise participation for functional recovery in community-living stroke survivors.
• To identify the key phases and influencing factors in developing long-term exercise adherence.
• To generate a theoretical framework explaining exercise commitment post-stroke.

Main Methods:

• Constructivist grounded theory methodology was employed.
• In-depth individual interviews and theoretical sampling were utilized.
• Constant comparison analysis facilitated theory development.

Main Results:

• The process of commitment to exercise involved four distinct phases: initiation, planned exercise with positive attitude and goal identification, navigation of exercise opportunities, and commitment as a way of life.
• Initiation was often prompted by healthcare provider advocacy for foundational exercise knowledge.
• Long-term commitment was supported by social connections and reinforced by achievements in self-care, mobility, and function.

Conclusions:

• Early healthcare provider interaction is vital for initiating exercise participation and fostering long-term engagement among stroke survivors.
• A desire to return to pre-stroke life and navigating various exercise options are crucial motivators.
• Commitment to exercise becomes a lifestyle, significantly contributing to functional recovery and improved quality of life.