Between commitment and avoidance - working age stroke survivors' perceptions of physical activity and sedentary...

Area of Science:

• Rehabilitation Medicine
• Public Health
• Behavioral Science

Background:

• Working-age stroke survivors need self-management skills for physical activity to prevent recurrent stroke.
• Limited understanding exists regarding post-stroke physical activity and sedentary behavior concerns in this demographic.
• Qualitative research is needed to explore these experiences.

Purpose of the Study:

• To explore and describe the perceptions of physical activity and sedentary behavior.
• Focus on stroke survivors under 65 years old with disabilities.

Main Methods:

• Qualitative design utilizing individual semi-structured interviews.
• Ten participants aged 36-61 interviewed 0.5-25 years post-stroke.
• Data analyzed using inductive and interpretive qualitative content analysis.

Main Results:

• A contradictory relationship with physical activity and sedentary behavior was identified.
• Overarching theme: 'Physical activity and sedentary behavior - between commitment and avoidance'.
• Key themes: 'Physical activity - medicine for body and mind', 'Physical activity reminds of limitations', and 'Sedentary behavior - risk, rest, and alternative'.

Conclusions:

• Stroke survivors perceive physical activity as crucial for health but also as a reminder of limitations.
• These mixed perceptions can paradoxically lead to sedentary behavior.
• Interventions, health promotion, and education by skilled professionals are essential to support active lifestyles post-stroke.