Similarities and differences in factors associated with high and low sedentary behavior after stroke: a mixed methods...

Area of Science:

• Rehabilitation science
• Gerontology
• Neurology

Background:

• Stroke survivors often experience reduced physical activity and increased sedentary behavior.
• Understanding factors influencing activity engagement is vital for effective rehabilitation and improving quality of life.
• Sedentary behavior post-stroke can exacerbate functional decline and limit community participation.

Purpose of the Study:

• To compare factors influencing activity engagement in adults with stroke who are more sedentary versus less sedentary.
• To identify specific differences and similarities in barriers and facilitators to activity participation.
• To inform the development of targeted interventions for reducing sedentary behavior after stroke.

Main Methods:

• Two studies involving 36 adults with stroke were combined.
• Sedentary time was objectively measured using activPAL micro3 devices.
• Participants were categorized into more and less sedentary groups based on daily sedentary minutes, followed by qualitative interview analysis.

Main Results:

• More sedentary participants (785.5 min/day) focused on basic activities of daily living and avoided challenges.
• Less sedentary participants (583.6 min/day) engaged in instrumental and community activities, actively using strategies.
• Differences were noted in activity types, reliance on assistance, and strategy use for overcoming barriers.

Conclusions:

• Activity engagement factors significantly differ between more and less sedentary stroke survivors.
• Interventions to reduce post-stroke sedentary behavior should address activity types, social support, and strategy implementation.
• Addressing barriers related to activities and environment is key for promoting engagement in less sedentary behaviors.