Physical activity participation in community dwelling stroke survivors: synergy and dissonance between motivation and capability. A qualitative study

Jacqui H. Morris (Lead / Corresponding author), Tracey Oliver, Thilo Kroll, Sara Joice, Brian Williams

Research output: Contribution to journalArticle

10 Citations (Scopus)
202 Downloads (Pure)

Abstract

Objectives: The evidence supporting benefits of physical activity (PA) on fitness, functioning, health and secondary prevention after stroke is compelling. However, many stroke survivors remain insufficiently active. This study explored survivors' perspectives and experiences of PA participation to develop an explanatory framework that physiotherapists and other health professionals can use to develop person-specific strategies for PA promotion.

Design: Qualitative study using semi-structured in-depth interviews. Data was audio-recorded and transcribed. Analysis followed the Framework Approach.

Setting: Community setting, interviews conducted within participants' homes.

Participants: Community dwelling stroke survivors (n=38) six months or more after the end of their rehabilitation, purposively selected by disability, PA participation and socio-demographic status.

Results: Findings suggest that survivors' beliefs, attitudes, and physical and social context generated synergy or dissonance between motivation (desire to be active) and capability (resources to be active) for PA participation. Dissonance occurred when motivated survivors had limited capability for activity, often leading to frustration. Confidence to achieve goals and determination to overcome barriers, acted as activity catalysts when other influences were synergistic. We illustrate these relationships in a dynamic explanatory model that can be used to support both novel interventions and personal activity plans.

Conclusions: This study suggests a shift is required from purely pragmatic approaches to PA promotion towards conceptual solutions. Understanding how synergy or dissonance between motivation and capability influence individual survivors' behaviour will support physiotherapists and other health professionals in promoting PA. This study provides a model for developing person-centred, tailored interventions that address barriers encountered by stroke survivors.

Original languageEnglish
Pages (from-to)311-321
Number of pages11
JournalPhysiotherapy
Volume103
Issue number3
Early online date11 May 2016
DOIs
Publication statusPublished - Sep 2017

Fingerprint

Independent Living
Survivors
Motivation
Stroke
Exercise
Physical Therapists
Health
Interviews
Frustration
Secondary Prevention
Rehabilitation
Demography

Keywords

  • Stroke
  • Physical activity
  • Exercise
  • Qualitative evaluation

Cite this

@article{e9fe1a0bc9614a539bd17aac293b9b56,
title = "Physical activity participation in community dwelling stroke survivors: synergy and dissonance between motivation and capability. A qualitative study",
abstract = "Objectives: The evidence supporting benefits of physical activity (PA) on fitness, functioning, health and secondary prevention after stroke is compelling. However, many stroke survivors remain insufficiently active. This study explored survivors' perspectives and experiences of PA participation to develop an explanatory framework that physiotherapists and other health professionals can use to develop person-specific strategies for PA promotion.Design: Qualitative study using semi-structured in-depth interviews. Data was audio-recorded and transcribed. Analysis followed the Framework Approach.Setting: Community setting, interviews conducted within participants' homes.Participants: Community dwelling stroke survivors (n=38) six months or more after the end of their rehabilitation, purposively selected by disability, PA participation and socio-demographic status.Results: Findings suggest that survivors' beliefs, attitudes, and physical and social context generated synergy or dissonance between motivation (desire to be active) and capability (resources to be active) for PA participation. Dissonance occurred when motivated survivors had limited capability for activity, often leading to frustration. Confidence to achieve goals and determination to overcome barriers, acted as activity catalysts when other influences were synergistic. We illustrate these relationships in a dynamic explanatory model that can be used to support both novel interventions and personal activity plans.Conclusions: This study suggests a shift is required from purely pragmatic approaches to PA promotion towards conceptual solutions. Understanding how synergy or dissonance between motivation and capability influence individual survivors' behaviour will support physiotherapists and other health professionals in promoting PA. This study provides a model for developing person-centred, tailored interventions that address barriers encountered by stroke survivors.",
keywords = "Stroke, Physical activity, Exercise, Qualitative evaluation",
author = "Morris, {Jacqui H.} and Tracey Oliver and Thilo Kroll and Sara Joice and Brian Williams",
note = "This study was funded by Chief Scientist Office, Scottish Government grant number CZH/4/554.",
year = "2017",
month = "9",
doi = "10.1016/j.physio.2016.05.001",
language = "English",
volume = "103",
pages = "311--321",
journal = "Physiotherapy",
issn = "0031-9406",
publisher = "Elsevier",
number = "3",

}

TY - JOUR

T1 - Physical activity participation in community dwelling stroke survivors

T2 - synergy and dissonance between motivation and capability. A qualitative study

AU - Morris, Jacqui H.

AU - Oliver, Tracey

AU - Kroll, Thilo

AU - Joice, Sara

AU - Williams, Brian

N1 - This study was funded by Chief Scientist Office, Scottish Government grant number CZH/4/554.

PY - 2017/9

Y1 - 2017/9

N2 - Objectives: The evidence supporting benefits of physical activity (PA) on fitness, functioning, health and secondary prevention after stroke is compelling. However, many stroke survivors remain insufficiently active. This study explored survivors' perspectives and experiences of PA participation to develop an explanatory framework that physiotherapists and other health professionals can use to develop person-specific strategies for PA promotion.Design: Qualitative study using semi-structured in-depth interviews. Data was audio-recorded and transcribed. Analysis followed the Framework Approach.Setting: Community setting, interviews conducted within participants' homes.Participants: Community dwelling stroke survivors (n=38) six months or more after the end of their rehabilitation, purposively selected by disability, PA participation and socio-demographic status.Results: Findings suggest that survivors' beliefs, attitudes, and physical and social context generated synergy or dissonance between motivation (desire to be active) and capability (resources to be active) for PA participation. Dissonance occurred when motivated survivors had limited capability for activity, often leading to frustration. Confidence to achieve goals and determination to overcome barriers, acted as activity catalysts when other influences were synergistic. We illustrate these relationships in a dynamic explanatory model that can be used to support both novel interventions and personal activity plans.Conclusions: This study suggests a shift is required from purely pragmatic approaches to PA promotion towards conceptual solutions. Understanding how synergy or dissonance between motivation and capability influence individual survivors' behaviour will support physiotherapists and other health professionals in promoting PA. This study provides a model for developing person-centred, tailored interventions that address barriers encountered by stroke survivors.

AB - Objectives: The evidence supporting benefits of physical activity (PA) on fitness, functioning, health and secondary prevention after stroke is compelling. However, many stroke survivors remain insufficiently active. This study explored survivors' perspectives and experiences of PA participation to develop an explanatory framework that physiotherapists and other health professionals can use to develop person-specific strategies for PA promotion.Design: Qualitative study using semi-structured in-depth interviews. Data was audio-recorded and transcribed. Analysis followed the Framework Approach.Setting: Community setting, interviews conducted within participants' homes.Participants: Community dwelling stroke survivors (n=38) six months or more after the end of their rehabilitation, purposively selected by disability, PA participation and socio-demographic status.Results: Findings suggest that survivors' beliefs, attitudes, and physical and social context generated synergy or dissonance between motivation (desire to be active) and capability (resources to be active) for PA participation. Dissonance occurred when motivated survivors had limited capability for activity, often leading to frustration. Confidence to achieve goals and determination to overcome barriers, acted as activity catalysts when other influences were synergistic. We illustrate these relationships in a dynamic explanatory model that can be used to support both novel interventions and personal activity plans.Conclusions: This study suggests a shift is required from purely pragmatic approaches to PA promotion towards conceptual solutions. Understanding how synergy or dissonance between motivation and capability influence individual survivors' behaviour will support physiotherapists and other health professionals in promoting PA. This study provides a model for developing person-centred, tailored interventions that address barriers encountered by stroke survivors.

KW - Stroke

KW - Physical activity

KW - Exercise

KW - Qualitative evaluation

U2 - 10.1016/j.physio.2016.05.001

DO - 10.1016/j.physio.2016.05.001

M3 - Article

C2 - 27613082

VL - 103

SP - 311

EP - 321

JO - Physiotherapy

JF - Physiotherapy

SN - 0031-9406

IS - 3

ER -