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

Autor: Kringle EA; School of Kinesiology, University of MN, Minneapolis, MN, USA., Kersey J; Program in Occupational Therapy, School of Medicine, WA University, St. Louis, MO, USA., Lewis MA; RTI International, Research Triangle Park, NC, USA., Gibbs BB; Department of Epidemiology and Biostatistics, West VA University, Morgantown, WV, USA., Skidmore ER; Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
Jazyk: angličtina
Zdroj: Disability and rehabilitation [Disabil Rehabil] 2024 Apr 17, pp. 1-9. Date of Electronic Publication: 2024 Apr 17.
DOI: 10.1080/09638288.2024.2341867
Abstrakt: Purpose: To identify similarities and differences in factors affecting activity engagement between adults with stroke who are more and less sedentary.
Materials and Methods: Data were pooled from two studies of adults with stroke ( N  = 36). Sedentary time was measured activPAL micro3. Participants completed activPAL interviews, which were analyzed using framework analysis. Participants were stratified into more and less sedentary groups based on activPAL data. Between-group similarities and differences were identified.
Results: Adults with stroke (mean [SD] age = 65.8 [13.6] years, stroke chronicity = 40.5 [SD = 38.3] months, 36.1% female) were more sedentary (785.5 [64.7] sedentary minutes/day) and less sedentary (583.6 [87.4] sedentary minutes/day). Those who were more sedentary: engaged in basic activities of daily living, avoided activities, received assistance from other people, and did not use strategies to overcome barriers. Those who were less sedentary: engaged in instrumental and community activities, embraced new strategies, did activities with other people, and used strategies to overcome environmental barriers.
Conclusions: Factors affecting activity engagement differed between people who are more and less sedentary. Interventions that aim to reduce post-stroke sedentary behavior should consider the: (1) types of activities, (2) role of other people, and (2) application of strategies to overcome activity and environment-related barriers.
Databáze: MEDLINE