ArticleBMC neurology2016
What's keeping people after stroke from walking outdoors to become physically active? A qualitative study, using an integrated biomedical and behavioral theory of functioning and disability.
Article in BMC neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 45 citations in OpenAlex.
- Beyond Physical Capacity: Factors Associated With Real-world Walking Activity After Stroke.Archives of physical medicine and rehabilitation · 2021Trial
- Identifying mediators of healthy lifestyle adoption after stroke: a focus group study using a Theoretical Domains Framework guided analysis.BMC neurology · 2025Article
- Factors related to high-risk movement behaviour in people with stroke who are highly sedentary and inactive.Disability and rehabilitation · 2024Article
- Article
- Factors affecting community ambulation post-stroke: a mapping review protocol.F1000Research · 2024Article
- Self-reported factors associated with community ambulation after stroke: The Canadian Longitudinal Study on Aging.PloS one · 2024Article
- Physical activity and influencing factors in people post stroke or transient ischemic attack across diverse regions in Sweden.Frontiers in neurology · 2024Article
- Co-design of a walking activity intervention for stroke survivors.Frontiers in rehabilitation sciences · 2024Article
- Sympathetic nervous system responses during complex walking tasks and community ambulation post-stroke.Scientific reports · 2023Article
- Co-Design of an Educational Resource with Female Partners of Male Stroke Survivors to Support Physical Activity Participation.International journal of environmental research and public health · 2022Article
- Post-Stroke Experiences and Rehabilitation Needs of Community-Dwelling Chinese Stroke Survivors: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Relationships Among Environmental Variables, Physical Capacity, Balance Self-Efficacy, and Real-World Walking Activity Post-Stroke.Neurorehabilitation and neural repair · 2022Article
- "Well in in this neighborhood I have walked, not at all": Stroke survivors lived experience in the outdoor environment.Social science & medicine (1982) · 2022Article
- Article
- The Effects of a Movement-to-Music (M2M) Intervention on Physical and Psychosocial Outcomes in People Poststroke: A Randomized Controlled Trial.Archives of rehabilitation research and clinical translation · 2021Article
- Social and physical environmental factors in daily stepping activity in those with chronic stroke.Topics in stroke rehabilitation · 2021Article
- Multi-Level Factors Associated with Social Participation among Stroke Survivors: China's Health and Retirement Longitudinal Study (2011-2015).International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn general people after stroke do not meet the recommendations for physical activity to conduct a healthy lifestyle. Programs to stimulate walking activity to increase physical activity are based on the available insights into barriers and facilitators to physical activity after stroke. However, these programs are not entirely successful. The purpose of this study was to comprehensively explore perceived barriers and facilitators to outdoor walking using a model of integrated biomedical and behavioral theory, the Physical Activity for people with a Disability model (PAD).
methodsIncluded were community dwelling respondents after stroke, classified ≥ 3 at the Functional Ambulation Categories (FAC), purposively sampled regarding the use of healthcare. The data was collected triangulating in a multi-methods approach, i.e. semi-structured, structured and focus-group interviews. A primarily deductive thematic content analysis using the PAD-model in a framework-analysis' approach was conducted after verbatim transcription.
results36 respondents (FAC 3-5) participated in 16 semi-structured interviews, eight structured interviews and two focus-group interviews. The data from the interviews covered all domains of the PAD model. Intention, ability and opportunity determined outdoor walking activity. Personal factors determined the intention to walk outdoors, e.g. negative social influence, resulting from restrictive caregivers in the social environment, low self-efficacy influenced by physical environment, and also negative attitude towards physical activity. Walking ability was influenced by loss of balance and reduced walking distance and by impairments of motor control, cognition and aerobic capacity as well as fatigue. Opportunities arising from household responsibilities and lively social constructs facilitated outdoor walking.
conclusionTo stimulate outdoor walking activity, it seems important to influence the intention by addressing social influence, self-efficacy and attitude towards physical activity in the development of efficient interventions. At the same time, improvement of walking ability and creation of opportunity should be considered.
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