ArticleInternational journal of environmental research and public health2022
Returning to Leisure Activity Post-Stroke: Barriers and Facilitators to Engagement.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- The Effectiveness of Rehabilitation Interventions on Improving Leisure Participation Following Stroke: A Systematic Review.The American journal of occupational therapy : official publication of the American Occupational Therapy AssociationPooled it
- Robot-assisted gait training in people with subacute and chronic stroke: a randomized controlled trial.Frontiers in neurology · 2026Trial
- Article
- Barriers and facilitators experienced by people with neurological disabilities: A South African health systems perspective.Journal of public health in Africa · 2026Article
- Experience of clients, caregivers, and occupational therapists on post-stroke occupational performance in Iran: A qualitative content analysis.The British journal of occupational therapy · 2025Article
- Impact of early refined nursing program on prognosis of middle-aged and elderly patients with cognitive dysfunction combined with cerebral infarction.World journal of psychiatry · 2024Article
- Investigating cognitive impairment, biopsychosocial barriers, and predictors of return to daily life among older stroke survivors.Frontiers in neurology · 2024Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo identify barriers and facilitators to engagement when returning to, or participating in, leisure activity post-stroke or Transient Ischemic Attack (TIA).
designSequential explanatory, mixed methods study.
setting21 hospital sites across England, Wales and Northern Ireland.
participantsAdults with a clinical diagnosis of first/recurrent stroke or TIA. Patients approaching end of life were excluded. Participants were recruited as in-patients or at first clinic appointment and a baseline questionnaire was completed. A 6-month follow-up questionnaire was sent to participants for self-completion. Open-text questions were asked about barriers and facilitators when returning to, or participating in, leisure activity. Responses were thematically analysed and explored by participant characteristics, including type of leisure activity undertaken. Characteristics also included measures of socioeconomic deprivation, mood, fatigue and disability.
results2000 participants returned a 6-month follow-up questionnaire (78% stroke, 22% TIA); 1045 participants responded to a question on barriers and 820 on facilitators. Twelve themes were identified and the proportion of responses were reported (%). Barriers: physical difficulties (69%), lower energy levels (17%), loss of independence (11%), psychological difficulties (10%), hidden disabilities (7%), and delay or lack of healthcare provision (3%). Facilitators: family support (35%), healthcare support (27%), well-being and fitness (22%), friendship support (20%), self-management (19%), and returning to normality (9%). 'Physical difficulties' was the most reported barrier across all participant characteristics and activity types. Family support was the most reported facilitator except for those with greater disability, where it was healthcare support and those without fatigue where it was well-being and exercise.
conclusionsPhysical difficulties and lack of energy are problematic for stroke and TIA survivors who want to return to or participate in leisure activity. Healthcare support alone cannot overcome all practical and emotional issues related to leisure activity engagement. Family support and improving well-being are important facilitators and future research should explore these mechanisms further.
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Registered trials
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