Factors influencing adherence to home-based exercises among community-dwelling stroke survivors in India: a qualitative study

被引：25

作者：

Mahmood, Amreen ^{[1
]}

Nayak, Pradeepa ^{[1
]}

Kok, Gerjo ^{[2
]}

English, Coralie ^{[3
]}

Manikandan, Natarajan ^{[1
,4
]}

Solomon, John M. ^{[1
,4
]}

机构：

[1] Manipal Acad Higher Educ, Sch Allied Hlth Sci, Dept Physiotherapy, Manipal, India

[2] Maastricht Univ, Dept Appl Psychol, Maastricht, Netherlands

[3] Univ Newcastle, Ctr Stroke & Brain Injury, Sch Hlth Sci & Prior Res, Newcastle, NSW, Australia

[4] Manipal Acad Higher Educ, Ctr Comprehens Stroke Rehabil & Res, Manipal, India

来源：

EUROPEAN JOURNAL OF PHYSIOTHERAPY | 2021年 / 23卷 / 01期

关键词：

Cerebrovascular accident; qualitative research; therapeutic compliance; exercises; health behaviour; rehabilitation; HEALTH-CARE PROFESSIONALS; MIDDLE-INCOME COUNTRIES; REHABILITATION; INTERVENTION; THERAPIES; PROGRAMS; BARRIERS; PEOPLE; TRIAL; RISK;

D O I：

10.1080/21679169.2019.1635641

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Purpose: To explore the factors influencing adherence to home-based exercises among community-dwelling stroke survivors using Intervention Mapping (IM) approach. Material and methods: Qualitative interviews were conducted with ten stroke survivors living in semi-urban regions of India. The data were analysed using Atlas.Ti8 software and categorised using the Social Ecological Model. Results: The mean age of the stroke participants was 61 +/- 11 years. Key factors such as lack of awareness about stroke recovery and exercises, poor perceived recovery, hopelessness and lack of emphasis on exercises by healthcare professionals led to non-adherence while commitment, continued supervision, supportive family and society facilitated adherence. Some cultural specific factors such as opting for folk medicine over rehabilitation and social stigma were also identified. Conclusions: The factors which influenced adherence to home-based exercises in stroke are existent at the individual, interpersonal, organisational and community level. This study can lead to the development of effective interventions for promoting exercise adherence among stroke survivors in low and middle income countries (LMICs).

引用

页码：48 / 54

页数：7

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