TY - JOUR
T1 - Similarities and differences in factors associated with high and low sedentary behavior after stroke
T2 - a mixed methods study
AU - Kringle, Emily A.
AU - Kersey, Jessica
AU - Lewis, Megan A.
AU - Gibbs, Bethany Barone
AU - Skidmore, Elizabeth R.
N1 - Publisher Copyright:
© 2024 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2025
Y1 - 2025
N2 - 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.
AB - 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.
KW - Free-living physical activity
KW - environment
KW - sedentary behavior
KW - social support
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=85190587952&partnerID=8YFLogxK
U2 - 10.1080/09638288.2024.2341867
DO - 10.1080/09638288.2024.2341867
M3 - Article
C2 - 38632899
AN - SCOPUS:85190587952
SN - 0963-8288
VL - 47
SP - 469
EP - 477
JO - Disability and rehabilitation
JF - Disability and rehabilitation
IS - 2
ER -