Physical activity participation in community dwelling stroke survivors: Synergy and dissonance between motivation and capability. A qualitative study

Simple item page
dc.citation.issue3
dc.citation.volume103
dc.contributor.authorMorris JH
dc.contributor.authorOliver T
dc.contributor.authorKroll T
dc.contributor.authorJoice SA
dc.contributor.authorWillaims B
dc.coverage.spatialEngland
dc.date.available2017-09
dc.date.available2016-05-05
dc.date.issued2016
dc.description.abstractObjectives The evidence supporting benefits of physical activity (PA) on fitness, functioning, health and secondary prevention after strokeis compelling. However, many stroke survivors remain insufficiently active. This study explored survivors’ perspectives and experiences ofPA participation to develop an explanatory framework that physiotherapists and other health professionals can use to develop person-specificstrategies for PA promotion.Design Qualitative study using semi-structured in-depth interviews. Data was audio-recorded and transcribed. Analysis followed theFramework Approach.Setting Community setting, interviews conducted within participants’ homes.Participants Community dwelling stroke survivors (n = 38) six months or more after the end of their rehabilitation, purposively selected bydisability, PA participation and socio-demographic status.Results Findings suggest that survivors’ beliefs, attitudes, and physical and social context generated synergy or dissonance between motivation(desire to be active) and capability (resources to be active) for PA participation. Dissonance occurred when motivated survivors had limitedcapability for activity, often leading to frustration. Confidence to achieve goals and determination to overcome barriers, acted as activitycatalysts when other influences were synergistic. We illustrate these relationships in a dynamic explanatory model that can be used to supportboth novel interventions and personal activity plans.Conclusions This study suggests a shift is required from purely pragmatic approaches to PA promotion towards conceptual solutions. Under-standing how synergy or dissonance between motivation and capability influence individual survivors’ behaviour will support physiotherapists and other health professionals in promoting PA. This study provides a model for developing person-centred, tailored interventions that address barriers encountered by stroke survivors.
dc.description.publication-statusPublished
dc.format.extent311 - 321
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/27613082
dc.identifierS0031-9406(16)30021-9
dc.identifier.citationPhysiotherapy, 2017, 103 (3), pp. 311 - 321
dc.identifier.doi10.1016/j.physio.2016.05.001
dc.identifier.eissn1873-1465
dc.identifier.elements-id284925
dc.identifier.harvestedMassey_Dark
dc.languageeng
dc.publisherElsevier
dc.relation.isPartOfPhysiotherapy
dc.relation.urihttp://discovery.dundee.ac.uk/ws/files/18367581/PA_participation_Final_Manuscript_Revision_ACCEPTED_track_changes_removed.pdf
dc.rights© 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
dc.subjectExercise
dc.subjectPhysical activity
dc.subjectQualitative evaluation
dc.subjectStroke
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectCognition
dc.subjectDisabled Persons
dc.subjectExercise
dc.subjectFemale
dc.subjectHealth Knowledge, Attitudes, Practice
dc.subjectHumans
dc.subjectIndependent Living
dc.subjectInterviews as Topic
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMotivation
dc.subjectQualitative Research
dc.subjectSocioeconomic Factors
dc.subjectStroke
dc.subjectSurvivors
dc.subjectYoung Adult
dc.subject.anzsrc1103 Clinical Sciences
dc.subject.anzsrc1106 Human Movement and Sports Sciences
dc.subject.anzsrc1199 Other Medical and Health Sciences
dc.titlePhysical activity participation in community dwelling stroke survivors: Synergy and dissonance between motivation and capability. A qualitative study
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Humanities and Social Sciences
pubs.organisational-group/Massey University/College of Humanities and Social Sciences/School of Psychology
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