Summary of Dr Jacqui Morris’s report

Title: Exploring the barriers and facilitators to maintaining engagement in physical activities after the end of post-stroke rehabilitation: a qualitative study of stroke survivors, caregivers and stroke physiotherapists.  

As this report is written by my expert on this project, it is really helpful for me to understand the issue of the project. The research questions are worth to refer and the main body of the report is to answer these questions.

Research Questions:

1. What are stroke survivors’ beliefs about the role and importance of PA in stroke recovery?

2. How do stroke survivors define PA, what are their experiences and attitudes towards PA after the end of rehabilitation and what meanings do they ascribe to these activities?

3. What level and types of activities do carers and survivors believe are necessary to maintain and improve their recovery, and how do these vary?

4. What role do caregivers and physiotherapists believe they play in supporting participation in therapeutic and physical activities after rehabilitation?

5. What opinions and ideas do survivors, caregivers and therapists have about strategies that would help to support participation in long-term therapeutic and PA for these individuals?

6. What do survivors believe are barriers and facilitators to participation in these activities? How do these influence decisions to engage in activities?

I make tables to summarize these questions

RQ2-5

user journey

smjm01

RQ4

smjm02

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Reading “Back in the usual world”

Tutty A. “Back in the usual normal world” Barriers and enablers to exercise and community participation after stroke: the role of community health and support services. Rural research and capacity building program, 2010. Health education and training institute.

Research Question

To describe stroke survivors and carers experiences of services after discharge and explore the role of these services as an enabler or barrier to exercise and community participation

Method used to do the research

Depth interviews – at home/local hospitals according to stroke survivors’ preference

Focus group

Why stroke survivors need community health and social support

* Residual disability after stroke has a profound impact on all aspects of life

* High rates of social isolation and depression

* Stroke survivors experience reduced social and leisure participation which impacts negatively on health related quality of life

Barriers/Limited factors of social support

* Reduced mobility

* Transport issue

* Reduced confidence

* Fear

* Environment access issue

Valuable things

For stroke survivors

* Follow up and phone access to an allied health professional

* Self management, education and exercise class

* Group interaction

For carers

* Support group and counselling

Key ingredients for a long term support model for stroke

* Coordination

* Increased opportunities for exercise programs

* Access to community based rehabilitation programs