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Int J Rehabil Res ; 36(4): 354-61, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23873221

RESUMO

The aim of the study was to explore community-dwelling stroke patients' perceived barriers to healthy-lifestyle participation for secondary disease prevention, as well as their preferred means for risk-reduction information dissemination and motivators to participation in healthy-lifestyle interventions. Four focus groups (5-6 stroke survivors per group) were defined from community support groups. Key questions addressed barriers to healthy-lifestyle adoption, preferred methods for receiving information and factors that would engage participants in a risk-reduction programme. Groups were audiotaped, transcribed verbatim and analysed for thematic content using a framework approach. Twenty-two participants, 12 men, 10 women, mean age 71.4 (53-87) years, were included in the study. Three overarching themes emerged as barriers to healthy-lifestyle participation: physical, mental and environmental. Exercise participation difficulties spread across all three themes; healthy eating and smoking cessation concentrated in environmental and mental dimensions. Talks (discussions) were noted as participants' preferred method of information provision. Risk-reduction programmes considered attractive were stroke specific, convenient and delivered by healthcare professionals and involved both social and exercise components. Many stroke patients appear unable to adopt healthy-lifestyle changes through advice alone because of physical, mental and environmental barriers. Risk-reduction programmes including interactive education should be specifically tailored to address barriers currently experienced and extend beyond the stroke survivor to others in their environment who influence lifestyle choices.


Assuntos
Comportamentos Relacionados com a Saúde , Estilo de Vida , Prevenção Secundária , Reabilitação do Acidente Vascular Cerebral , Idoso , Idoso de 80 Anos ou mais , Participação da Comunidade , Comorbidade , Exercício Físico , Feminino , Grupos Focais , Promoção da Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento de Redução do Risco , Fumar/epidemiologia , Acidente Vascular Cerebral/epidemiologia
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