scholarly journals The Influential Factors of Adherence to Physical Activity and Exercise among Community‐Dwelling Stroke Survivors: A Path Analysis

2021 ◽  
Author(s):  
Beilei Lin ◽  
Zhenxiang Zhang ◽  
Yongxia Mei ◽  
Lamei Liu ◽  
Zhiguang Ping
Keyword(s):  
Physical Activity ◽  
Path Analysis ◽  
Influential Factors ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Physical Activity And Exercise

scholarly journals The Influential factors of Adherence to Physical Activity and Exercise among Community-Dwelling Stroke Survivors: A Path Analysis

2020 ◽  
Author(s):  
Beilei Lin ◽  
Zhenxiang Zhang ◽  
Yongxia Mei ◽  
Wenna Wang ◽  
Lamei Liu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Path Analysis ◽  
Influential Factors ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Physical Activity And Exercise

Abstract The authors have withdrawn this preprint due to erroneous posting.

scholarly journals The Influential factors of Adherence to Physical Activity and Exercise among Community-Dwelling Stroke Survivors: A Path Analysis

2020 ◽  
Author(s):  
Beilei Lin ◽  
Zhenxiang Zhang ◽  
Yongxia Mei ◽  
Wenna Wang ◽  
Lamei Liu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Path Analysis ◽  
Health Care Professionals ◽  
Self Efficacy ◽  
Exercise Adherence ◽  
Influential Factors ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Physical Activity And Exercise

Abstract Background: Regular physical activity and exercise (PAE) after stroke is essential, but the adherence to PAE and its influential factors is rarely studied and unclear in developed countries. The aim of this study was to investigate the status of PAE adherence, and to identify its influential factors among Chinese community-dwelling stroke survivors.Methods: A cross-sectional study was conducted, 208 stroke survivors were randomly selected from three communities (60.10% men, mean age 70.25 ± 9.08 years). Physical Activity and Exercise Adherence Scale (PAEAS) was used as a measure of compliance, knowledge, attitude, self-efficacy and social support were measured using relevant scales. Influential factors of PAE adherence and associations between those variables were explored using multiple linear regression and path analysis.Results: The mean adherence rate was moderate (62.0%), stroke survivors tended to be more adherent to do PAE than monitoring and seeking advices (70.30% > 53.50% > 48.30%). Regression results revealed that seven factors significantly associated with PAE adherence, including knowledge, attitude, self-efficacy, social support, self-care ability, community rehabilitation experience, and times since stroke (R2 = 75.10%, F = 45.593, p < 0.05). Furthermore, path analysis showed that knowledge had a significant indirect positive influence with self-efficacy as a mediator on adherence (β= 0.16, p < 0.05); while attitude and social support impacted both directly and indirectly on adherence with self-efficacy as the mediator; what’s more, self-efficacy was an important predictor that performed the strongest direct effect on community-dwelling stroke survivors’ PAE adherence (β= 0.44, p < 0.01 ). These four variables accounted for a total of 67.00% of the variance of PAE adherence among community-dwelling stroke survivors.Conclusions: Physical activity and exercise adherence of community stroke survivors is needed to be improved. Attitude and social support presented both direct and indirect impacts on PAE adherence through self-efficacy, while knowledge only exhibited an indirect influencing effect on adherence. Health care professionals should administer a more comprehensive and systematic assessment to seek to improve self-efficacy through the development of effective interventions for promoting adherence to PAE in this population.

Physical Activity and its Influencing Factors in Community-Dwelling Older Adults With Dementia: A Path Analysis

2021 ◽  
pp. 105477382110339
Author(s):  
Bei Li ◽  
Xiuxiu Huang ◽  
Chenchen Meng ◽  
Qiaoqin Wan ◽  
Yongan Sun
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Path Analysis ◽  
Neuropsychiatric Symptoms ◽  
Community Dwelling ◽  
Cross Sectional ◽  
People With Dementia ◽  
The Status ◽  
Path Analysis Approach ◽  
Community Dwelling Older Adults

Dementia is prevalent in worldwide, and increases the care burden and potential costs. Physical activity (PA) has been increasingly shown to be beneficial for them. This was a cross-sectional observational study aiming to investigate the status of PA among community-dwelling older adults with dementia in Beijing or Hangzhou, China, and verify the relationships between neuropsychiatric symptoms, activities of daily living (ADL), caregivers’ fear of patients’ falling and their PA using a path analysis approach. The level of PA among 216 included people with dementia was low. PA was related to the neuropsychiatric symptoms, with ADL and caregivers’ fear of patients’ falling have mediation roles. The findings indicated that person-centered strategies related to the management of these symptoms might be helpful to improve ADL, relieve caregivers’ concerns about them falling and consequently foster positive participation in PA.

Personal and social factors that influence physical activity levels in community-dwelling stroke survivors: A systematic review of qualitative literature

2021 ◽  
pp. 026921552199369
Author(s):  
Karl R Espernberger ◽  
Natalie A Fini ◽  
Casey L Peiris
Keyword(s):  
Physical Activity ◽  
Social Factors ◽  
Self Efficacy ◽  
Data Extraction ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Activity Levels ◽  
Post Stroke ◽  
Physical Activity Levels ◽  
Mobile Community

Objectives: To determine the personal and social factors perceived to influence physical activity levels in stroke survivors. Data sources: Four electronic databases (MEDLINE, CINAHL, PubMed and Embase) were searched from inception to November 2020, including reference and citation list searches. Study selection: The initial search yielded 1499 papers, with 14 included in the review. Included articles were peer-reviewed, qualitative studies, reporting on the perceived factors influencing physical activity levels of independently mobile community-dwelling adults, greater than 3 months post stroke. Data extraction: Data extracted included location, study aim, design, participant and recruitment information and how data were collected and analysed. Data synthesis: Thematic analysis was undertaken to identify meanings and patterns, generate codes and develop themes. Five main themes were identified: (i) Social networks are important influencers of physical activity; (ii) Participation in meaningful activities rather than ‘exercise’ is important; (iii) Self-efficacy promotes physical activity and physical activity enhances self-efficacy; (iv) Pre-stroke identity related to physical activity influences post-stroke physical activity; and (v) Formal programmes are important for those with low self-efficacy or a sedentary pre-stroke identity. Conclusions: Physical activity levels in stroke survivors are influenced by social activities and support, pre-stroke identity, self-efficacy levels and completion of activities that are meaningful to stroke survivors.

scholarly journals Physical Activity and Exercise Recommendations for Stroke Survivors

Circulation ◽  
2004 ◽  
Vol 109 (16) ◽  
pp. 2031-2041 ◽  
Author(s):  
Neil F. Gordon ◽  
Meg Gulanick ◽  
Fernando Costa ◽  
Gerald Fletcher ◽  
Barry A. Franklin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Stroke Survivors ◽  
Physical Activity And Exercise

scholarly journals Physical activity, sleep, and fatigue in community dwelling Stroke Survivors

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Anthony I. Shepherd ◽  
Richard Pulsford ◽  
Leon Poltawski ◽  
Anne Forster ◽  
Rod S. Taylor ◽  
...  
Keyword(s):  
Physical Activity ◽  
Community Dwelling ◽  
Stroke Survivors

scholarly journals Determinants of participation restriction among community dwelling stroke survivors: A path analysis

BMC Neurology ◽  
2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Janita PC Chau ◽  
David R Thompson ◽  
Sheila Twinn ◽  
Anne M Chang ◽  
Jean Woo
Keyword(s):  
Path Analysis ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Participation Restriction

scholarly journals Association Between Physical Activity and Mortality Among Community-Dwelling Stroke Survivors

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000012535
Author(s):  
Raed A. Joundi ◽  
Scott B. Patten ◽  
Aysha Lukmanji ◽  
Jeanne VA Williams ◽  
Eric E. Smith
Keyword(s):  
Physical Activity ◽  
Risk Reduction ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Dependent Manner ◽  
Metabolic Equivalents ◽  
All Cause Mortality ◽  
The Relationship ◽  
Lower Hazard ◽  
Prior Stroke

Objective:To determine the relationship between physical activity and mortality in community-dwelling stroke survivors.Methods:The Canadian Community Health Survey was used to obtain self-reported physical activity (PA) across four survey cycles and was linked to administrative databases to obtain prior diagnosis of stroke and subsequent all-cause mortality. PA was measured as metabolic equivalents (METs) per week and meeting minimal PA guidelines was defined as 10 MET-hours/week. Cox proportional hazard regression models and restricted cubic splines were used to determine the relationship between PA and all-cause mortality in respondents with prior stroke and controls, adjusting for sociodemographic factors, co-morbidities, and functional health limitations.Results:The cohort included 895 respondents with prior stroke and 97805 controls. Adhering to PA guidelines was associated with lower hazard of death for those with prior stroke (adjusted hazard ratio [aHR] 0.46, 95% CI 0.29-0.73) and controls (aHR 0.69, 95% CI 0.62-0.76). There was a strong dose-response relationship in both groups, with a steep early slope and the vast majority of associated risk reduction occurring between 0 and 20 MET-hours/week. In the group of stroke respondents, PA was associated with greater risk reduction in those <75 years of age (aHR 0.21, 95% CI 0.10-0.43) compared to those >75 years of age (aHR 0.68, 95% CI 0.42-1.12).Conclusions:PA was associated with lower all-cause mortality in an apparent dose-dependent manner among those with prior stroke, particularly in younger stroke survivors. Our findings support efforts towards reducing barriers to PA and implementation of PA programs for stroke survivors in the community.Classification of Evidence:This study provides Class IV evidence that in community-dwelling survivors of stroke, adhering to physical activity guidelines was associated with lower hazard of death.

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