Article

Understanding the determinants of sedentary behaviour (sitting or lying
with low energy expenditure) in stroke survivors can enhance the development of
successful behaviour change strategies. This qualitative study explored the
perceptions of stroke survivors about sedentary behaviour and ways in which it
can be changed. METHODS:
An interpretative qualitative inquiry was used with
thematic analysis of interview data. Interviews were conducted using a
semi-structured guide with 13 stroke survivors. Interview transcripts were
analysed using thematic analysis. Self-reported sedentary time was assessed
during interviews. RESULTS: Four main themes emerged from the data: meaning of
sedentary behaviour, reasons for sedentary behaviour, barriers and facilitators
to reducing sedentary behaviour, and strategies to sit less and move more. Only 6
participants knew about sedentary behaviour, and 2 were aware of the associated
health risks. Participants encountered barriers in their daily lives that affect
engagement in activity including motor impairments, fatigue, cognitive problems,
and lack of motivation. Using wearable technologies and action planning to reduce
sedentary behaviour hold promise as behaviour change strategies. CONCLUSIONS:
There is limited awareness of health risks of sedentary behaviour among stroke
survivors. Strategies involving self-monitoring and movement throughout the day
are potential ways to reduce sedentary behaviour. Implications for Rehabilitation
Reducing sedentary behaviour in ambulatory stroke survivors is dependent on a
number of modifiable determinants. Planning regular interruptions in sedentary
time, such as standing or walking frequently throughout waking hours, during
television commercial breaks or while using the phone are some potential
strategies for reducing sedentary behaviour in stroke survivors. Availability of
social and professional support and self-monitoring using wearable technologies
that provide real-time feedback might result in increased motivation to sit less
and move more. Using alarms and devices that provide cues to action by reminding
participants to sit less and move more were perceived as important.

Langue : ANGLAIS