Barriers to healthy-lifestyle participation in stroke: consumer participation in secondary prevention design
Barriers to healthy-lifestyle participation in stroke: consumer participation in secondary prevention design
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DOI：
10.1097/mrr.0b013e3283643d48
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发表时间：
2013-12-01
影响因子：
1.7
通讯作者：
Blake, Catherine
中科院分区：
文献类型：
--
作者：
Lennon, Olive C.;Doody, Catherine;Blake, Catherine
这项研究的目的是探索社区居住的中风患者在参与二级疾病预防的健康生活方式方面的感知障碍，以及他们首选的减少风险信息传播的手段和参与健康生活方式干预的动机。从社区支持组中确定四个焦点组(每组5-6名卒中幸存者)。关键问题涉及采用健康生活方式的障碍、接受信息的首选方法以及使参与者参与降低风险方案的因素。对小组进行录音、逐字转录，并使用框架方法分析主题内容。22名参与者，12名男性，10名女性，平均年龄71.4(53-87)岁，参与了这项研究。三大主题成为健康生活方式参与的障碍：身体、精神和环境。参与锻炼的困难涉及所有三个主题；健康饮食和戒烟集中在环境和心理层面。会议指出，会谈(讨论)是与会者首选的提供信息的方法。被认为有吸引力的降低风险计划是针对中风的、方便的、由医疗保健专业人员提供的，涉及社会和锻炼部分。由于身体、心理和环境方面的障碍，许多中风患者似乎无法仅通过建议来改变健康的生活方式。减少风险的方案，包括互动教育，应特别针对目前遇到的障碍，并将其扩展到中风幸存者以外的环境中影响生活方式选择的其他人。
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.