Physical environments and community reintegration post stroke: qualitative insights from stroke clubs

Brookfield, Katherine; Mead, Gillian

doi:10.1080/09687599.2016.1223606

Cited by 11 publications

(10 citation statements)

References 72 publications

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“…Particular difficulties were encountered when seeking to recruit stroke survivors and people with dementia. Future research could adopt alternative recruitment strategies such as, where appropriate, engaging with peer-support groups—see a study by Brookfield and Mead (2016) where participants with experience of stroke were successfully recruited through stroke clubs [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…The first author, assisted by the third author, acted as the focus group moderator. Focus groups have been employed in research with older people [ 23 ], stroke survivors [ 24 , 25 ] and people with dementia [ 26 ] while the advantages and limitations of the method are well documented [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

“…To understand an older person’s experiences within the built environment, we must provide opportunities for older adults to describe their experiences in their own words [ 34 ]. Lived or first-person experiences can provide a richness or depth of insight not possible in accounts collected from proxies while, pertinent to our study, multiple past studies have successfully collected data directly from older adults [ 23 , 35 ], stroke survivors [ 25 , 36 ] and people with dementia [ 26 , 37 ]. With this concern in mind, working within certain time and resource constraints [ 38 ], we sought to assemble a diverse sample [ 39 ].…”

Section: Methodsmentioning

confidence: 99%

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The Uncommon Impact of Common Environmental Details on Walking in Older Adults

Brookfield

Thompson

Scott

2017

IJERPH

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Walking is the most common form of physical activity amongst older adults. Older adults’ walking behaviors have been linked to objective and perceived neighborhood and street-level environmental attributes, such as pavement quality and mixed land uses. To help identify components of walkable environments, this paper examines some of these environmental attributes and explores their influence on this population’s walking behaviors. It draws on focus group and interview data collected from 22 purposively sampled older adults aged 60 years and over. These participants presented a range of functional and cognitive impairments including stroke and dementia. In line with past research, we detail how various everyday aspects of urban environments, such as steps, curbs and uneven pavements, can, in combination with person-related factors, complicate older adults’ outdoor mobility while others, such as handrails and benches, seem to support and even encourage movement. Importantly, we delineate the influence of perceptions on mobility choices. We found that, in some instances, it is the meanings and possibilities that older adults derive from aspects of the environment, such as street cameras and underpasses, rather than the aspects per se, which shape behavior. The implications for policy and practice are considered.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The Uncommon Impact of Common Environmental Details on Walking in Older Adults

Brookfield

Thompson

Scott

2017

IJERPH

Self Cite

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“…Stroke is associated with physical, emotional and social consequences that affect an individual's quality of life [3][4][5]. Individuals with stroke aim to return to active living and reintegrate into society [6]. The conventional approach to stroke recovery is the delivery of rehabilitation services based on the medical principles of cure [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Contextual factors that shape recovery after stroke in Malaysia

Mairami

Warren

Allotey

et al. 2019

Disability and Rehabilitation

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Purpose: A stroke is a sudden event which may leave individuals and their families ill-prepared to deal with the resultant disability. Several contextual factors can influence the recovery process. These factors, internal and external, exist interactively in the lived experiences of the survivors. The limited availability of rehabilitation centres that are located in urban centres meant that recovery predominately occurred outside of the biomedical health and instead relied upon the resources available to individuals and their families. Methods: A qualitative approach with data from in-depth interviews and observations were used to identify contextual factors that shaped recovery following stroke in a community. Twenty-seven individuals with stroke were drawn from a health and demographic surveillance system in Malaysia. Results: Hope and optimism, coping strategies, motivation and support from family and friends, and the use of alternative and complementary medicine shaped the process of recovery within a context where infrastructure is extremely limited. Conclusion: The identification of factors that facilitate the recovery process provides a background in which health care providers can utilise to improve their understanding of the stroke experience. Such understanding could be instrumental in aiding health professionals to offer the most effective help to their clients. ä IMPLICATIONS FOR REHABILITATIONIdentification of contextual factors provides a background for the understanding of the stroke experience. Incorporation of religion into rehabilitation could support and maintain hope in recovery for the survivors and aid acceptance. A collaboration of healthcare professionals with traditional medicine therapists may prove beneficial for the rehabilitation of stroke survivors in Malaysia. ARTICLE HISTORY

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“…A cross-sectional study on international physical therapists showed that patients lack motivation and priority to undertake the physical activity given to them by healthcare professionals were barriers to integrating physical exercise in the healthcare system (Soundy, Stubbs, Probst et al, 2014;Firth, Rosenbaum, Stubbs et al, 2016). A systematic review conducted on six qualitative articles stated that environmental factors (access, transport, and cost), health problems, unfavourable activities, confusion, and fear of failure were barriers to physical exercise (Brookfield & Mead, 2016). Other studies indicate strong and positive associations between the built environment and physical exercise participation (Henderson, Grode, O'Connell, & Schwartz, 2015;Oyeyemi, Adewale, Sandra et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Barriers to Integrate Physical Exercise Into the Ethiopian Healthcare System to Treat Non-Communicable Diseases

Kassa¹,

Grace²

2018

GJHS

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Introduction: Physical exercise is recognized as one component of non-communicable disease prevention, but little attention has been devoted to integrating physical exercise into the Ethiopian healthcare system, with the barriers to its inclusion being unclear. Objectives: The present study explores the bottlenecks to integrate physical exercise into the Ethiopian healthcare system to treat non-communicable disease. Design: A mixed method sequential explanatory design. Setting: Public referral hospitals in Ethiopia. Methodology: Data was collected in two phases among 312 (195 males and 117 females) healthcare professionals. The participants were selected proportionately and randomly from 13 public referral hospitals. Results: Lack of: national coordination to promote physical exercise (t (311) = 69.20, p < .0005), trained physical exercise professionals (t (311) = 14.42, p < .0005); physical exercise guidelines (t (311) = 33.25, p < .0005); training how to prescribe physical exercise by healthcare providers (t (311) = 62.94, p < .0005); information on the health benefits of physical exercise to give to their patients (t (311) = 65.62, p < .0005); and built environment that encourages physical exercise participation (t (311) = 59.64, p < .0005) were identified as barriers. Additionally, built environment, policy, healthcare professionals' lifestyle, demography of healthcare professionals, health information coverage of physical exercise and the hospital physical building were also identified as barriers. Conclusions: Physical exercise appears marginalized from the Ethiopian healthcare system. Healthcare organizations and policy makers could take the cited barriers into consideration to plan, design and integrate physical exercise into the healthcare system to prevent NCDs in Ethiopia.

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Physical environments and community reintegration post stroke: qualitative insights from stroke clubs

Cited by 11 publications

References 72 publications

The Uncommon Impact of Common Environmental Details on Walking in Older Adults

The Uncommon Impact of Common Environmental Details on Walking in Older Adults

Contextual factors that shape recovery after stroke in Malaysia

Barriers to Integrate Physical Exercise Into the Ethiopian Healthcare System to Treat Non-Communicable Diseases

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