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

Lin, Beilei; Zhang, Zhenxiang; Mei, Yongxia; Liu, Lamei; Ping, Zhiguang

doi:10.1111/jocn.16091

Cited by 6 publications

(8 citation statements)

References 60 publications

(62 reference statements)

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“…Bandura (2003) suggested that the realization of an individual's potential depends to some extent on whether their actual level of knowledge is well coordinated with self‐efficacy. In addition, we found that physical activity self‐efficacy significantly mediated between knowledge and physical activity during the first and third trimesters, which is consistent with previous studies (Y. J. Lee et al, 2016; Lin et al, 2022). Thus, strategies are needed to incorporate self‐efficacy in the design of health education programs to promote pregnant women's physical activity.…”

Section: Discussionsupporting

confidence: 92%

Predictors of physical inactivity among pregnant women

Xiang,

Sun,

Han

et al. 2024

Nursing & Health Sciences

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It is recommended that pregnant women be physically active to promote maternal and child health. This study aimed to explore the prevalence of physical inactivity and its modifiable predictors in the three trimesters in Chinese pregnant women. Four hundred forty‐four pregnant women completed the Pregnant Physical Activity Questionnaire in the first, second, and third trimesters. The prevalence of physical inactivity reached its highest (66.2%) in the first trimester and lowest (19.4%) in the second trimester. Pregnant women with inadequate physical activity knowledge and low self‐efficacy were at higher risk for physical inactivity. Monitoring physical inactivity could be incorporated into antenatal care and start from the first trimester. Prenatal care professionals should take action to increase pregnant women's physical activity self‐efficacy and knowledge to enhance their physical activity.

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Section: Discussionsupporting

confidence: 92%

Predictors of physical inactivity among pregnant women

Xiang,

Sun,

Han

et al. 2024

Nursing & Health Sciences

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“…Consistent with a similar study conducted in urban areas, 32 this study found that most of the stroke patients in rural areas showed low or moderate levels of adherence, not only the younger patients but also the elderly stroke patients. More than half of the young-middle aged (55.73%) and older patients (55.98%) showed a moderate level of adherence, what is more, only 17.80% of the participants’ adherence in this survey were at a high level (18.58% of the younger patients and 16.91% of the old patients), it was slightly lower than the adherence of urban stroke patients (20.19% at a high level).…”

Section: Discussionsupporting

confidence: 92%

“…Seven experts were consulted, and twenty patients were reviewed to improve clarity and rigor. 30 The PAEAS has been previously tested 30 and used 31 , 32 among Chinese stroke patients in urban areas to determine their adherence to the recommended physical activity and exercise regimen. It contains 14 items organized into the following three sections: adherence to PAE participation (PAEP) with 8 items; adherence to PAE monitoring (PAEM) with 3 items; and adherence to PAE advice-seeking (PAEA) with 3 items.…”

Section: Methodsmentioning

confidence: 99%

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An Age-Stratified Cross-Sectional Study of Physical Activity and Exercise Adherence of Stroke Survivors in Rural Regions

Lin¹,

Xue²,

Zhang³

et al. 2023

PPA

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Objective To describe the Physical Activity and Exercise (PAE) adherence of stroke survivors in rural regions, additionally, to analyze the influential factors through age stratification. Methods This is a cross-sectional study. Totally, 596 stroke patients (65.70±10.76 years) from three rural regions were selected, PAE scale was used for measuring compliance. The influential factors among different age groups were explored separately. This study adheres to the EQUATOR checklist, SROBE. Results Only 17.8% (106) of participants regularly participated in PAE. Altogether, 42.45% were classified as a young-middle age group, and the rest 57.55% were in the old age group. Positive attitudes and better PAE-relevant knowledge were protective factors for adherence in the young and middle-aged group (OR=0.683; 95% CI 0.173~0.588 and OR=0.939; 95% CI 0.013~0.114), as well as in the old group (OR=0.704; 95% CI 0.193~0.534 and OR=0.929; 95% CI 0.035~0.118); having no home rehabilitation equipment was a strong risk factor for younger patients (OR=16.078; 95% CI 1.235~4.320); however, without hemiplegia can positively affect their adherence (OR=0.891; 95% CI 0.045~0.229). In addition, the presence of a spouse can lead to a better compliance among old patients (OR=0.436; 95% CI −0.496~-0.165). Conclusion It is necessary to improve the knowledge of physical activity in rural stroke patients of all ages. It is of great significance to install home rehabilitation equipment to promote exercise for young and middle-aged stroke patients. While for the old stroke patients, we strongly suggest focusing on the role of spouses, which would be more useful in low-income regions.

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“…Those events that occur before the concept’s occurrence include patient-related antecedents, therapy-related antecedents, and environment-related antecedents. Patients’ related antecedent includes individuals’ capacity of mobility ( 11 , 12 , 14 , 29 ), self-efficacy ( 9 , 13 – 15 ), outcome expectancy ( 15 ), cognitive and emotional status ( 11 , 13 , 32 ), education ( 9 , 12 ), beliefs in the benefits of exercise ( 13 , 29 ), motivation ( 11 , 21 , 30 ), perception of meaningfulness ( 26 , 29 ), pain ( 9 ), fatigue ( 13 ), personality traits ( 14 ), adaption ( 13 , 26 ), and previous experience and habit ( 12 ). Therapy-related antecedents include therapeutic relationships with therapists ( 13 , 26 , 27 ), diversity and individualized exercise program ( 13 , 26 , 30 , 33 ), and trust in rehabilitation providers ( 13 , 26 , 27 ).…”

Section: Resultsmentioning

confidence: 99%

Exercise preference in stroke survivors: a concept analysis

Dai,

Shi,

et al. 2024

Front. Neurol.

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BackgroundExercise preference in stroke survivors is related to their adherence to long-term rehabilitation regimen and functional recovery. Although explored recently, the term exercise preference still lacks a clear definition.ObjectiveThe aim of this study is to conceptualize exercise preference in stroke survivors.MethodsThe Walker and Avant method was applied as a framework for the conceptual analysis of exercise preference. Data from 34 publications were collected using seven databases (PubMed, Web of Science, Embase, CINAHL, CNKI, Wanfang Data, and CBM) and applied in the analysis. The search period was from the inception of the database to April 30, 2023.ResultsExercise preference in stroke survivors was defined according to four attributes: priority of choice, behavioral tendency, affective priming, and patience in adherence. The common antecedents of the concept of exercise preference in stroke survivors were classified into patient-related, therapy-related, and environmental-related categories and the consequences were classified into three categories: patient-related, rehabilitation provider–related, and rehabilitation service system–related.ConclusionExercise preference in stroke survivors refers to the patient’s choice, tendency, affective response, and attitude toward engagement in the recommended rehabilitation regimen. It is beneficial for understanding the essential attributes of exercise preference in stroke survivors by clarifying the concept. In addition, it will facilitate the development of instruments for assessing exercise preference in stroke survivors and the construction of theory-based intervention programs that can improve adherence to exercise rehabilitation.

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

Cited by 6 publications

References 60 publications

Predictors of physical inactivity among pregnant women

Predictors of physical inactivity among pregnant women

An Age-Stratified Cross-Sectional Study of Physical Activity and Exercise Adherence of Stroke Survivors in Rural Regions

Exercise preference in stroke survivors: a concept analysis

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