Factors related to high-risk movement behaviour in people with stroke who are highly sedentary and inactive

To identify Capabilities, Opportunities, and Motivational factors influencing movement behaviour throughout the day in people with stroke who are highly sedentary and inactive to enable intervention development. A qualitative study was conducted using semistructured interviews with people with stroke. The interview guide was based on the Capabilities, Opportunities, and Motivation Behavioural model. Eleven interviews were conducted. Participants reported a lack of knowledge regarding healthy movement behaviour patterns, a lack of insight into their own movement behaviour, and some physical and cognitive limitations to engage in certain physical activities. Several social and environmental elements affecting movement behaviours were mentioned, their impact on movement behaviour varied among participants. Movement behaviour was mostly driven by habits and daily routine, without conscious regulation. Our findings show that people with stroke are unaware of their own movement behaviour or of the consequences of these behaviours on health. Movement behaviour is, for the most part, based on daily routine and personal habits. This indicates the need for a behaviour change intervention. Such interventions will need to include providing information about healthy movement behaviour, feedback on individual’s movement behaviour and individualized support, taking into account the social and environmental context and personal capabilities. There is a need to provide insight and feedback regarding individuals’ movement behaviour and information about healthy movement behaviour to enable people with stroke who are highly sedentary and inactive to improve their movement behaviour.Movement behaviour is, for the most part, based on daily routine and personal habits.People need individualised support, and personal capabilities, the social and environmental context need to be taken into account to support sustainable movement behaviour change.These findings can be used in clinical practise and to inform intervention development to support movement behaviour change in people after stroke who are highly sedentary and inactive. There is a need to provide insight and feedback regarding individuals’ movement behaviour and information about healthy movement behaviour to enable people with stroke who are highly sedentary and inactive to improve their movement behaviour. Movement behaviour is, for the most part, based on daily routine and personal habits. People need individualised support, and personal capabilities, the social and environmental context need to be taken into account to support sustainable movement behaviour change. These findings can be used in clinical practise and to inform intervention development to support movement behaviour change in people after stroke who are highly sedentary and inactive.

本研究旨在识别久坐且活动不足的卒中患者全天运动行为的影响能力、机遇与动机因素，为干预方案开发提供支撑。本研究采用半结构化访谈对卒中患者开展质性研究，访谈指南基于能力-机遇-动机行为模型（Capabilities, Opportunities, and Motivation Behavioural model）。本次研究共完成11次访谈。

参与者报告称，其对健康运动行为模式缺乏认知，对自身运动行为缺乏觉知，且存在参与特定体育活动的躯体与认知局限。研究对象提及若干影响运动行为的社会与环境因素，且此类因素对运动行为的影响存在个体差异。运动行为大多由习惯与日常日程驱动，未经过有意识的调控。

本研究结果显示，久坐且活动不足的卒中患者往往未意识到自身运动行为，亦未知晓此类行为对健康的影响。运动行为在很大程度上基于日常日程与个人习惯，这表明亟需开展行为改变干预。此类干预需涵盖健康运动行为相关信息的科普、个体运动行为的反馈与个体化支持，同时需兼顾社会与环境背景及个人能力。

为助力久坐且活动不足的卒中患者改善运动行为，亟需为其提供关于自身运动行为的觉知与反馈，以及健康运动行为相关信息。运动行为在很大程度上基于日常日程与个人习惯。人们需要个体化支持，同时需兼顾个人能力、社会与环境背景，以支撑可持续的运动行为改变。上述研究结果可应用于临床实践，并为开发干预方案以支持久坐且活动不足的卒中后患者实现运动行为改变提供参考。

为助力久坐且活动不足的卒中患者改善运动行为，亟需为其提供关于自身运动行为的觉知与反馈，以及健康运动行为相关信息。运动行为在很大程度上基于日常日程与个人习惯。人们需要个体化支持，同时需兼顾个人能力、社会与环境背景，以支撑可持续的运动行为改变。上述研究结果可应用于临床实践，并为开发干预方案以支持久坐且活动不足的卒中后患者实现运动行为改变提供参考。