Barriers to and Facilitators of Access and Participation in Community-Based Exercise Programmes from the Perspective of Adults with Post-stroke Aphasia

Author:

Blonski Diane C.1,Covert Megan1,Gauthier Roxanne1,Monas Alanna1,Murray Danielle1,O'Brien Kelly K.1,Mendelson Anita Debbie12,Huijbregts Maria13

Affiliation:

1. Department of Physical Therapy, University of Toronto

2. Baycrest

3. Family Service Toronto, Toronto, ON.

Abstract

Purpose: To explore communication-related experiences with accessing and participating in community-based exercise programmes from the perspective of adults with post-stroke aphasia. Methods: Adults with mild to severe post-stroke aphasia were recruited from the Aphasia Institute (AI), Toronto, Canada, for a qualitative descriptive study using semi-structured, in-depth one-on-one interviews. Participants were asked to identify facilitators of, barriers to, and strategies for joining and participating in exercise programmes. Interview data were analyzed using conventional content analysis. Results: Ten adults with mild (40%), moderate (40%), or severe (20%) aphasia participated in this study. The majority of participants were men (60%) aged 60–69 years (40%). Participants experienced a combination of communication, environmental, and personal facilitators of and barriers to accessing and participating in community-based exercise programmes. Strategies to enhance participation can be applied at both programme and individual levels. Conclusions: Findings may inform clinical practice and programming to optimize access to and participation in community-based exercise programmes for adults with post-stroke aphasia.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

Reference23 articles.

1. Public Health Agency of Canada (2009).Tracking heart disease and stroke in Canada, 2009.Ottawa:The Agency

2. National Institute of Neurological Disorders and Stroke [NINDS] (2012).NINDS aphasia information page [Internet]. cited 2013 AugBethesda (MD): The Institute[updated 2012 Jul 9]. Available from: www.ninds.nih.gov/disorders/aphasia/aphasia.htm

3. Incidence and Profile of Inpatient Stroke-Induced Aphasia in Ontario, Canada

4. Reconciling the perspective of practitioner and service user: findings from The Aphasia in Scotland study

5. Benefits of physical activity for stroke survivors

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