Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke

People who have had a transient ischemic attack (TIA) or mild stroke have a high risk of recurrent stroke. Secondary prevention programs providing support for meeting physical activity recommendations may reduce this risk. Most evidence for the feasibility and effectiveness of secondary stroke preve...

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Autores principales:	Maria Sammut, Kirsti Haracz, Coralie English, David Shakespeare, Gary Crowfoot, Michael Nilsson, Heidi Janssen
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	transient ischemic attack TIA mild stroke secondary stroke prevention physical activity community health Medicine R
Acceso en línea:	https://doaj.org/article/3249a37adc7945b387d58b0fa2787f88
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spelling	oai:doaj.org-article:3249a37adc7945b387d58b0fa2787f882021-11-11T16:34:16ZParticipants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke10.3390/ijerph1821114481660-46011661-7827https://doaj.org/article/3249a37adc7945b387d58b0fa2787f882021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11448https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601People who have had a transient ischemic attack (TIA) or mild stroke have a high risk of recurrent stroke. Secondary prevention programs providing support for meeting physical activity recommendations may reduce this risk. Most evidence for the feasibility and effectiveness of secondary stroke prevention arises from programs developed and tested in research institute settings with limited evidence for the acceptability of programs in ‘real world’ community settings. This qualitative descriptive study explored perceptions of participation in a secondary stroke prevention program (delivered by a community-based multidisciplinary health service team within a community gym) by adults with TIA or mild stroke. Data gathered via phone-based semi-structured interviews midway through the program, and at the end of the program, were analyzed using constructivist grounded theory methods. A total of 51 interviews from 30 participants produced two concepts. The first concept, “What it offered me”, describes critical elements that shape participants’ experience of the program. The second concept, “What I got out of it” describes perceived benefits of program participation. Participants perceived that experiences with peers in a health professional-led group program, held within a community-based gym, supported their goal of changing behaviour. Including these elements during the development of health service strategies to reduce recurrent stroke risk may strengthen program acceptability and subsequent effectiveness.Maria SammutKirsti HaraczCoralie EnglishDavid ShakespeareGary CrowfootMichael NilssonHeidi JanssenMDPI AGarticletransient ischemic attackTIAmild strokesecondary stroke preventionphysical activitycommunity healthMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11448, p 11448 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	transient ischemic attack TIA mild stroke secondary stroke prevention physical activity community health Medicine R
spellingShingle	transient ischemic attack TIA mild stroke secondary stroke prevention physical activity community health Medicine R Maria Sammut Kirsti Haracz Coralie English David Shakespeare Gary Crowfoot Michael Nilsson Heidi Janssen Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke
description	People who have had a transient ischemic attack (TIA) or mild stroke have a high risk of recurrent stroke. Secondary prevention programs providing support for meeting physical activity recommendations may reduce this risk. Most evidence for the feasibility and effectiveness of secondary stroke prevention arises from programs developed and tested in research institute settings with limited evidence for the acceptability of programs in ‘real world’ community settings. This qualitative descriptive study explored perceptions of participation in a secondary stroke prevention program (delivered by a community-based multidisciplinary health service team within a community gym) by adults with TIA or mild stroke. Data gathered via phone-based semi-structured interviews midway through the program, and at the end of the program, were analyzed using constructivist grounded theory methods. A total of 51 interviews from 30 participants produced two concepts. The first concept, “What it offered me”, describes critical elements that shape participants’ experience of the program. The second concept, “What I got out of it” describes perceived benefits of program participation. Participants perceived that experiences with peers in a health professional-led group program, held within a community-based gym, supported their goal of changing behaviour. Including these elements during the development of health service strategies to reduce recurrent stroke risk may strengthen program acceptability and subsequent effectiveness.
format	article
author	Maria Sammut Kirsti Haracz Coralie English David Shakespeare Gary Crowfoot Michael Nilsson Heidi Janssen
author_facet	Maria Sammut Kirsti Haracz Coralie English David Shakespeare Gary Crowfoot Michael Nilsson Heidi Janssen
author_sort	Maria Sammut
title	Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke
title_short	Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke
title_full	Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke
title_fullStr	Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke
title_full_unstemmed	Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke
title_sort	participants’ perspective of engaging in a gym-based health service delivered secondary stroke prevention program after tia or mild stroke
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3249a37adc7945b387d58b0fa2787f88
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Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke

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