Motivators and Barriers for Physical Activity in Patients With Minor Stroke

Study Overview
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Brief Summary
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The aim of this study is to investigate motivators and barriers for physical activity in patients discharged from hospital for a minor stroke or TIA. The study has a qualitative research design and will be conducted by focus group interviews.

Detailed Description
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Little is known about motivators and barriers for physical activity after hospital discharge for patients with a minor stroke or TIA. These patients have few and temporary symptoms and are therefore discharged early from the hospital or seen in a outpatient TIA clinic. Standard treatment are preventive medication and advice on self-managed lifestyle changes. Occurrence of one ischemic stroke or TIA predisposes to further ischemic strokes and patients are at risk of developing cognitive deficits or vascular dementia over time unless multiple preventive measures are taken including physical activity. The purpose is to investigate motivators and barriers for physical activity after hospital discharge by focus-group interviewing this potential fragile group of patients. The research team want to facilitate the patients to be physically active and thereby prevent a recurrent stroke and slow the progression of vascular diseases.

Official Title
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Motivators and Barriers for Physical Activity in Patients With Minor Stroke

Conditions
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Stroke, Ischemic

Intervention / Treatment
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* Behavioral: A focus group interview


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with ischemic stroke or transient ischemic attack (TIA) without the need of a re-habilitation plan, but needs an exercise plan in order to prevent a recurrent stroke Patients who have participated in ≤ 1 hour of vigorous intensity activity on weekly basis within the last 3 months Patients able to speak, read, and understand Danish Patients ≥ 18 years of age and able to give informed consent Exclusion Criteria: Patients with previous large artery stroke with sequelae preventing aerobic exercise in groups Symptoms or comorbidities preventing aerobic exercise in groups Dyspnoea caused by heart or lung diseases (e.g. chronic obstructive pulmonary disease (COPD)) Aphasia or dementia interfering with participation in aerobic groups exercise Patients with Intermittent claudication/vascular claudication
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Focus group interviewing a cohort of patients with stroke (one group with previous exercise experience and a group without)
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Patients with stroke without exercise experience<br>Patients who are discharged from the hospital within one month after a minor stroke or TIA and are not offered physical rehabilitation afterwards | Behavioral: A focus group interview<br>* this is a qualitative study using focus group interviewing.<br>|
| Other: Patients with stroke with exercise experience<br>Patients with a minor stroke who have participated in an exercise study (HITPALS) | Behavioral: A focus group interview<br>* this is a qualitative study using focus group interviewing.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motivators for physical activity | The study has a qualitative research design using focus group interviewing | through study completion, an average of 1 year | 
| Barriers for physical activity | The study has a qualitative research design using focus group interviewing | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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physical activity, motivators for physical activity, barriers for physical activity, secondary stroke prevention