Exploring barriers and facilitators to healthcare professional implementation of a stroke physical activity behaviour change intervention to inform targeted strategies: a qualitative study.

IF 2.2 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-25 DOI:10.1080/09638288.2026.2649043

Sarah A Moore, Jessica Calder, Jerry Folorunsho, Sebastian Potthoff

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引用次数: 0

Abstract

Purpose: Physical activity improves outcomes after stroke, but barriers exist to healthcare professionals promoting physical activity in this population. This study explored barriers and facilitators to healthcare professional implementation of a stroke physical activity behaviour change intervention, Physical Activity Routines After Stroke (PARAS), to inform targeted implementation strategies.

Methods: UK stroke rehabilitation teams participated in one-hour workshops discussing PARAS implementation. Transcripts were analysed inductively and deductively using the Theoretical Domains Framework (TDF), facilitating the mapping of behaviour change techniques (BCTs) (Behaviour Change Techniques Taxonomy V1) and implementation strategies (Expert Recommendations for Implementing Change compilation).

Results: Five teams (35 healthcare professionals, predominantly physiotherapists) participated. Key themes included system and resource constraints, stakeholder and stroke survivor engagement, intervention adaptation, and knowledge and skills. Nine TDF domains were identified as central to implementation behaviour. Fifteen BCTs and 14 implementation strategies were mapped, with operationalisation methods including training, stakeholder engagement, identifying local determinants, audit, and resource adaptation.

Conclusions: This is the first study applying the TDF to understand healthcare professionals' experiences implementing a physical activity behaviour change intervention post-stroke. Using the TDF enabled systematic mapping of tailored strategies supporting implementation. Findings offer practical solutions for PARAS implementation, with broader applicability across stroke rehabilitation contexts.

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探索医疗保健专业人员实施中风身体活动行为改变干预的障碍和促进因素，以告知有针对性的策略：一项定性研究。

目的：身体活动可以改善中风后的预后，但在这一人群中，卫生保健专业人员促进身体活动存在障碍。本研究探讨了医疗保健专业人员实施卒中身体活动行为改变干预的障碍和促进因素，卒中后身体活动常规（PARAS），为有针对性的实施策略提供信息。方法：英国脑卒中康复团队参加了一小时的研讨会，讨论PARAS的实施。使用理论领域框架（TDF）对转录本进行归纳和演绎分析，促进行为改变技术（bct）（行为改变技术分类法V1）和实施策略（实施变革汇编的专家建议）的映射。结果：5个小组（35名卫生保健专业人员，主要是物理治疗师）参与。关键主题包括系统和资源限制、利益攸关方和中风幸存者的参与、干预措施适应以及知识和技能。九个TDF领域被确定为实施行为的核心。绘制了15个btc和14个实施战略，其实施方法包括培训、利益相关者参与、确定当地决定因素、审计和资源适应。结论：这是第一个应用TDF来了解医疗专业人员在卒中后实施身体活动行为改变干预的经验的研究。使用TDF可以系统地映射支持实现的定制策略。研究结果为PARAS的实施提供了实用的解决方案，在卒中康复环境中具有更广泛的适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.