What Does Real-world Walking Mean to People With Stroke? An Interpretive Descriptive Study

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aut.filerelease.date2021-07-03
aut.relation.endpage8
aut.relation.journalDisabil Rehabilen_NZ
aut.relation.startpage1
dark.contributor.authorStretton, CMen_NZ
dark.contributor.authorMudge, Sen_NZ
dark.contributor.authorKayes, NMen_NZ
dark.contributor.authorMcPherson, KMen_NZ
dc.date.accessioned2020-07-03T02:42:15Z
dc.date.available2020-07-03T02:42:15Z
dc.date.copyright2020-05-29en_NZ
dc.date.issued2020-05-29en_NZ
dc.description.abstractPurpose: Understanding personal experiences of real-world walking for stroke survivors could assist clinicians to tailor interventions to their clients' specific needs. We explored the research questions: "What does real-world walking mean to people after stroke and how do they think it can be better?"Method: Using an Interpretive Descriptive methodology, we purposively sampled eight stroke survivors who reported difficulty walking in the real-world. We sought diversity on key participant characteristics. Participants were interviewed using a semi-structured guide. Data were analysed with thematic analysis.Results: Many found real-world walking, particularly in the outdoors, created opportunities for freedom from dependence and a visible step by step progress, which generated hope for future recovery. Conversely, when participants did not experience sufficient progress, they expressed negative emotions. Participants strove to overcome challenges to their walking goals using everyday routines, planning skills, and confidence building experiences to motivate themselves. They also drew on, and extended, social resources highlighting the relational aspects of real-world walking.Conclusions: Walking in their real-world provided a meaningful, desirable, but challenging goal for participants that required significant emotional effort. Successful progress in real-world walking builds confidence and hope and can contribute to psychological wellbeing by providing opportunities for successful mastery and social connectedness.IMPLICATIONS FOR REHABILITATIONReal-world settings can be unpredictable which makes walking in the real-world after stroke demanding.Positive experiences of walking in the real-world can provide significant psychological benefits to stroke survivors.Many survivors need to carefully concentrate on the act of walking in outdoor settings.Pre-planning routes, confidence-building experiences and developing daily routines may help patients overcome these challenges.en_NZ
dc.identifier.citationDisability and Rehabilitation, DOI: 10.1080/09638288.2020.1767704
dc.identifier.doi10.1080/09638288.2020.1767704en_NZ
dc.identifier.issn1464-5165en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13491
dc.languageengen_NZ
dc.publisherTaylor & Francis
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1080/09638288.2020.1767704
dc.rightsCopyright © 2020 Taylor & Francis. Authors retain the right to place his/her pre-publication version of the work on a personal website or institutional repository as an electronic file for personal or professional use, but not for commercial sale or for any systematic external distribution by a third. This is an electronic version of an article published in (see Citation). Disability and Rehabilitation is available online at: www.tandfonline.com with the open URL of your article (see Publisher’s Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectWalkingen_NZ
dc.subjectCommunity ambulationen_NZ
dc.subjectConfidenceen_NZ
dc.subjectRehabilitationen_NZ
dc.subjectStrokeen_NZ
dc.titleWhat Does Real-world Walking Mean to People With Stroke? An Interpretive Descriptive Studyen_NZ
dc.typeJournal Article
pubs.elements-id376209
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Interprofessional Health
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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