Title: Experience and perceptions of sedentary behaviour among stroke survivors: A systematic review and meta aggregation
Abstract:
Background: Sedentary behaviour is a prevalent and harmful lifestyle pattern among stroke survivors, often leading to physical decline, emotional distress, and increased risk of recurrent events. While existing research has examined causes, risk factors, and interventions, it has often overlooked the psychological aspects and failed to capture stroke survivors' deeper needs and lived experiences. This review addresses this gap by synthesizing qualitative studies that explore stroke survivors’ experiences and perceptions of sedentary behaviour.
Design: Systematic review with meta-aggregation.
Data Source: Published and unpublished literature from inception to November 2024 were identified from PubMed, CINAHL, Embase (Ovid), PsycINFO, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wang Fang, ProQuest, and Google Scholar.
Review Methods: The screening, study selection, and data extraction were independently performed by two reviewers. Quality was appraised using the Joanna Briggs Institute’s Critical Appraisal Checklist for Qualitative Research, and data synthesis was conducted through meta-aggregative approach.
Results: Six studies with moderate to high methodological quality were included. Sixty-seven findings were extracted with unequivocal or equivocal findings eligible. Findings were aggregated into 12 categories and developed into four synthesized findings: 1) factors for sedentary behavior: multiple and interactive, 2) cognition and experience of sedentary behavior: deficiency and negative, 3) individual response to sedentary behaviour: behavioural confrontation and psychological adaptation, 4) preference for sedentary behavioural interventions.
Conclusion: This review uncovers several key issues about sedentary behaviour in stroke survivors. Multiple and interactive internal and external factors create a complex influence pathway. The lack of awareness among stroke survivors, caregivers, and clinics highlights the marginalization of sedentary behaviour in stroke rehabilitation. Psychological adaptation to sedentary behaviour may benefit stroke survivors, suggesting future interventions should address psychological needs. Proactive response and intervention preferences from stroke survivors offer specific guidance for future approaches.
