Factors related to high-risk movement behaviour in people with stroke who are highly sedentary and inactive.
Wendy Hendrickx, Roderick Wondergem, Martijn F Pisters and 4 others
PMID 38327106WHAT IT FOUND
Stroke survivors with high-risk sedentary habits were largely unaware of their movement patterns and relied on daily routines rather than conscious regulation.
Participants stated that receiving feedback on their actual activity levels and support to break habitual sitting were key to enabling change.
Key findings
01Participants lacked awareness of their own sedentary time and the specific risks associated with it, meaning they could not regulate their behaviour consciously.
02Movement behaviour was driven primarily by subconscious habits and daily routines, with active behaviours often replaced by sedentary ones without intentional decision-making.
03Providing participants with objective feedback on their movement behaviour during interviews prompted immediate intentions and plans to reduce sedentary time.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The sample was small (n=11) and selected specifically for a high-risk sedentary pattern, so findings may not apply to stroke survivors with different movement behaviours. Participants were generally independent in walking and daily activities, limiting applicability to those with more severe stroke sequelae. The study explores perceptions and intentions, not actual behaviour change or health outcomes. Providing the activity monitor and feedback during the interview may have influenced the participants' responses and intentions in the moment.
Declared interests
Four authors were supported by SIA-RAAK and The Dutch Organisation for Scientific Research (NWO). The funder had no role in study design, data collection, analysis, interpretation, or writing.
The easy way to misread this
Do not interpret the formation of intentions during the interview as evidence that providing feedback leads to sustained behaviour change. The study reports what participants said they planned to do in the moment, not whether they actually reduced sedentary time or improved health outcomes over time.