The qualitative study of facilitators and barriers to healthy behavior among stroke patients
Objective To explore the potential facilitators and barriers to healthy behavior among stroke patients.Methods Semi-structured interviews were conducted among 16 stroke patients from Septem-ber 2022 to March 2023 using an objective sampling method.The interview guide was developed using the theoretical domain framework(TDF).Interviews were transcribed and refined the theme using directed con-tent and induction analysis.Using the TDF as the initial coding framework,the themes were then merged into the most relevant domains.Finally,the correspondence between theoretical domains and the healthy behavior of stroke patients was determined based on the frequency and relationship between themes.Results This study identified nine theoretical domains that affected the healthy behavior of stroke patients:knowledge,skills,motivation and goals,social influences,social/professional role and identity,environment context and resources,belief about capability,consequence belief and behavioral regulation.Conclusion The healthy behavior of stroke patients is complex and influenced by several factors.The nine theoretical domains identi-fied in this study will provide recommendations for future health behavior interventions for stroke patients.