Purpose: To explore the perceptions and experiences of people with stroke living in the community with regard to the perceived causes, impact and solutions to minimise falls. Method: A qualitative research approach underpinned by a constructivist paradigm utilising a phenomenological methodology. 12 people with stroke participated in focus groups; the data was analysed using thematic analysis. Results: Three themes and one foundation theme were identified. 1. Trips and Triggers: falls were perceived to be linked to external triggers, one of which was walking aids. 2. Blame and Burden: self-blame and worry about being a burden may be associated with underreporting of falls. 3. Restrict and Reduce: people with stroke restrict activity and reduce participation to manage falls. The underpinning theme of self-efficacy highlights the apparent diminished falls self-efficacy, and the perception amongst the participants that falls are inevitable. Conclusions: This study highlights the perceived negative consequences of falls amongst people with stroke, and the potential contribution of falls to the reduced levels of physical activity often seen following a stroke. Our findings emphasise the need to address falls and balance related self-efficacy alongside strategies to promote safe mobility. A paradigm shift may be needed to highlight potentially modifiable intrinsic risk factors and emphasise the relevance and value of proactive fall prevention to people with stroke.
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