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A qualitative exploration of perceived barriers, facilitators and preferences of early mobilisation after aneurysmal subarachnoid haemorrhage.

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Title: A qualitative exploration of perceived barriers, facilitators and preferences of early mobilisation after aneurysmal subarachnoid haemorrhage.
Authors: Hernandez, Sabrina (AUTHOR), da Silva, Alisha (AUTHOR), Tipping, Claire (AUTHOR), Deane, Adam (AUTHOR), Levy, Cristina (AUTHOR), Hodgson, Carol (AUTHOR)
Source: Disability & Rehabilitation. Jun2026, Vol. 48 Issue 12, p3812-3825. 14p.
Subjects: Intracranial aneurysms, Health services accessibility, Qualitative research, Subarachnoid hemorrhage, Interviewing, Early ambulation (Rehabilitation), Descriptive statistics, Glasgow Coma Scale, Sound recordings, Thematic analysis, Research methodology, Videoconferencing, Data analysis software, Patients' attitudes, Critical care medicine
Abstract: Purpose: To determine the barriers, enablers and preferences for engagement in early mobilisation from the perspective of aneurysmal subarachnoid haemorrhage (aSAH) survivors in acute and intensive care settings. Materials and methods: A descriptive qualitative study using semi-structured interviews was conducted, audio recorded and transcribed. Thematic analysis was conducted to identify participant's preferences and perceived barriers and enablers to participation in early mobilisation using the Capability, Opportunity and Motivation - Behaviour (COM-B) model as a guiding framework. Results: Thirteen aSAH survivors were interviewed; mean (SD) age was 53 (12) years, 70% were females. Enablers to mobilisation included mobility independence, knowledge of exercise benefits, self-confidence, self-motivation to recover, staff encouragement, toileting, staff and equipment availability and family visits. The key barriers identified were fatigue and headache, difficulty processing events, lack of information, hospital environment constraints, medical monitoring requirements, feeling conscious of other patients and concerns regarding potential risks. Four preference themes were identified which included increased opportunities to exercise, desire for information, social connections and adjunct therapies. Conclusions: This in-depth exploration has identified patient preferences, barriers and enablers that influence participation in early mobilisation. Findings will inform the design of early mobilisation programs that better meet the needs of patients following aSAH. IMPLICATIONS FOR REHABILITATION: Following aneurysmal subarachnoid haemorrhage (aSAH), clinicians should provide individualised education and advice as part of routine therapy to improve patient's understanding of their condition, to increase confidence and alleviate concerns in engaging in mobilisation. Flexibility in individualised rehabilitation programs is required day-to-day due to fluctuation in patient symptoms, requirement for monitoring and the high risk of complications. Adjunct therapies, enriched physical environments and enlisting the assistance of family may enhance motivation and increase physical activity. Strategies to facilitate increased amounts of mobilisation should be guided by individual patient preferences. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A qualitative exploration of perceived barriers, facilitators and preferences of early mobilisation after aneurysmal subarachnoid haemorrhage.
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Jun2026, Vol. 48 Issue 12, p3812-3825. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Intracranial+aneurysms%22">Intracranial aneurysms</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Subarachnoid+hemorrhage%22">Subarachnoid hemorrhage</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Early+ambulation+%28Rehabilitation%29%22">Early ambulation (Rehabilitation)</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Glasgow+Coma+Scale%22">Glasgow Coma Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Videoconferencing%22">Videoconferencing</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Critical+care+medicine%22">Critical care medicine</searchLink>
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  Data: Purpose: To determine the barriers, enablers and preferences for engagement in early mobilisation from the perspective of aneurysmal subarachnoid haemorrhage (aSAH) survivors in acute and intensive care settings. Materials and methods: A descriptive qualitative study using semi-structured interviews was conducted, audio recorded and transcribed. Thematic analysis was conducted to identify participant's preferences and perceived barriers and enablers to participation in early mobilisation using the Capability, Opportunity and Motivation - Behaviour (COM-B) model as a guiding framework. Results: Thirteen aSAH survivors were interviewed; mean (SD) age was 53 (12) years, 70% were females. Enablers to mobilisation included mobility independence, knowledge of exercise benefits, self-confidence, self-motivation to recover, staff encouragement, toileting, staff and equipment availability and family visits. The key barriers identified were fatigue and headache, difficulty processing events, lack of information, hospital environment constraints, medical monitoring requirements, feeling conscious of other patients and concerns regarding potential risks. Four preference themes were identified which included increased opportunities to exercise, desire for information, social connections and adjunct therapies. Conclusions: This in-depth exploration has identified patient preferences, barriers and enablers that influence participation in early mobilisation. Findings will inform the design of early mobilisation programs that better meet the needs of patients following aSAH. IMPLICATIONS FOR REHABILITATION: Following aneurysmal subarachnoid haemorrhage (aSAH), clinicians should provide individualised education and advice as part of routine therapy to improve patient's understanding of their condition, to increase confidence and alleviate concerns in engaging in mobilisation. Flexibility in individualised rehabilitation programs is required day-to-day due to fluctuation in patient symptoms, requirement for monitoring and the high risk of complications. Adjunct therapies, enriched physical environments and enlisting the assistance of family may enhance motivation and increase physical activity. Strategies to facilitate increased amounts of mobilisation should be guided by individual patient preferences. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/09638288.2025.2597310
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      – Code: eng
        Text: English
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        PageCount: 14
        StartPage: 3812
    Subjects:
      – SubjectFull: Intracranial aneurysms
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Qualitative research
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      – SubjectFull: Subarachnoid hemorrhage
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      – SubjectFull: Early ambulation (Rehabilitation)
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      – SubjectFull: Glasgow Coma Scale
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      – SubjectFull: Sound recordings
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Critical care medicine
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      – TitleFull: A qualitative exploration of perceived barriers, facilitators and preferences of early mobilisation after aneurysmal subarachnoid haemorrhage.
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              Text: Jun2026
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