Promoting physical activity after stroke via self-management: A feasibility study
Journal article
Preston, Elisabeth, Dean, Catherine M., Ada, Louise, Stanton, Rosalyn, Brauer, Sandy, Kuys, Suzanne and Waddington, Gordon. (2017). Promoting physical activity after stroke via self-management: A feasibility study. Topics in Stroke Rehabilitation. 24(5), pp. 353 - 360. https://doi.org/10.1080/10749357.2017.1304876
Authors | Preston, Elisabeth, Dean, Catherine M., Ada, Louise, Stanton, Rosalyn, Brauer, Sandy, Kuys, Suzanne and Waddington, Gordon |
---|---|
Abstract | Background: Many people with mild disability after stroke are physically inactive despite the risk of recurrent stroke. A self-management program may be one strategy to increase physical activity in stroke survivors. Objectives: To investigate the feasibility of a self-management program, and determine whether self-management can increase daily physical activity levels and self-efficacy for exercise, decrease cardiovascular risk, and improve walking ability, participation, and quality of life in people with mild disability after stroke. Method: A Phase I, single-group, pre-post intervention study was carried out with twenty stroke survivors who had mild disability and were discharged directly home from acute stroke units. A self-management program was delivered via five home-based sessions over 3 months, incorporating: education, goal setting, barrier identification, self-monitoring, and feedback. Feasibility of the intervention was determined by examining adherence, duration, usefulness, and safety. Clinical outcomes were amount of physical activity (duration of moderate physical activity in min/day and counts of physical activity in steps/day), self-efficacy, cardiovascular risk, walking ability, participation, and quality of life. Results: The intervention was feasible with 96% of sessions being delivered, each taking less than an hour (41 min, SD 12). Participants perceived the self-management program to be useful and there were few adverse events. At 3 months, participants completed 27 min/day (95% CI 4–49) more moderate physical activity than at baseline and 16 min/day (95% CI −10 to 42) at 6 months. Conclusion: Self-management appears to be feasible and has the potential to increase physical activity in people with mild disability after stroke. A Phase II randomized trial is warranted. |
Keywords | stroke; physical activity; exercise; self-management |
Year | 2017 |
Journal | Topics in Stroke Rehabilitation |
Journal citation | 24 (5), pp. 353 - 360 |
Publisher | Taylor & Francis |
ISSN | 1074-9357 |
Digital Object Identifier (DOI) | https://doi.org/10.1080/10749357.2017.1304876 |
Scopus EID | 2-s2.0-85019851053 |
Page range | 353 - 360 |
Research Group | School of Allied Health |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
Editors | E. J. Roth |
https://acuresearchbank.acu.edu.au/item/86051/promoting-physical-activity-after-stroke-via-self-management-a-feasibility-study
Restricted files
Publisher's version
136
total views0
total downloads1
views this month0
downloads this month