Is the concept of an internet-based self-management program to increase physical activity acceptable to community-dwelling stroke survivors?

Background: There is consistent and growing evidence to support the use of remote and web based physical activity and self-management programs in a variety of populations. Following stroke people face multiple barriers to physical activity, many of which are likely to be amenable to a self-management program delivered via the internet. However, it is not known whether a self-management program directly targeting physical activity and delivered over the internet is perceived as acceptable to stroke survivors.

Methodology: An online survey was used to collect information regarding the demographics, mobility status, physical activity, emotional well-being and participation status of Australian adult stroke survivors living in the community. Information was also sought regarding perceived barriers to physical activity and self-efficacy in regards to overcoming these barriers. Willingness to participate in an internet self-management program was also assessed.

Results: Forty stroke survivors from around Australia participated in an online survey. Nearly all participants reported being able to walk outside (94.9%) and are able to use stairs (89.5%), however over 76% of participants were not satisfied with their current level of mobility. Emotional distress levels were generally high, with over 25% of participants deemed likely to have a moderate-severe mental health disorder. Nearly two thirds (64.9%) of participants stated they were not satisfied with their ability to be physically active. The most common barriers to physical activity were that it was “too tiring” (22.5%), “caused pain or discomfort” (22.5%) or that participants were “fearful of performing physical activity” (20.0%). Over 76% of participants stated they would be interested in undertaking an internet-based self-management program aimed at increasing their physical activity levels.

Conclusions: An internet-based self-management program aimed at overcoming barriers and improving physical activity levels is an acceptable option for community-dwelling stroke survivors. Therefore such a program warrants development and evaluation.