Promoting physical activity after stroke via self-management: a feasibility study

Elisabeth Preston, Catherine M. Dean, Louise Ada, Rosalyn Stanton, Sandy Brauer, Suzanne Kuys, Gordon Waddington

    Research output: Contribution to journalArticleResearchpeer-review

    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 selfmanagement 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.

    LanguageEnglish
    Pages353-360
    Number of pages8
    JournalTopics in Stroke Rehabilitation
    Volume24
    Issue number5
    DOIs
    Publication statusPublished - 2017

    Fingerprint

    Feasibility Studies
    Self Care
    Stroke
    Exercise
    Disabled Persons
    Aptitude
    Self Efficacy
    Walking
    Survivors
    Quality of Life
    Safety
    Education

    Keywords

    • stroke
    • physical activity
    • exercise
    • self-management

    Cite this

    Preston, Elisabeth ; Dean, Catherine M. ; Ada, Louise ; Stanton, Rosalyn ; Brauer, Sandy ; Kuys, Suzanne ; Waddington, Gordon. / Promoting physical activity after stroke via self-management : a feasibility study. In: Topics in Stroke Rehabilitation. 2017 ; Vol. 24, No. 5. pp. 353-360.
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    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 selfmanagement 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.",
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    Promoting physical activity after stroke via self-management : a feasibility study. / Preston, Elisabeth; Dean, Catherine M.; Ada, Louise; Stanton, Rosalyn; Brauer, Sandy; Kuys, Suzanne; Waddington, Gordon.

    In: Topics in Stroke Rehabilitation, Vol. 24, No. 5, 2017, p. 353-360.

    Research output: Contribution to journalArticleResearchpeer-review

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    AU - Stanton, Rosalyn

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