Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study
People with stroke do not achieve adequate levels of physical exercise following discharge from rehabilitation. We developed a group exercise and self-management program (PROPEL), delivered during stroke rehabilitation, to promote uptake of physical activity after discharge. This study aimed to esta...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2016/9476541 |
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| _version_ | 1832555125096316928 |
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| author | Avril Mansfield Svetlana Knorr Vivien Poon Elizabeth L. Inness Laura Middleton Louis Biasin Karen Brunton Jo-Anne Howe Dina Brooks |
| author_facet | Avril Mansfield Svetlana Knorr Vivien Poon Elizabeth L. Inness Laura Middleton Louis Biasin Karen Brunton Jo-Anne Howe Dina Brooks |
| author_sort | Avril Mansfield |
| collection | DOAJ |
| description | People with stroke do not achieve adequate levels of physical exercise following discharge from rehabilitation. We developed a group exercise and self-management program (PROPEL), delivered during stroke rehabilitation, to promote uptake of physical activity after discharge. This study aimed to establish the feasibility of a larger study to evaluate the effect of this program on participation in self-directed physical activity. Participants with subacute stroke were recruited at discharge from one of three rehabilitation hospitals; one hospital offered the PROPEL program whereas the other two did not (comparison group; COMP). A high proportion (11/16) of eligible PROPEL program participants consented to the study. Fifteen COMP participants were also recruited. Compliance with wearing an accelerometer for 6 weeks continuously and completing physical activity questionnaires was high (>80%), whereas only 34% of daily heart rate data were available. Individuals who completed the PROPEL program seemed to have higher outcome expectations for exercise, fewer barriers to physical activity, and higher participation in physical activity than COMP participants (Hedge’s g≥0.5). The PROPEL program delivered during stroke rehabilitation shows promise for reducing barriers to exercise and increasing participation in physical activity after discharge. This study supports feasibility of a larger randomized trial to evaluate this program. |
| format | Article |
| id | doaj-art-adb73b3984df4d5f9804ee4d9450fe21 |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-adb73b3984df4d5f9804ee4d9450fe212025-02-03T05:49:33ZengWileyStroke Research and Treatment2090-81052042-00562016-01-01201610.1155/2016/94765419476541Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility StudyAvril Mansfield0Svetlana Knorr1Vivien Poon2Elizabeth L. Inness3Laura Middleton4Louis Biasin5Karen Brunton6Jo-Anne Howe7Dina Brooks8Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaToronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, CanadaPeople with stroke do not achieve adequate levels of physical exercise following discharge from rehabilitation. We developed a group exercise and self-management program (PROPEL), delivered during stroke rehabilitation, to promote uptake of physical activity after discharge. This study aimed to establish the feasibility of a larger study to evaluate the effect of this program on participation in self-directed physical activity. Participants with subacute stroke were recruited at discharge from one of three rehabilitation hospitals; one hospital offered the PROPEL program whereas the other two did not (comparison group; COMP). A high proportion (11/16) of eligible PROPEL program participants consented to the study. Fifteen COMP participants were also recruited. Compliance with wearing an accelerometer for 6 weeks continuously and completing physical activity questionnaires was high (>80%), whereas only 34% of daily heart rate data were available. Individuals who completed the PROPEL program seemed to have higher outcome expectations for exercise, fewer barriers to physical activity, and higher participation in physical activity than COMP participants (Hedge’s g≥0.5). The PROPEL program delivered during stroke rehabilitation shows promise for reducing barriers to exercise and increasing participation in physical activity after discharge. This study supports feasibility of a larger randomized trial to evaluate this program.http://dx.doi.org/10.1155/2016/9476541 |
| spellingShingle | Avril Mansfield Svetlana Knorr Vivien Poon Elizabeth L. Inness Laura Middleton Louis Biasin Karen Brunton Jo-Anne Howe Dina Brooks Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study Stroke Research and Treatment |
| title | Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study |
| title_full | Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study |
| title_fullStr | Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study |
| title_full_unstemmed | Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study |
| title_short | Promoting Optimal Physical Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study |
| title_sort | promoting optimal physical exercise for life an exercise and self management program to encourage participation in physical activity after discharge from stroke rehabilitation a feasibility study |
| url | http://dx.doi.org/10.1155/2016/9476541 |
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