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
Identifieur interne : 000227 ( Main/Exploration ); précédent : 000226; suivant : 000228Promoting 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
Auteurs : Avril Mansfield [Canada] ; Svetlana Knorr [Canada] ; Vivien Poon [Canada] ; Elizabeth L. Inness [Canada] ; Laura Middleton [Canada] ; Louis Biasin [Canada] ; Karen Brunton [Canada] ; Jo-Anne Howe [Canada] ; Dina Brooks [Canada]Source :
- Stroke Research and Treatment [ 2090-8105 ] ; 2016.
Abstract
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
Url:
DOI: 10.1155/2016/9476541
PubMed: 27313948
PubMed Central: 4904109
Affiliations:
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Exercise for Life: An Exercise and Self-Management Program to Encourage Participation in Physical Activity after Discharge from Stroke Rehabilitation—A Feasibility Study</title><author><name sortKey="Mansfield, Avril" sort="Mansfield, Avril" uniqKey="Mansfield A" first="Avril" last="Mansfield">Avril Mansfield</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, Canada M5G 1V7</nlm:aff><country>Canada</country><wicri:regionArea>Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5</nlm:aff><country>Canada</country><wicri:regionArea>Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Knorr, Svetlana" sort="Knorr, Svetlana" uniqKey="Knorr S" first="Svetlana" last="Knorr">Svetlana Knorr</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Poon, Vivien" sort="Poon, Vivien" uniqKey="Poon V" first="Vivien" last="Poon">Vivien Poon</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Inness, Elizabeth L" sort="Inness, Elizabeth L" uniqKey="Inness E" first="Elizabeth L." last="Inness">Elizabeth L. Inness</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, Canada M5G 1V7</nlm:aff><country>Canada</country><wicri:regionArea>Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Middleton, Laura" sort="Middleton, Laura" uniqKey="Middleton L" first="Laura" last="Middleton">Laura Middleton</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5</nlm:aff><country>Canada</country><wicri:regionArea>Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Department of Kinesiology, University of Waterloo, 200 University Avenue W, Waterloo, ON, Canada N2L 3G1</nlm:aff><country>Canada</country><wicri:regionArea>Department of Kinesiology, University of Waterloo, 200 University Avenue W, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Biasin, Louis" sort="Biasin, Louis" uniqKey="Biasin L" first="Louis" last="Biasin">Louis Biasin</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Brunton, Karen" sort="Brunton, Karen" uniqKey="Brunton K" first="Karen" last="Brunton">Karen Brunton</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, Canada M5G 1V7</nlm:aff><country>Canada</country><wicri:regionArea>Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Howe, Jo Anne" sort="Howe, Jo Anne" uniqKey="Howe J" first="Jo-Anne" last="Howe">Jo-Anne Howe</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, Canada M5G 1V7</nlm:aff><country>Canada</country><wicri:regionArea>Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Brooks, Dina" sort="Brooks, Dina" uniqKey="Brooks D" first="Dina" last="Brooks">Dina Brooks</name><affiliation wicri:level="1"><nlm:aff id="I1">Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, Canada M5G 2A2</nlm:aff><country>Canada</country><wicri:regionArea>Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, Canada M5G 1V7</nlm:aff><country>Canada</country><wicri:regionArea>Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">Stroke Research and Treatment</title><idno type="ISSN">2090-8105</idno><idno type="eISSN">2042-0056</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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 <italic>g</italic> ≥ 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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Billinger, S A" uniqKey="Billinger S">S. A. Billinger</name></author><author><name sortKey="Arena, R" uniqKey="Arena R">R. Arena</name></author><author><name sortKey="Bernhardt, J" uniqKey="Bernhardt J">J. Bernhardt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tang, A" uniqKey="Tang A">A. 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Williams</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Mansfield, Avril" sort="Mansfield, Avril" uniqKey="Mansfield A" first="Avril" last="Mansfield">Avril Mansfield</name></noRegion><name sortKey="Biasin, Louis" sort="Biasin, Louis" uniqKey="Biasin L" first="Louis" last="Biasin">Louis Biasin</name><name sortKey="Brooks, Dina" sort="Brooks, Dina" uniqKey="Brooks D" first="Dina" last="Brooks">Dina Brooks</name><name sortKey="Brooks, Dina" sort="Brooks, Dina" uniqKey="Brooks D" first="Dina" last="Brooks">Dina Brooks</name><name sortKey="Brunton, Karen" sort="Brunton, Karen" uniqKey="Brunton K" first="Karen" last="Brunton">Karen Brunton</name><name sortKey="Brunton, Karen" sort="Brunton, Karen" uniqKey="Brunton K" first="Karen" last="Brunton">Karen Brunton</name><name sortKey="Howe, Jo Anne" sort="Howe, Jo Anne" uniqKey="Howe J" first="Jo-Anne" last="Howe">Jo-Anne Howe</name><name sortKey="Howe, Jo Anne" sort="Howe, Jo Anne" uniqKey="Howe J" first="Jo-Anne" last="Howe">Jo-Anne Howe</name><name sortKey="Inness, Elizabeth L" sort="Inness, Elizabeth L" uniqKey="Inness E" first="Elizabeth L." last="Inness">Elizabeth L. Inness</name><name sortKey="Inness, Elizabeth L" sort="Inness, Elizabeth L" uniqKey="Inness E" first="Elizabeth L." last="Inness">Elizabeth L. Inness</name><name sortKey="Knorr, Svetlana" sort="Knorr, Svetlana" uniqKey="Knorr S" first="Svetlana" last="Knorr">Svetlana Knorr</name><name sortKey="Mansfield, Avril" sort="Mansfield, Avril" uniqKey="Mansfield A" first="Avril" last="Mansfield">Avril Mansfield</name><name sortKey="Mansfield, Avril" sort="Mansfield, Avril" uniqKey="Mansfield A" first="Avril" last="Mansfield">Avril Mansfield</name><name sortKey="Middleton, Laura" sort="Middleton, Laura" uniqKey="Middleton L" first="Laura" last="Middleton">Laura Middleton</name><name sortKey="Middleton, Laura" sort="Middleton, Laura" uniqKey="Middleton L" first="Laura" last="Middleton">Laura Middleton</name><name sortKey="Middleton, Laura" sort="Middleton, Laura" uniqKey="Middleton L" first="Laura" last="Middleton">Laura Middleton</name><name sortKey="Poon, Vivien" sort="Poon, Vivien" uniqKey="Poon V" first="Vivien" last="Poon">Vivien Poon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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