Moore, Sarah, Flynn, Darren, Jones, Susan, Price, Christopher I. M. and Avery, Leah (2022) Feasibility, acceptability, and fidelity of Physical Activity Routines After Stroke (PARAS) a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community dwelling adult stroke. Pilot and Feasibility Studies, 8. p. 197. ISSN 2055-5784
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Abstract
Background: Low levels of habitual physical activity and high levels of sedentary behaviour are commonly observed post-stroke. We aimed to assess the feasibility, acceptability, and fidelity of a multifaceted, theory- and evidence-informed supported self-management intervention targeting physical activity and sedentary behaviour after stroke: Physical Activity Routines After Stroke (PARAS).
Methods: Adult stroke survivors and healthcare professionals were recruited from North East England stroke services. Stroke survivor physical activity and sedentary behaviour were targeted by a self-management behavioural intervention supported by healthcare professionals trained in intervention delivery. Main outcomes were protocol and intervention acceptability and feasibility and fidelity of intervention delivery.
Results: Eleven healthcare professionals (9 physiotherapists; 2 occupational therapists) participated in the study. Stroke survivor recruitment was lower than anticipated (19 versus target of up to 35). The healthcare professional training programme was feasible, with fidelity assessment of delivery supporting this finding. Data completeness was acceptable according to a priori criteria (>60), except for stroke survivor questionnaire return rate (59) and interview uptake (52). No serious adverse events occurred. Healthcare professionals and stroke survivors perceived intervention delivery to be feasible and acceptable with minor modifications highlighted including the potential for earlier delivery in the stroke pathway.
Conclusions: The study protocol and intervention delivery were feasible and acceptable to stroke survivors and healthcare professionals with modifications required before large-scale evaluation.
Trial registration number: ISRCTN35516780,URL http://www.isrctn.com/ISRCTN35516780) Registration date: 24/10/2018
| Item Type: | Article |
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| Additional Information: | Funding information: This report is independent research supported by the Health Education England and the National Institute for Health Research (HEE/NIHR ICA Programme Clinical Lectureship, Dr. Sarah Anne Moore, ICA-CL-2015-01-012). The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR. The funding body had no role in the design and writing of the study protocol and does not have a role in the data collection, management, analysis and interpretation of data, writing of the report and the decision to submit the report for publication. |
| Uncontrolled Keywords: | Stroke, physical activity, sedentary behaviour, healthcare professional, behaviour change intervention, feasibility study |
| Subjects: | A300 Clinical Medicine B100 Anatomy, Physiology and Pathology B700 Nursing |
| Department: | Faculties > Health and Life Sciences > Nursing, Midwifery and Health Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation |
| Depositing User: | Rachel Branson |
| Date Deposited: | 16 Aug 2022 09:24 |
| Last Modified: | 07 Sep 2022 14:55 |
| URI: | https://nrl.northumbria.ac.uk/id/eprint/49866 |
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