van der Ploeg Hidde P, Streppel Kitty R M, van der Beek Allard J, van der Woude Luc H V, Vollenbroek-Hutten Miriam M R, van Harten Wim H, van Mechelen Willem
Department of Public and Occupational Health, Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Am J Health Promot. 2007 Jan-Feb;21(3):153-9. doi: 10.4278/0890-1171-21.3.153.
To determine the effects of the physical activity promotion programs Rehabilitation & Sports (R&S) and Active after Rehabilitation (AaR) on sport and daily physical activity 1 year after in- or outpatient rehabilitation.
Subjects in intervention rehabilitation centers were randomized into a group receiving R&S only (n = 315) and a group receiving R&S and AaR (n = 284). Subjects in six control centers (n = 603) received usual care.
Ten Dutch rehabilitation centers.
Subjects consisted of 1202 rehabilitation patients. Most frequent diagnoses were stroke, neurological disorders, and back disorders.
Both the sport stimulation program (R&S) and the daily physical activity promotion program (AaR) consisted of personalized tailored counseling.
Two sport outcomes and two daily physical activity outcomes were assessed with questionnaires at baseline and 1 year after rehabilitation.
Multilevel analyses comparing both intervention groups to the control group.
The R&S program showed no significant effects. Intention-to-treat analyses in the R&S + AaR group showed borderline significant improvements in one sport (odds ratio [OR] = 1.66, p = .02) and both physical activity outcomes (OR = 1.68, p = .01 and regression coefficient = 10.78, p = .05). On-treatment analyses in the R&S + AaR group showed similar but stronger effects.
The combination of the R&S and AaR programs improved physical activity behavior and sport participation 1 year after in- or outpatient rehabilitation. The R&S program alone did not have any effects.
确定康复与运动（R&S）以及康复后积极活动（AaR）这两项身体活动促进计划对住院或门诊康复1年后的运动及日常身体活动的影响。
干预康复中心的受试者被随机分为仅接受R&S的组（n = 315）和接受R&S及AaR的组（n = 284）。六个对照中心的受试者（n = 603）接受常规护理。
十家荷兰康复中心。
受试者包括1202名康复患者。最常见的诊断为中风、神经疾病和背部疾病。
运动刺激计划（R&S）和日常身体活动促进计划（AaR）均包括个性化的定制咨询。
在基线和康复1年后通过问卷评估两项运动结果和两项日常身体活动结果。
将两个干预组与对照组进行多水平分析。
R&S计划未显示出显著效果。R&S + AaR组的意向性分析显示，一项运动有临界显著改善（优势比[OR] = 1.66，p = 0.02），两项身体活动结果均有改善（OR = 1.68，p = 0.01；回归系数 = 10.78，p = 0.05）。R&S + AaR组的治疗中分析显示了相似但更强的效果。
R&S和AaR计划相结合可改善住院或门诊康复1年后的身体活动行为和运动参与情况。单独的R&S计划没有任何效果。
