a Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh , Pittsburgh , PA , USA.
b Department of Acute and Tertiary Care Nursing, School of Nursing, University of Pittsburgh , Pittsburgh , PA , USA.
Top Stroke Rehabil. 2019 Sep;26(6):456-463. doi: 10.1080/10749357.2019.1623437. Epub 2019 Jun 6.
: High levels of sedentary behavior are prevalent among people with stroke and contribute to elevated risk for recurrent stroke. Few interventions reduce sedentary behavior post-stroke. The ABLE intervention aims to reduce sedentary behavior using activity monitoring, activity scheduling, problem-solving, and self-assessment to promote engagement in meaningful daily activities. The purpose of this study was to assess the feasibility (tolerability, acceptability, reliability, safety) of the ABLE intervention after stroke and describe trends in sedentary behavior at baseline and 4 weeks. : Participants (n = 5) who were 6 months to 2 years post-stroke, ambulatory, and reported ≥6 h of daily sitting time. : Twelve ABLE intervention sessions (3x/week for 4 weeks) conducted in participants' homes. The ABLE intervention includes activity monitoring, activity scheduling, self-assessment, and collaborative problem-solving. : All feasibility benchmarks were met for three participants. Two participants met tolerability and safety benchmarks but did not meet acceptability and reliability benchmarks. Variability in feasibility and sedentary behavior outcomes may be related to baseline levels of sedentary behavior and social support. : The ABLE intervention was tolerable and safe. The intervention protocol was refined to enhance reliability and acceptability. Future studies should estimate the effects of the ABLE intervention.
: 高久坐行为水平在中风患者中很常见,这会增加中风复发的风险。很少有干预措施能减少中风后的久坐行为。ABLE 干预旨在通过活动监测、活动安排、解决问题和自我评估来减少久坐行为,以促进参与有意义的日常活动。本研究的目的是评估中风后 ABLE 干预的可行性(可耐受性、可接受性、可靠性、安全性),并描述基线和 4 周时久坐行为的趋势。 : 参与者(n = 5)在中风后 6 个月至 2 年内,能走动,并报告每天有≥6 小时的久坐时间。 : 在参与者的家中进行 12 次 ABLE 干预课程(每周 3 次,持续 4 周)。ABLE 干预包括活动监测、活动安排、自我评估和协作解决问题。 : 有 3 名参与者满足了所有可行性基准。有 2 名参与者满足了可耐受性和安全性基准,但未满足可接受性和可靠性基准。可行性和久坐行为结果的变异性可能与基线久坐行为水平和社会支持有关。 : ABLE 干预是可耐受和安全的。干预方案经过了改进,以提高可靠性和可接受性。未来的研究应该评估 ABLE 干预的效果。