Moore Sarah A, Avery Leah, Price Christopher I M, Flynn Darren
1Stroke Research Group, Institute of Neuroscience Newcastle University, 3-4 Claremont Terrace, Newcastle upon Tyne, UK.
2Stroke Northumbria, Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields, Tyne and Wear, NE29 8NH UK.
Pilot Feasibility Stud. 2020 Apr 29;6:58. doi: 10.1186/s40814-020-00603-3. eCollection 2020.
Despite the benefits of physical activity for walking ability, balance, and mood, less than 30% of stroke survivors engage in recommended levels of physical activity with high levels of sedentary behaviour observed. This study aims to assess the feasibility, acceptability and fidelity of a theory- and evidence-based multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour after stroke.
This study will be set in community stroke services in the North East of England and will assess the feasibility of a behaviour change intervention targeting free-living physical activity and sedentary behaviour of stroke survivors consultation behaviour of the healthcare professionals to support stroke survivors to make these lifestyle changes. Up to 35 stroke survivors currently receiving stroke rehabilitation within the study catchment area with capacity no contraindications to increasing physical activity/reducing sedentary behaviour will be recruited. Stroke survivors will receive a supported self-management physical activity/sedentary behaviour programme incorporating provision of information, goal setting, action planning, barrier identification, coping planning, self-monitoring and feedback on physical activity and sedentary behaviour. The programme will be supported by up to 12 healthcare professionals (HCPs) recruited from the community stroke services taking part in the study. The HCPs will deliver at least two face-to-face sessions (baseline, review and subsequent reviews if necessary) and provide a range of personalised tools to support each individual stroke survivor (e.g. workbook, self-monitoring tools, information on local resources). The consultation behaviour of the HCPs will be targeted via a training programme incorporating face-to-face training, a training manual and individual feedback on intervention programme delivery from the study research team. The feasibility, acceptability and fidelity of the study protocol will be assessed.
The most effective methods of supporting stroke survivors to alter physical activity and sedentary behaviour have yet to be established. This study will establish the feasibility of delivering a complex theory- and evidence-based intervention targeting the behaviour of both stroke survivors and HCPs and assess whether it is acceptable to the target populations. Findings will inform the iterative development of the intervention before a larger scale evaluation.
Trial register: Trial identifier: ISRCTN35516780, date of registration: 24/10/2018.
尽管体育活动对行走能力、平衡能力和情绪有益，但不到30%的中风幸存者进行了推荐水平的体育活动，且久坐行为水平较高。本研究旨在评估一种基于理论和证据的多方面行为改变干预措施的可行性、可接受性和保真度，该干预措施针对中风后的自由生活体育活动和久坐行为。
本研究将在英格兰东北部的社区中风服务机构中开展，评估一项行为改变干预措施的可行性，该措施针对中风幸存者的自由生活体育活动和久坐行为，以及医疗保健专业人员的咨询行为，以支持中风幸存者做出这些生活方式的改变。将招募多达35名目前在研究覆盖区域内接受中风康复治疗、有能力且无增加体育活动/减少久坐行为禁忌症的中风幸存者。中风幸存者将接受一项支持性自我管理体育活动/久坐行为计划，包括提供信息、设定目标、制定行动计划、识别障碍、制定应对计划、自我监测以及关于体育活动和久坐行为的反馈。该计划将由从参与研究的社区中风服务机构招募的多达12名医疗保健专业人员（HCPs）提供支持。HCPs将至少进行两次面对面会议（基线、复查以及必要时的后续复查），并提供一系列个性化工具来支持每位中风幸存者个体（例如工作手册、自我监测工具、当地资源信息）。HCPs的咨询行为将通过一个培训计划来进行针对性培训，该计划包括面对面培训、培训手册以及研究团队对干预计划实施的个人反馈。将评估研究方案的可行性、可接受性和保真度。
支持中风幸存者改变体育活动和久坐行为的最有效方法尚未确定。本研究将确定实施一项针对中风幸存者和HCPs行为的复杂的基于理论和证据的干预措施的可行性，并评估其是否为目标人群所接受。研究结果将为在大规模评估之前对干预措施进行迭代开发提供信息。
试验注册库：试验标识符：ISRCTN35516780，注册日期：2018年10月24日。
