Handlery Reed, Regan Elizabeth, Lewis Allison Foster, Larsen Chelsea, Handlery Kaci, Flach Alicia, Fritz Stacy
Physical Therapy Program, Department of Exercise Science, University of South Carolina, Columbia, South Carolina, United States.
Physiother Can. 2022 Jan 1;74(1):97-110. doi: 10.3138/ptc-2020-0035. Epub 2021 Jun 11.
This study investigated the feasibility of a physical activity intervention for people with stroke and their care partners and the role social support plays in physical activity adherence. The study used a single-group, pretest-posttest design with follow-up. Participants were adults with chronic stroke and their care partners. The intervention consisted of 8 weeks of structured, group-based physical activity classes, followed by 19 weeks of self-directed physical activity. Recruitment, adherence, safety, and retention were assessed. Familial social support was assessed before and after the 8-week structured portion and again 19 weeks later. A total of 21 participants (15 people with stroke, 6 care partners), mean age 67.6 (SD 11.6) years, were recruited; 19 (90.5%) completed the 19-week assessment. No adverse events were experienced during the programme. Attendance during the 8-week portion was better than during the 19-week portion (mean difference 0.95; < 0.001; 95% CI: 0.71, 1.19 visits/wk). No relationship was found between social support and physical activity adherence ( > 0.05). Involvement of care partners in a physical activity intervention is feasible and safe. Both people with stroke and their care partners may require ongoing support to participate in long-term physical activity. The relationship between social support and physical activity adherence requires further study.
本研究调查了针对中风患者及其护理伙伴进行体育活动干预的可行性，以及社会支持在体育活动坚持方面所起的作用。该研究采用了单组前后测设计并进行随访。参与者为患有慢性中风的成年人及其护理伙伴。干预措施包括为期8周的结构化、基于小组的体育活动课程，随后是为期19周的自主体育活动。对招募情况、坚持情况、安全性和留存率进行了评估。在为期8周的结构化阶段前后以及19周后再次评估家庭社会支持。共招募了21名参与者（15名中风患者，6名护理伙伴），平均年龄67.6（标准差11.6）岁；19名（90.5%）完成了19周的评估。在该项目期间未发生不良事件。8周阶段的出勤率高于19周阶段（平均差异0.95；<0.001；95%置信区间：0.71，1.19次/周）。未发现社会支持与体育活动坚持之间存在关联（>0.05）。护理伙伴参与体育活动干预是可行且安全的。中风患者及其护理伙伴可能都需要持续的支持来参与长期体育活动。社会支持与体育活动坚持之间的关系需要进一步研究。
