中风后身体活动常规的可行性、可接受性和保真度（PARAS）：一项针对社区居住的成年中风幸存者自由生活身体活动和久坐行为的多方面行为改变干预措施。
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 survivors.
作者信息
Moore Sarah A, Flynn Darren, Jones Susan, Price Christopher I M, Avery Leah
机构信息
Stroke Research Group, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Stroke Northumbria, Northumbria Healthcare NHS Foundation Trust, North Shields, Tyne and Wear, NE29 8NH, UK.
出版信息
Pilot Feasibility Stud. 2022 Sep 3;8(1):197. doi: 10.1186/s40814-022-01139-4.
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. The 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
ISRCTN35516780 . Registered on October 24, 2018.
背景
中风后经常观察到习惯性身体活动水平低和久坐行为水平高的情况。我们旨在评估一种多方面的、基于理论和证据的支持性自我管理干预措施的可行性、可接受性和保真度，该干预措施针对中风后的身体活动和久坐行为：中风后身体活动常规（PARAS）。
方法
从英格兰东北部的中风服务机构招募成年中风幸存者和医疗保健专业人员。通过由接受过干预实施培训的医疗保健专业人员支持的自我管理行为干预措施，针对中风幸存者的身体活动和久坐行为。主要结果是方案和干预的可接受性、可行性以及干预实施的保真度。
结果
11名医疗保健专业人员（9名物理治疗师；2名职业治疗师）参与了该研究。中风幸存者的招募人数低于预期（19人，而目标人数高达35人）。医疗保健专业人员培训计划是可行的，实施的保真度评估支持了这一发现。根据先验标准（>60%），数据完整性是可接受的，但中风幸存者问卷回复率（59%）和访谈参与率（52%）除外。未发生严重不良事件。医疗保健专业人员和中风幸存者认为干预实施是可行且可接受的，同时强调了一些小的修改，包括有可能在中风治疗过程中更早地实施干预。
结论
该研究方案和干预实施对中风幸存者和医疗保健专业人员来说是可行且可接受的，但在大规模评估之前需要进行修改。
试验注册
ISRCTN35516780。于2018年10月24日注册。
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