Lin Ingrid, Dean Catherine, Glinsky Joanne, Clemson Lindy, Preston Elisabeth, Scrivener Katharine
Department of Health Sciences Macquarie University Sydney New South Wales Australia.
Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia.
Health Sci Rep. 2025 Apr 29;8(5):e70795. doi: 10.1002/hsr2.70795. eCollection 2025 May.
LiFE is a habit-forming functional exercise program that is not widely used in stroke but could facilitate exercise and support long-term physical activity. The purpose of this study was to determine, in people after stroke participating in the Falls After Stroke Trial: (1) exercise beliefs and behaviours, (2) differences between LiFE and usual care participants and (3) in LiFE participants, perceptions of the program.
Participants ( = 49) were consecutively invited to complete a 43-item survey about exercise beliefs and behaviours. LiFE participants also provided program feedback. Data were analysed using descriptive and frequency analyses, Wilcoxon rank-sum tests, Fisher's exact tests and content analyses.
Thirty-eight complete surveys ( = 22 LiFE, = 16 usual care) were analysed. Participants had moderately strong outcome expectations for exercise and reported a mean (SD) of 2 (2) barriers and 2 (1) facilitators to exercise. Only 15 participants (39%) reported meeting Australian physical activity guidelines, of which most (67%) received LiFE. More LiFE than usual care participants were confident in overcoming barriers to exercise (62% 33%, = 0.18) and satisfied with their reported physical activity levels (50% 37%, = 0.41). Most LiFE participants (95%) agreed that the program made it easier for them to be more physically active and all agreed that they would continue with the program.
People after stroke in both the LiFE and usual care groups had positive views of exercise; however, most reported that they were not completing recommended physical activity levels. There appeared to be some differences in exercise beliefs and behaviours between LiFE and usual care participants, though these were not statistically significant. LiFE participants provided positive feedback about the program and reported that it could help them to engage in physical activity behaviours.
LiFE是一项有助于养成习惯的功能性锻炼计划，虽未在中风患者中广泛应用，但可能促进锻炼并支持长期体育活动。本研究旨在确定参与中风后跌倒试验的中风患者：（1）锻炼信念与行为；（2）LiFE组与常规护理组参与者之间的差异；（3）LiFE组参与者对该计划的看法。
连续邀请参与者（n = 49）完成一项关于锻炼信念与行为的43项调查问卷。LiFE组参与者还提供了对该计划的反馈。使用描述性分析、频率分析、Wilcoxon秩和检验、Fisher精确检验和内容分析对数据进行分析。
分析了38份完整调查问卷（n = 22为LiFE组，n = 16为常规护理组）。参与者对锻炼有适度强烈的结果期望，报告平均（标准差）有2（2）个锻炼障碍和2（1）个锻炼促进因素。只有15名参与者（39%）报告达到澳大利亚体育活动指南的要求，其中大多数（67%）接受了LiFE计划。与常规护理组相比，更多LiFE组参与者有信心克服锻炼障碍（62%对33%，P = 0.18），并对其报告的体育活动水平感到满意（50%对37%，P = 0.41）。大多数LiFE组参与者（95%）同意该计划使他们更容易进行更多体育活动，并且都同意他们会继续参与该计划。
LiFE组和常规护理组的中风患者对锻炼都有积极看法；然而，大多数人报告他们未达到推荐的体育活动水平。LiFE组和常规护理组参与者在锻炼信念和行为方面似乎存在一些差异，尽管这些差异无统计学意义。LiFE组参与者对该计划给予了积极反馈，并报告该计划有助于他们参与体育活动行为。
