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
Abstract 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 phys...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | Pilot and Feasibility Studies |
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| Online Access: | https://doi.org/10.1186/s40814-022-01139-4 |
| _version_ | 1817994043439710208 |
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| author | Sarah A. Moore Darren Flynn Susan Jones Christopher I. M. Price Leah Avery |
| author_facet | Sarah A. Moore Darren Flynn Susan Jones Christopher I. M. Price Leah Avery |
| author_sort | Sarah A. Moore |
| collection | DOAJ |
| description | Abstract 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 |
| first_indexed | 2024-04-14T01:47:36Z |
| format | Article |
| id | doaj.art-3f877012dc5b471eaf0d327a6300cdbd |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-14T01:47:36Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-3f877012dc5b471eaf0d327a6300cdbd2022-12-22T02:19:28ZengBMCPilot and Feasibility Studies2055-57842022-09-018112010.1186/s40814-022-01139-4Feasibility, 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 survivorsSarah A. Moore0Darren Flynn1Susan Jones2Christopher I. M. Price3Leah Avery4Stroke Research Group, Newcastle UniversityFaculty of Health and Life Sciences, Northumbria UniversityCentre for Rehabilitation, School of Health & Life Sciences, Teesside UniversityStroke Research Group, Newcastle UniversityCentre for Rehabilitation, School of Health & Life Sciences, Teesside UniversityAbstract 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, 2018https://doi.org/10.1186/s40814-022-01139-4StrokePhysical activitySedentary behaviourHealthcare professionalBehaviour change interventionFeasibility study |
| spellingShingle | Sarah A. Moore Darren Flynn Susan Jones Christopher I. M. Price Leah Avery 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 Pilot and Feasibility Studies Stroke Physical activity Sedentary behaviour Healthcare professional Behaviour change intervention Feasibility study |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Stroke Physical activity Sedentary behaviour Healthcare professional Behaviour change intervention Feasibility study |
| url | https://doi.org/10.1186/s40814-022-01139-4 |
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