Background. Stroke is a leading cause of disability and requires continued care after hospital discharge. Mobile-based interventions are suitable to reduce the cost of stroke rehabilitation and facilitate self-management among stroke survivors. However, before attempting to use mobile-based home exercise program, it is crucial to recognize the readiness of stroke survivors and their caregivers to opt for such interventions. Objective. To assess the acceptability and attitude towards a mobile-based home exercise program among stroke survivors and their primary caregivers. Methods. A cross-sectional study was conducted among 102 participants to understand their attitude and acceptability towards mobile-based home exercise program. A validated 10-item questionnaire was adapted for the study. The questions which assessed the attitude were rated on a three-point Likert scale, with three denoting agree and one denoting disagree. The acceptability was assessed by their willingness to opt for a mobile-based home program services. A Chi-square analysis and cross-tabulation were performed to test differences between caregivers and patients. A logistic regression was performed to determine the effects of age, gender, and mobile phone on acceptability. Results. Ninety-two percent of caregivers and 90% of patients showed willingness to opt for mobile-based intervention. Majority of the participants showed a positive attitude towards this mode of treatment. There was no difference in the attitude noted among caregivers and patients (p>0.05) towards mobile-based intervention. Conclusion. The stroke survivors and caregivers welcomed the concept of mobile-based home exercise program even in a low-resource settings, but further studies to understand treatment and cost-effectiveness of this technology among the stroke survivors would lead to better implementation.
ObjectiveTo develop a set of strategies to enhance adherence to home-based exercises after stroke, and an overarching framework to classify these strategies.MethodWe conducted a four-round Delphi consensus (two online surveys, followed by a focus group then a consensus round). The Delphi panel consisted of 13 experts from physiotherapy, occupational therapy, clinical psychology, behaviour science and community medicine. The experts were from India, Australia and UK.ResultsIn round 1, a 10-item survey using open-ended questions was emailed to panel members and 75 strategies were generated. Of these, 25 strategies were included in round 2 for further consideration. A total of 64 strategies were finally included in the subsequent rounds. In round 3, the strategies were categorised into nine domains—(1) patient education on stroke and recovery, (2) method of exercise prescription, (3) feedback and supervision, (4) cognitive remediation, (5) involvement of family members, (6) involvement of society, (7) promoting self-efficacy, (8) motivational strategies and (9) reminder strategies. The consensus from 12 experts (93%) led to the development of the framework in round 4.ConclusionWe developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders’ experiences and the cost-effectiveness of implementing these strategies.
The Test of Attentional and Interpersonal Style (TAIS), a 144-item personality inventory developed by sport psychologist Robert Nideffer, was used for the first time with dancers in this study to explore (1) what it would divulge about the shared personality traits of elite-level dancers and (2) whether it might be useful as a teaching/counseling tool to enhance the performance of under-achieving dance students. Two sets of subjects were tested: group 1 (n = 41: 22 females, 19 males) was composed of professional dancers from the Boston Ballet Company, while the subjects in group 2 (n = 42: 38 females, 4 males) were all dance majors at the Boston Conservatory. A composite profile was developed for each group by averaging the scores recorded on each of the 18 scales used in the TAIS analysis, and the two profiles were then compared in accordance with standard testing procedures. Both groups were found to be characterized by an internally focused attentional style, but the professionals were clearly more skilled in adapting this style to the elimination of internal and external distractions. This finding was reinforced by a contrast in the personality traits relating to interpersonal style, which again portrayed the student dancers as relatively vulnerable to distraction as a result of higher levels of extroversion and impulsivity, and greater ambivalence in their response to external authority. It is concluded that elite dancers do share certain traits in common, and that identifying personality characteristics that are important to success in dance may provide both students and their teachers with insight for enhancing performance.
The purpose of this study was to provide a statistical review of trends in dance medicine and science research over the last 38 years with regard to how much is being published, where it is being published, and what subject matter is attracting the most attention. All data were compiled through computer tabulations of entries in the authors’ Dance Medicine & Science Bibliography, 3rd Edition. When viewed in three-year intervals, the number of publications was seen to increase dramatically between 1977 and 1988, and decrease steadily at each interval through 2003. Over the time span in question, 141 authored books, 36 edited books, and 321 chapters have appeared, along with 405 articles in periodicals (led by Medical Problems of Performing Artists and the Journal of Dance Medicine & Science, with 151 and 136 articles, respectively). Eleven research subjects can be identified which have produced at least 100 references; the 3 most prolific subjects are Psychology/Personality/Perception/Memory/Stress, psychological (308); Technique/Teaching/Training (284); and Stress fracture/Overuse injury (241). Publications over the last 38 years in dance medicine and science portray it as a vigorous and diverse field, although there is potential cause for concern in the (at this time unexplained) decrease in number of publications since 1989.
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