Does cardiac rehabilitation for people with stroke in the sub-acute phase of recovery lead to physical behaviour change? Results from compositional analysis of accelerometry-derived data

Orme, Mark; Clague-Baker, Nicola; Richardson, Matthew; Drewry, S.; Robinson, Thompson; Singh, Sally

doi:10.1016/j.physio.2019.10.003

Cited by 6 publications

(2 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Existing evidence indicates that aerobic exercise can result in important reductions in systolic and diastolic blood pressure in patients following a TIA, with effects most pronounced when exercise is initiated within six months of an initial event, and when interventions incorporate educational components [16]. A recent non-randomised study, examining cardiac rehabilitation undertaken in the sub-acute phase of recovery after stroke, found that participants took significantly more daily steps and engaged in more bouts of moderate or vigorous-intensity physical activity [17]. However, supervised cardiac rehabilitation programmes represent a relatively time and resource intensive approach that may not be sustainable or cost effective in current healthcare system settings.…”

Section: Introductionmentioning

confidence: 99%

Usability and Acceptability of a Novel Secondary Prevention Initiative Targeting Physical Activity for Individuals after a Transient Ischaemic Attack or “Minor” Stroke: A Qualitative Study

Heron

O’Connor

Kee

et al. 2020

IJERPH

View full text Add to dashboard Cite

Behavioural interventions that address cardiovascular risk factors such as physical inactivity and hypertension help reduce recurrence risk following a transient ischaemic attack (TIA) or “minor” stroke, but an optimal approach for providing secondary prevention is unclear. After developing an initial draft of an innovative manual for patients, aiming to promote secondary prevention following TIA or minor stroke, we aimed to explore views about its usability and acceptability amongst relevant stakeholders. We held three focus group discussions with 18 participants (people who had experienced a TIA or minor stroke (4), carers (1), health professionals (9), and researchers (4). Reflexive thematic analysis identified the following three inter-related themes: (1) relevant information and content, (2) accessibility of format and helpful structure, and (3) strategies to optimise use and implementation in practice. Information about stroke, medication, diet, physical activity, and fatigue symptoms was valued. Easily accessed advice and practical tips were considered to provide support and reassurance and promote self-evaluation of lifestyle behaviours. Suggested refinements of the manual’s design highlighted the importance of simplifying information and providing reassurance for patients early after a TIA or minor stroke. Information about fatigue, physical activity, and supporting goal setting was viewed as a key component of this novel secondary prevention initiative.

show abstract

Section: Introductionmentioning

confidence: 99%

Usability and Acceptability of a Novel Secondary Prevention Initiative Targeting Physical Activity for Individuals after a Transient Ischaemic Attack or “Minor” Stroke: A Qualitative Study

Heron

O’Connor

Kee

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Finally they were asked to fill out a falls diary during the six weeks of the adapted CR programme. Accelerometer data have already been reported [21].…”

Section: Methodsmentioning

confidence: 99%