Protocol of a longitudinal cohort study on physical activity behaviour in physically disabled patients participating in a rehabilitation counselling programme: ReSpAct

Alingh, Rolinde A.; Hoekstra, Femke; Schans, Cees P. van der; Hettinga, Florentina J.; Dekker, Rienk; Woude, Lucas H V van der

doi:10.1136/bmjopen-2015-007591

Cited by 30 publications

(84 citation statements)

References 89 publications

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“…A qualitative design using semi-structured interviews with rehabilitation professionals was chosen to gain in-depth insights about factors influencing the implementation and continuation of a physical activity promotion programme in different rehabilitation settings based on professionals' experiences, attitudes and expectations. The study is part of the Rehabilitation, Sports and Active Lifestyle (ReSpAct) study (4,5). The study protocol was approved by the ethics committee of the Centre of Human Movement Sciences of the University Medical Centre Groningen.…”

Section: Methodsmentioning

confidence: 99%

“…1 illustrates the content of the RSE programme. A detailed explanation of the RSE programme has been provided elsewhere (4,5).…”

Section: Settingmentioning

confidence: 99%

“…Following these previous and positive findings, the evidence-based programme "Rehabilitation, Sports and Exercise" (RSE) was introduced and prepared for dissemination in Dutch rehabilitation care (4). The RSE programme specifically targets people with physical disabilities and/or chronic diseases, to encourage them to participate in sports and daily physical activities during and after rehabilitation (4,5).…”

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confidence: 99%

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Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Hoekstra

Hettinga

Breejen³

et al. 2017

J Rehabil Med

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Section: Methodsmentioning

confidence: 99%

“…1 illustrates the content of the RSE programme. A detailed explanation of the RSE programme has been provided elsewhere (4,5).…”

Section: Settingmentioning

confidence: 99%

mentioning

confidence: 99%

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Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Hoekstra

Hettinga

Breejen³

et al. 2017

J Rehabil Med

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“…Social participation was measured using the ICF Measure of Participation and ACTivities Screener (IMPACT-S) [35]. Daily PA and sedentary behaviour were measured using the Short Questionnaire to Assess Health-enhancing physical activity (SQUASH) adapted for wheelchair use [36,37]. Previous research has found the abovementioned tests and questionnaires to be reliable and valid for specific sub-populations of the physically disabled population (Supplementary File 1) [29,30,[34][35][36][38][39][40].…”

Section: Questionnairesmentioning

confidence: 99%

Feasibility and short-term effects of Activity Coach+: a physical activity intervention in hard-to-reach people with a physical disability

Krops

Geertzen

Horemans

et al. 2020

Disability and Rehabilitation

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Purpose: Existing physical activity interventions do not reach a considerable proportion of physically disabled people. This study assessed feasibility and short-term effects of Activity Coachþ, a communitybased intervention especially targeting this hard-to-reach population. Methods: Feasibility was determined by reach, dropouts, and compliance with the protocol. Physical activity was measured with the Activ8 accelerometer and the adapted SQUASH questionnaire. Health outcomes were assessed by body composition, blood pressure, hand grip force, 10-metre walk test, 6-minute walk test, and the Berg Balance Scale. The RAND-36, Exercise Self-Efficacy Scale, Fatigue Severity Scale, and IMPACT-S were administered. Measurements were performed at baseline and after 2 and 4 months. Changes over time were analysed by Friedman tests. Results: Twenty-nine participants enrolled during the first 4 months, of whom two dropped out. Intervention components were employed in 86-100% of the participants. Physical activity did not change after the implementation of Activity Coachþ. Body mass index (p ¼ 0.006), diastolic blood pressure (p ¼ 0.032), walking ability (p ¼ 0.002), exercise capacity (p ¼ 0.013), balance (p ¼ 0.014), and vitality (p ¼ 0.049) changed over time.Conclusions: Activity Coach þ is feasible in a community setting. Indications for effectivity of Activity Coach þ in hard-to-reach people with a physical disability were found. ä IMPLICATIONS FOR REHABILITATION Activity Coach þ was able to reach physically disabled people living in community, a population that is assumed hard-to-reach. Activity Coach þ was feasible in a population of persons with a physical disability that was heterogeneous with respect to age and (severity of) disability. The current study provides the first indications for the beneficial health effects of Activity Coach þ in hard-to-reach people with a physical disability. ARTICLE HISTORY

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“…Examples of these strategies include periodic counseling sessions focused on increasing motivation [83,84], self-management/empowerment programs combined with telephone support [85], and tailored interventions provided in a community setting [86]. …”

Section: Behavior Change Strategies Facilitate Transformationmentioning

confidence: 99%

Framing new pathways in transformative exercise for individuals with existing and newly acquired disability

Rimmer

Lai

2015

Disability and Rehabilitation

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Purpose: This paper describes a continuum of customized exercise options for people with an existing and newly acquired disability or diagnosis referred to as the Transformative Exercise Framework. Background: The period directly after rehabilitation is a critical juncture where many individuals return to life with high rates of sedentary behavior. After rehabilitation discharge, people with newly acquired disability or diagnoses often never make the transition into usage of community-based exercise services that are tailored, safe and effective. Methods: Narrative review. Results: The Transformative Exercise Framework supports a patient-to-participant, rehab-to-wellness model that emphasizes a linkage between physical and occupational therapists and community-based exercise trainers. The four focus areas – Rehabilitation, Condition-specific Exercise, Fitness and Lifetime Physical Activity – emphasize a range of options for people with newly acquired disability and diagnoses, or for people with existing disability and/or chronic health conditions who have a new injury, secondary condition or are severely deconditioned. Conclusion: The concept of transformative exercise is to support people with disabilities and diagnoses with a seamless restore–improve–prevent continuum of programs and services. This continuum connects individuals to rehabilitation and exercise professionals in a dynamic framework, which maximizes the expertise of both sets of professionals and provides the most effective interventions to achieve the greatest gains in health and function and/or to avoid future health decline.Implications for RehabilitationPatients discharged from rehabilitation should be transformed into participants in lifelong physical activity through a continuum of health services, which we refer to as Transformative Exercise.Transformative exercise is a continuum of individually tailored exercise strategies/programs that aims to improve the function of underperforming systems, which inhibit community and/or lifelong physical activity participation.The Transformative Exercise Framework can be used by a therapist or exercise trainer to design a program that maximizes performance and time and is based on a specific process for identifying short and long term goals.

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Protocol of a longitudinal cohort study on physical activity behaviour in physically disabled patients participating in a rehabilitation counselling programme: ReSpAct

Cited by 30 publications

References 89 publications

Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Feasibility and short-term effects of Activity Coach+: a physical activity intervention in hard-to-reach people with a physical disability

Framing new pathways in transformative exercise for individuals with existing and newly acquired disability

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