Self-management to promote physical activity after discharge from in-patient stroke rehabilitation: a feasibility study

Caetano, Lívia C. G.; Ada, Louise; Vale, Sant'Anna Romeu; Teixeira-Salmela, Luci Fuscaldi; Scianni, Aline Alvim

doi:10.1080/10749357.2021.1978630

Cited by 6 publications

(2 citation statements)

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“…A qualitative study examining the process of community reintegration one-year after stroke reported that one of the most profound challenges for individuals was their adjustment of expectations related to physical participation (Wood et al, 2010). Aligning with a personcentered rehabilitation model (Jesus et al, 2022) that champions autonomy, collaboration, and self-determination, several selfmanagement programs in post-stroke care have emerged (Nott et al, 2021;Caetano et al, 2023). Pivotal elements of these programs typically encompass education, communication, self-monitoring, goal setting, and problem solving (Littlewood et al, 2013;Clark et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Work has shown a positive effect on physical activity as measured by an increase in 1,850 steps per day when comparing interventions featuring a fitness tracking technology in comparison to control interventions (Laranjo et al, 2021). Physical activity promotion with fitness tracking technology also extends to clinical populations including stroke (Lynch et al, 2018;Caetano et al, 2023). However, the purpose of the activity monitors in STRIDE extended beyond the promotion of physical activity, as we sought to empower participants through [1] learning new technology, [2] monitoring relevant metrics, and [3] recording these metrics in an activity journal/log.…”

Section: Discussionmentioning

confidence: 99%

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Empowering stroke survivors beyond inpatient rehabilitation: the STRIDE program

Cassidy,

Fitzgerald,

Vaughn

et al. 2023

Front. Stroke

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ObjectiveThe timeframe from hospital discharge to the commencement of outpatient therapies represents a crucial yet often overlooked period in post-stroke recovery. We designed an eight-week post-stroke management program (STRIDE, Stroke Management Training and Inpatient Rehabilitation Discharge Education) targeting individuals discharging from an inpatient rehabilitation facility to home. The primary aims of this pilot study were to determine STRIDE feasibility and participant engagement.MethodsParticipants with first or recurrent stroke were enrolled. Each week, participants monitored and recorded their daily activity, completed a 15-min educational module and quiz, and partook in weekly and biweekly communication with a fellow participant and STRIDE coordinator, respectively. Feasibility was evaluated by successful initiation of STRIDE and enrollment of the target population. We also assessed participant adherence and conducted semi-structured exit interviews.ResultsOf the 99 individuals screened, 20 individuals were enrolled (7 females, 28.6 ± 15.7 days post-stroke). Several participants were unable to begin the program (n = 6) or complete the program (n = 4). Overall, participants completing at least 1 week of STRIDE (n = 14) demonstrated adherence with education module and quiz completion and communication with the STRIDE coordinator. Participant feedback from interviews was largely positive, underscoring the value of STRIDE during early post-stroke recovery.ConclusionsThese findings support the feasibility of an initiated multi-faceted stroke management program. Participant dropout was a limitation and serves as a consideration when designing future iterations of STRIDE. With the long-term goal of promoting autonomy and investment in one's continued recovery beyond the inpatient setting, STRIDE bridges the transition from hospital to home.

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