A feasibility, acceptability and fidelity study of a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community dwelling adult stroke survivors
A feasibility, acceptability and fidelity study of a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community dwelling adult stroke survivors
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DOI：
10.1186/s40814-020-00603-3
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发表时间：
2020-01-01
影响因子：
1.7
通讯作者：
Flynn, Darren
中科院分区：
文献类型：
--
作者：
Moore, Sarah A.;Avery, Leah;Flynn, Darren
背景尽管体力活动对步行能力、平衡和情绪有好处，但只有不到30%的中风幸存者从事推荐水平的体力活动，并观察到高水平的久坐行为。本研究旨在评估可行性，接受性和保真度的理论和证据为基础的多方面的行为改变干预，针对自由生活的体力活动和久坐不动的行为后中风methodsThis研究将设置在社区中风服务在英格兰东北部，并将评估的可行性，行为改变干预，针对自由生活的体力活动和久坐不动的行为后，中风幸存者的生活体力活动和久坐行为以及医疗保健专业人员的咨询行为，以支持中风幸存者改变这些生活方式。将招募最多35名目前在研究集水区接受中风康复治疗的中风幸存者，这些地区有能力且没有增加身体活动/减少久坐行为的禁忌症。中风幸存者将接受一个支持自我管理的身体活动/久坐行为计划，包括提供信息，目标设定，行动计划，障碍识别，应对计划，自我监测和身体活动和久坐行为的反馈。该计划将得到最多12名从参与研究的社区卒中服务机构招募的医疗保健专业人员（HCP）的支持。HCP将提供至少两次面对面会议（基线、审查和后续审查（如有必要）），并提供一系列个性化工具以支持每位卒中幸存者（例如工作簿、自我监测工具、当地资源信息）。将通过培训计划针对HCP的咨询行为，培训计划包括面对面培训、培训手册和研究团队对干预计划实施的个人反馈。的可行性，可接受性和保真度的研究protocol将assessed.DiscussionThe最有效的方法支持中风幸存者改变体力活动和久坐不动的行为尚未建立。本研究将确定针对卒中幸存者和HCP行为的复杂理论和循证干预的可行性，并评估其是否为目标人群所接受。研究结果将在更大规模的评估之前告知干预措施的迭代开发。试验注册试验注册：试验标识符：ISRCTN 35516780，注册日期：2018年10月24日
BackgroundDespite the benefits of physical activity for walking ability, balance, and mood, less than 30% of stroke survivors engage in recommended levels of physical activity with high levels of sedentary behaviour observed. This study aims to assess the feasibility, acceptability and fidelity of a theory- and evidence-based multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour after stroke.MethodsThis study will be set in community stroke services in the North East of England and will assess the feasibility of a behaviour change intervention targeting free-living physical activity and sedentary behaviour of stroke survivors and consultation behaviour of the healthcare professionals to support stroke survivors to make these lifestyle changes. Up to 35 stroke survivors currently receiving stroke rehabilitation within the study catchment area with capacity and no contraindications to increasing physical activity/reducing sedentary behaviour will be recruited. Stroke survivors will receive a supported self-management physical activity/sedentary behaviour programme incorporating provision of information, goal setting, action planning, barrier identification, coping planning, self-monitoring and feedback on physical activity and sedentary behaviour. The programme will be supported by up to 12 healthcare professionals (HCPs) recruited from the community stroke services taking part in the study. The HCPs will deliver at least two face-to-face sessions (baseline, review and subsequent reviews if necessary) and provide a range of personalised tools to support each individual stroke survivor (e.g. workbook, self-monitoring tools, information on local resources). The consultation behaviour of the HCPs will be targeted via a training programme incorporating face-to-face training, a training manual and individual feedback on intervention programme delivery from the study research team. The feasibility, acceptability and fidelity of the study protocol will be assessed.DiscussionThe most effective methods of supporting stroke survivors to alter physical activity and sedentary behaviour have yet to be established. This study will establish the feasibility of delivering a complex theory- and evidence-based intervention targeting the behaviour of both stroke survivors and HCPs and assess whether it is acceptable to the target populations. Findings will inform the iterative development of the intervention before a larger scale evaluation.Trial registrationTrial register: Trial identifier: ISRCTN35516780, date of registration: 24/10/2018