Feasibility, acceptability, and fidelity of Physical Activity Routines After Stroke (PARAS) a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community dwelling adult stroke

Sarah Moore*, Darren Flynn, Susan Jones, Christopher I. M. Price, Leah Avery

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
48 Downloads (Pure)

Abstract

Background: Low levels of habitual physical activity and high levels of sedentary behaviour are commonly observed post-stroke. We aimed to assess the feasibility, acceptability, and fidelity of a multifaceted, theory- and evidence-informed supported self-management intervention targeting physical activity and sedentary behaviour after stroke: Physical Activity Routines After Stroke (PARAS).
Methods: Adult stroke survivors and healthcare professionals were recruited from North East England stroke services. Stroke survivor physical activity and sedentary behaviour were targeted by a self-management behavioural intervention supported by healthcare professionals trained in intervention delivery. Main outcomes were protocol and intervention acceptability and feasibility and fidelity of intervention delivery.
Results: Eleven healthcare professionals (9 physiotherapists; 2 occupational therapists) participated in the study. Stroke survivor recruitment was lower than anticipated (19 versus target of up to 35). The healthcare professional training programme was feasible, with fidelity assessment of delivery supporting this finding. Data completeness was acceptable according to a priori criteria (>60%), except for stroke survivor questionnaire return rate (59%) and interview uptake (52%). No serious adverse events occurred. Healthcare professionals and stroke survivors perceived intervention delivery to be feasible and acceptable with minor modifications highlighted including the potential for earlier delivery in the stroke pathway.
Conclusions: The study protocol and intervention delivery were feasible and acceptable to stroke survivors and healthcare professionals with modifications required before large-scale evaluation.
Trial registration number: ISRCTN35516780,
URL http://www.isrctn.com/ISRCTN35516780) Registration date: 24/10/2018
Original languageEnglish
Article number197
Number of pages20
JournalPilot and Feasibility Studies
Volume8
Early online date3 Sept 2022
DOIs
Publication statusPublished - 1 Dec 2022

Keywords

  • Stroke
  • physical activity
  • sedentary behaviour
  • healthcare professional
  • behaviour change intervention
  • feasibility study

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