Experiences of an exercise referral scheme from the perspective of people with chronic stroke: a qualitative study

Sharma, Helen; Bulley, Catherine; Wijck, Frederike M.J. van

doi:10.1016/j.physio.2011.05.004

Cited by 34 publications

(75 citation statements)

References 30 publications

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“…Previous studies on exercise referral schemes post-stroke have highlighted a similar range of ascribed benefits to those described here, such as increased confidence and the re-introduction to physical activity factors, such as peer support, have been illustrated as catalysts (Sharma et al, 2012). The data presented in this study mirror these findings but in a more physically diverse stroke group.…”

Section: Discussionsupporting

confidence: 81%

Exercise instructor-led functional training programme for community dwelling stroke survivors: A qualitative study

Norris

Kilbride

Mohagheghi

et al. 2013

International Journal of Therapy and Rehabilitation

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Section: Discussionsupporting

confidence: 81%

Exercise instructor-led functional training programme for community dwelling stroke survivors: A qualitative study

Norris

Kilbride

Mohagheghi

et al. 2013

International Journal of Therapy and Rehabilitation

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“…In addition, stroke survivors have reported specifi c psychosocial benefi ts from exercising in group format. 23,24 …”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Physical Fitness Training for Stroke Survivors

Collins

Clifton

Wijck

et al. 2018

Journal of the Royal College of Physicians of Edinburgh

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Background Physical tness is impaired after stroke, yet tness training after stroke reduces disability. Several international guidelines recommend that tness training be incorporated as part of stroke rehabilitation. However, information about cost-effectiveness is limited.Methods A decision tree model was used to estimate the cost-effectiveness of a tness programme for stroke survivors vs. relaxation (control group). This was based on a published randomised controlled trial, from which evidence about quality of life was used to estimate Quality Adjusted Life Years. Costs were based on the cost of the provision of group tness classes within local community centres and a cost per Quality Adjusted Life Year was calculated.Results The results of the base case analysis found an incremental cost per Quality Adjusted Life Year of £2,343.Conclusions Physical tness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.Keywords: economic evaluation, exercise, fi tness, rehabilitation, stroke Declaration of interests: GM received royalties for a book on exercise after stroke and from Later Life Training. FvW received royalties for a book on exercise after stroke. These are all used to fund further research. AbstractBackground

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“…The research design adopted is noteworthy in that it contrasts with other studies in the exercise referral literature in 2 specific ways. Firstly, the majority of studies published in this area adopt a positivist approach [21][22][23][24][25], although some studies do adopt an interpretive approach [26][27][28][29]. Through using a qualitative approach to data collection and analysis, this study was able to investigate the patients' changing perceptions over a 6-month time period for the following QoL indicators of (i) self-efficacy, (ii) selfmanagement, (iii) chronic fatigue and (iv) increasing energy levels [12,16,18].…”

Section: Methods Designmentioning

confidence: 99%

Perceived changes to quality of life indicators following a physical activity intervention for recovering cancer patients: A qualitative study.

Queen

Cotton²,

Brown³

et al. 2016

EJPCH

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Aim:The aim of this study was to examine the perceived changes in quality of life (QoL) for a group of recovering cancer patients, following 6 months of physical activity. Background: Evidence suggests that physical activity can improve the QoL of recovering cancer patients, reducing many of the side-effects of cancer and its related treatments, including depression, anxiety, chronic fatigue, with an improvement in physical and psychological health. Method: A qualitative study with 14 mixed site cancer patients aged 43-70 (12 women, 2 men). The intervention was in 2 parts the first part was an 8-week physical activity programme, the second part related to a period of non-supervised, physical activity for 4 months (6 months in total). The programme took place at a University in the South West of England, UK. Semi-structured interviews with patients took place 3 times over 6 months. A grounded theory approach was used to analyse the data. Results: We found that prior to the 6-month physical activity intervention many of the patients were anxious about being able to complete the initial 8 week programme. Anxieties related to low self-esteem and the chronic fatigue resulting from their cancer treatment. Consequently, several patients expressed concerns about their ability to help themselves self-manage their recovery through physical activity. On completion of the intervention the majority of patients described improvements in their perceived QoL in terms of their ability to self-manage and to engage in their self-efficacy, reporting increased energy levels and decreases in chronic fatigue. Conclusion: Our study has provided valuable insights into how the perceived QoL of a group of recovering cancer patients can be improved through a combined 6-month period of supervised and independent physical activity. These findings serve as further evidence of the effectiveness of a person-centered healthcare approach for recovering cancer patients.

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Experiences of an exercise referral scheme from the perspective of people with chronic stroke: a qualitative study

Cited by 34 publications

References 30 publications

Exercise instructor-led functional training programme for community dwelling stroke survivors: A qualitative study

Exercise instructor-led functional training programme for community dwelling stroke survivors: A qualitative study

Cost-Effectiveness of Physical Fitness Training for Stroke Survivors

Perceived changes to quality of life indicators following a physical activity intervention for recovering cancer patients: A qualitative study.

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