Interventions to Promote Long-Term Participation in Physical Activity After Stroke: A Systematic Review of the Literature

Morris, Jacqui; MacGillivray, Stephen; McFarlane, Sarah

doi:10.1016/j.apmr.2013.12.016

Cited by 136 publications

(137 citation statements)

References 47 publications

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“…Interventions for disabled people have been shown to achieve higher rates of PA retention when they include behavioral strategies (Morris, Macgillivray & McFarlane, 2014).…”

Section: Implications For Interventions Policies and Practicementioning

confidence: 99%

Participant experiences and perceptions of physical activity-enhancing interventions for people with physical impairments and mobility limitations: a meta-synthesis of qualitative research evidence

Williams

Jasmin

Ginis

2017

Health Psychology Review

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Disabled people face multiple personal, environmental and social barriers that interfere with leading a physically active lifestyle. Thus, there is an urgent need for behavior change interventions to increase physical activity (PA) by specifically addressing the situations of disabled people, and barriers to participation. This original meta-synthesis of qualitative research was undertaken to explore participants' experiences and perceptions of PA-enhancing interventions for adults with physical impairments resulting in mobility limitations. Published articles were identified through a rigorous systematic search. Based on the inclusion/exclusion criteria, 10 articles were included for review. Following a critical appraisal of the articles, methods of thematic synthesis were drawn upon to generate overarching concepts through interpretation and conceptual synthesis. Seven interrelated concepts were constructed representing both components and outcomes of the interventions.

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“…Interventions for disabled people have been shown to achieve higher rates of PA retention when they include behavioral strategies (Morris, Macgillivray & McFarlane, 2014).…”

Section: Implications For Interventions Policies and Practicementioning

confidence: 99%

Participant experiences and perceptions of physical activity-enhancing interventions for people with physical impairments and mobility limitations: a meta-synthesis of qualitative research evidence

Williams

Jasmin

Ginis

2017

Health Psychology Review

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“…The aim of this continued provision is to facilitate long-term participation in physical fi tness training (and exercise more generally), as the effects often dissipate when training programmes cease. 2 To improve longer term exercise participation after stroke, individualised, tailored counselling has been found to be a key factor, 6 and this is embedded within the training programme for professionals delivering community-based exercise and fi tness after stroke classes. 7 However, despite the evidence about the benefi ts of community-based physical fi tness training, it is not yet widely available for stroke survivors.…”

Section: Abstract Backgroundmentioning

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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“…322 Moreover, tailored counseling alone or with tailored supervised exercise promotes long-term participation in physical activity and improved functional exercise capacity after stroke. 323 There is growing interest in self-management interventions to enhance stroke recovery, but research is needed to assess the appropriate content and delivery of these interventions and to determine the acceptability and efficacy of self-management programs. 324 SR should be started early, maintained for a longer period of time after stroke, and available for a wider spectrum of stroke patients.…”

Section: Labarthe Et Al Evidence-based Policy Making E637mentioning

confidence: 99%

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

Goldstein¹,

Antman²,

Arnett³

et al. 2016

Circulation

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Background-American Heart Association (AHA) public policy advocacy strategies are based on its Strategic Impact Goals.The writing group appraised the evidence behind AHA's policies to determine how well they address the association's 2020 cardiovascular health (CVH) metrics and cardiovascular disease (CVD) management indicators and identified research needed to fill gaps in policy and support further policy development. Methods and Results-The AHA policy research department first identified current AHA policies specific to each CVH metric and CVD management indicator and the evidence underlying each policy. Writing group members then reviewed each policy and the related metrics and indicators. The results of each review were summarized, and topic-specific priorities and overarching themes for future policy research were proposed. There was generally close alignment between current AHA policies and the 2020 CVH metrics and CVD management indicators; however, certain specific policies still lack a robust evidence base. For CVH metrics, the distinction between policies for adults (age ≥20 years) and children (<20 years) was often not considered, although policy approaches may differ importantly by age. Inclusion of all those <20 years of age as a single group also ignores important differences in policy needs for infants, children, adolescents, and young adults. For CVD management indicators, specific quantitative targets analogous to criteria for ideal, intermediate, and poor CVH are lacking but needed to assess progress toward the 2020 goal to reduce deaths from CVDs and stroke. New research in support of current policies needs to focus on the evaluation of their translation and implementation through expanded application of implementation science. Focused basic, clinical, and population research is required to expand and strengthen the evidence base for the development of new policies. Evaluation of the impact of targeted © 2016 American Heart Association, Inc.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000410The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This policy statement was approved by the Advocacy Coordinating Committee February 23, 2016, and the American Heart Association Executive Committee on February 23, 2016. A copy of the document is available at http://professional.heart.org/statements by using either "Search for Guidelines & Statements" or the "Browse by Topic" area. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Labarthe DR, Goldstein LB,...

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Interventions to Promote Long-Term Participation in Physical Activity After Stroke: A Systematic Review of the Literature

Cited by 136 publications

References 47 publications

Participant experiences and perceptions of physical activity-enhancing interventions for people with physical impairments and mobility limitations: a meta-synthesis of qualitative research evidence

Participant experiences and perceptions of physical activity-enhancing interventions for people with physical impairments and mobility limitations: a meta-synthesis of qualitative research evidence

Cost-Effectiveness of Physical Fitness Training for Stroke Survivors

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

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