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Successfully improving physical activity behavior after rehabilitation.

Hidde P van der Ploeg1, Kitty R M Streppel, Allard J van der Beek

  • 1Department of Public and Occupational Health, Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands.

American Journal of Health Promotion : AJHP
|January 20, 2007
PubMed
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The combined Rehabilitation & Sports (R&S) and Active after Rehabilitation (AaR) programs significantly improved physical activity and sport participation one year post-rehabilitation. The R&S program alone showed no significant effects.

Area of Science:

  • Rehabilitation Medicine
  • Behavioral Science
  • Sports Science

Background:

  • Physical activity promotion is crucial for long-term recovery after rehabilitation.
  • Existing programs often focus on either sport or daily activities, but not a combined approach.

Purpose of the Study:

  • To evaluate the long-term effects of two physical activity promotion programs, Rehabilitation & Sports (R&S) and Active after Rehabilitation (AaR), on sport and daily physical activity.
  • To compare the efficacy of R&S alone versus a combined R&S and AaR intervention.

Main Methods:

  • A randomized controlled trial was conducted across ten Dutch rehabilitation centers.
  • 1202 patients with conditions like stroke and neurological disorders were randomized into intervention (R&S only, or R&S + AaR) or usual care groups.

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  • Personalized counseling formed the basis of both R&S and AaR programs, with outcomes assessed at baseline and one year post-rehabilitation.
  • Main Results:

    • The Rehabilitation & Sports (R&S) program alone did not yield significant improvements in physical activity or sport participation.
    • The combined R&S and Active after Rehabilitation (AaR) program demonstrated borderline significant improvements in one sport outcome and both daily physical activity outcomes.
    • On-treatment analyses for the combined intervention group showed similar but stronger positive effects.

    Conclusions:

    • A combined approach integrating sport stimulation and daily physical activity promotion is effective in enhancing long-term physical activity behavior and sport participation post-rehabilitation.
    • Individual programs, such as R&S alone, may not be sufficient to achieve significant behavioral changes.