The SETPACE Trial: Stroke Survivors Impressions of the Education and Teaching Provided Regarding Physical Activity
Christopher Wavell1, Stephanie Marrocco, Fiona Jih-Hsien Lee
1From the University of Western Ontario, London, Canada (CW, S Marrocco, FJ-HL, RM); Schulich School of Medicine and Dentistry, Western University, London, Canada (CW); University of Toronto, Temerty Faculty of Medicine, Toronto, Canada (CW); Lawson Health, Parkwood Institute, London, Canada (S Marrocco, S Macaluso); and Department of Physical Medicine and Rehabilitation, Western University, London, Canada (S Macaluso).
Objective:
The aim of the study is to investigate the association between patient self-efficacy, impression of exercise education, and physical activity among stroke survivors. We hypothesized that low self-efficacy and/or poor impressions of exercise education after stroke would be associated with reduced exercise participation.
Design:
This is a cross-sectional investigation of patients' poststroke with physical activity as the primary outcome variable. Physical activity was measured with the Physical Activity Scale for Individuals with Physical Disabilities. Self-efficacy was measured with the Self-Efficacy for Exercise questionnaire. Impression of exercise education measured by the Exercise Impression Questionnaire.
Results:
There was a low but significant correlation between Self-Efficacy for Exercise questionnaire and Physical Activity Scale for Individuals with Physical Disabilities ( r (66) = 0.272, P = 0.012). There was an insignificant correlation between Exercise Impression Questionnaire and Physical Activity Scale for Individuals with Physical Disabilities ( r (66) = 0.174, P = 0.078). There was a low but significant correlation between age and Physical Activity Scale for Individuals with Physical Disabilities ( r (66) = -0.269, P = 0.013). There was no correlation between sex and Physical Activity Scale for Individuals with Physical Disabilities ( r (66) = 0.051, P = 0.339). Age, sex, Exercise Impression Questionnaire, and Self-Efficacy for Exercise questionnaire predict 17.1% of Physical Activity Scale for Individuals with Physical Disabilities variance ( R2 = 0.171).
Conclusion:
Self-efficacy was the strongest predictor of physical activity participation. There was a lack of association between the impressions of exercise education and physical activity. Addressing patient confidence to complete exercise has the potential to improve exercise participation in patients after stroke.
