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The adaptive physical activity programme in stroke (TAPAS): protocol for a process evaluation in a sequential

Padraic Rocliffe1, Aoife Whiston2, Amy O' Mahony2

  • 1School of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland padraic.rocliffe@ul.ie.

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Summary
This summary is machine-generated.

This study evaluates the Adaptive Physical Activity programme in Stroke (TAPAS), an adaptive mobile health intervention for improving physical activity after stroke. The process evaluation examines its implementation, mechanisms, and context in community-dwelling ambulatory stroke survivors.

Keywords:
Cardiovascular DiseaseHealthProtocols & guidelinesSTROKE MEDICINE

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Digital Health

Background:

  • Physical activity is crucial for secondary stroke prevention.
  • Adaptive interventions are recommended due to stroke's heterogeneity.
  • Mobile health (mHealth) offers a promising avenue for post-stroke physical activity support.

Purpose of the Study:

  • To conduct a process evaluation of the Adaptive Physical Activity programme in Stroke (TAPAS).
  • To examine the implementation process, mechanisms of change, and contextual influences of TAPAS.
  • To assess the feasibility of using a Sequential Multiple Assignment Randomised Trial design for adaptive mHealth interventions in stroke recovery.

Main Methods:

  • Utilizing the Medical Research Council Framework for process evaluations.
  • Employing mixed methods: quantitative data for adherence and qualitative data from semi-structured interviews.
  • Analyzing qualitative data using reflexive thematic analysis to identify key themes.

Main Results:

  • The process evaluation will provide insights into the fidelity, adaptation, dose, and reach of the TAPAS intervention.
  • Mechanisms of change, including participant responses and unexpected outcomes, will be explored.
  • Contextual factors influencing the intervention's effectiveness will be identified.

Conclusions:

  • This process evaluation is the first of its kind for an adaptive mHealth intervention in stroke recovery.
  • Findings will inform the refinement and future implementation of TAPAS.
  • The study contributes to understanding adaptive intervention delivery in real-world settings.