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Tailored implementation of a behaviour change intervention for post-stroke physical activity: A mixed-methods
Sarah A Moore1,2,3, Jessica Calder1, Sebastian Potthoff4
1The School of Sport, Exercise and Rehabilitation, Health and Life Science, Northumbria University, Newcastle Upon Tyne, UK.
Clinical Rehabilitation
|October 3, 2025
Summary
Implementing the Physical Activity Routines After Stroke (PARAS) intervention is feasible with tailored strategies. Healthcare professionals found the process manageable, identifying key factors for success in stroke rehabilitation.
Area of Science:
- Rehabilitation Medicine
- Health Services Research
- Behavioral Science
Background:
- Stroke survivors often experience physical activity limitations, impacting recovery and quality of life.
- Effective interventions are needed to promote sustained physical activity post-stroke.
- The Physical Activity Routines After Stroke (PARAS) intervention aims to address this need.
Purpose of the Study:
- To assess the feasibility of a tailored implementation process for the PARAS intervention.
- To evaluate the feasibility of delivering the PARAS intervention within UK stroke services.
- To identify barriers, facilitators, and necessary adaptations for successful implementation.
Main Methods:
- A mixed-methods feasibility study involving four UK stroke rehabilitation teams (34 healthcare professionals).
- A tailored implementation process guided by the Integrated Theory-based Framework for Intervention Tailoring Strategies.
- Data collection via online questionnaires and thematic analysis of workshop and review sessions.
Main Results:
- The facilitated, tailored implementation process was feasible across all teams.
- Teams partially achieved their implementation plans, influenced by motivation, stakeholder involvement, leadership, and skills.
- Key implementation strategies included assessing readiness, building coalitions, identifying champions, leadership training, and developing plans.
- Intervention adaptations involved tailoring and digitizing resources.
Conclusions:
- The tailored implementation process and the PARAS intervention are feasible with moderate adaptations.
- A model for tailored PARAS implementation was developed.
- Identified intervention development needs will guide future evaluations and optimize stroke physical activity promotion.
