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Co-Design of a Physical Activity Maintenance Intervention for People With Stroke: Protocol for a Mixed Methods Study.
Katy Pedlow1, Suzanne McDonough2, Natalie Duff1
1School of Health Sciences, University of Ulster, Northland Rd, Londonderry, Northern Ireland, BT48 7JL, United Kingdom, 44 02871675942.
JMIR Research Protocols
|May 6, 2026
Summary
This study co-developed an intervention to help stroke survivors maintain physical activity (PA) after rehabilitation. The intervention addresses barriers like motivation and setting, aiming for long-term PA adherence.
Area of Science:
- Public Health
- Rehabilitation Medicine
- Health Psychology
Background:
- Stroke is a leading cause of disability, impacting physical and mental health.
- Maintaining physical activity (PA) post-stroke is crucial for recovery but faces significant barriers.
- Current interventions for long-term PA maintenance after stroke are limited.
Purpose of the Study:
- To co-produce an intervention supporting long-term physical activity (PA) maintenance in stroke survivors.
- To understand stakeholder perspectives on effective PA maintenance interventions.
- To develop and refine a prototype intervention tailored to stroke survivors' needs.
Main Methods:
- A mixed-methods study using the DECIPHer co-production framework.
- Scoping review and focus groups (n=38) with stroke survivors, carers, and professionals.
- Co-design workshops (n=18) to develop a prototype intervention, followed by expert review.
Main Results:
- Focus groups identified themes of 'shifting realities of physical activity' and 'motivation through community'.
- A prototype intervention for PA maintenance was developed through co-design workshops.
- Stakeholder engagement was central to understanding and addressing PA maintenance challenges.
Conclusions:
- Co-development of an intervention is crucial for supporting physical activity (PA) maintenance post-stroke.
- Addressing survivors' needs and preferences enhances the potential for long-term PA adherence.
- This study provides a foundation for future interventions to improve outcomes for stroke survivors.