心血管运动和中风后早期的自我管理,以增加日常体力活动:来自阶梯集群随机试验的结果
Augustine J Devasahayam1,2, Ada Tang3, Denise Taylor4,5
1KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
Disability and rehabilitation
|November 12, 2024
概括
促进终身最佳体育炼 (PROPEL) 计划改善了中风幸存者的运动自我有效性,但没有增加康复后对体育活动指南的遵守. 需要进一步的研究,以了解如何将改善的自我效能转化为持续的体育活动参与.
科学领域:
- 脑卒中康复 脑卒中康复
- 身体活动干预措施
- 在健康领域的行为科学.
背景情况:
- 卒中幸存者经常经历康复后体力活动减少,增加二次健康风险.
- 加强体育活动参与对于中风后的长期康复和生活质量至关重要.
- 当前的康复计划可能无法充分为个人提供持续参与体育活动的工具.
研究的目的:
- 评估"促进终身最佳体育炼" (PROPEL) 计划是否能提高体育活动参与度,直到中风后六个月的康复.
- 为了比较PROPEL计划在促进身体活动方面与单独的团体心肺呼吸运动 (GCE) 的有效性.
- 评估二次结果,包括炼自我效能,信念,态度和感知障碍.
主要方法:
- 采用了一种阶梯集群优越性随机对照试验设计.
- 患有次急性中风的参与者被分配到PROPEL计划或GCE干预阶段.
- 主要结果:在出院后六个月遵守体育活动指南. 二次结果:自我效能,炼信念和感知到的障碍.
主要成果:
- 分析了57名参与者 (PROPEL:n=29;GCE:n=28).这些参与者中,有1名是年轻人.
- 在六个月后,PROPEL和GCE组之间在满足体育活动指南方面没有发现显著差异 (p > 0.84).
- 与GCE参与者相比,PROPEL参与者表现出明显更高的运动自我有效性 (p = 0.0047).
结论:
- 与GCE单独相比,PROPEL计划将运动与行为修改整合在一起,在中风幸存者中增加了运动的自我有效性.
- 尽管增加了自我效能,但PROPEL计划并没有转化为更高的可能性满足中风后的身体活动指南.
- 在中风康复期间提高运动自我效能可能会鼓励,但不能保证持续的中度至剧烈的体育活动参与.
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