TY - JOUR
T1 - Home-based self-management for physically inactive individuals with mild walking disability after stroke
T2 - a randomised pilot study
AU - Alvarenga, Maria Tereza Mota
AU - Ada, Louise
AU - Preston, Elisabeth
AU - Sant'ana, Romeu Vale
AU - Teixeira-Salmela, Luci Fuscaldi
AU - Scianni, Aline Alvim
N1 - Publisher Copyright:
© 2025 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2025
Y1 - 2025
N2 - PURPOSE: To investigate the potential of a home-based self-management program to promote physical activity more than usual care at 3 and 6 months.METHODS: A Phase II pilot randomised trial with concealed allocation, blinded measurement, and intention-to-treat analyses. Twenty-four individuals who were physically inactive, had a stroke within the past six months, and had mild walking disability were recruited. The experimental group received six 60-minute sessions of home-based self-management and usual care over 3 months. The control group received one 60-minute educational session on stroke and usual care. Primary outcome was physical activity (steps/day) at baseline, 3 and 6 months. Secondary outcomes were cardiovascular risk, walking ability, depression, exercise self-efficacy, participation, and quality of life.RESULTS: No statistically significant difference between-group was found at 3 and 6 months. At 3 months, clinically meaningful between-group differences were found for physical activity (MD 1380 steps/day), self-efficacy (MD 2 points), and participation (MD 13%). At 6 months, clinically meaningful between-group differences were found in self-efficacy (MD 3 points) and participation (MD 11%).CONCLUSION: The lack of sustained improvement in physical activity suggests further studies should focus on enhancing self-efficacy and maintaining engagement in self-monitoring.REGISTRATION: Clinical Trials NCT05461976.
AB - PURPOSE: To investigate the potential of a home-based self-management program to promote physical activity more than usual care at 3 and 6 months.METHODS: A Phase II pilot randomised trial with concealed allocation, blinded measurement, and intention-to-treat analyses. Twenty-four individuals who were physically inactive, had a stroke within the past six months, and had mild walking disability were recruited. The experimental group received six 60-minute sessions of home-based self-management and usual care over 3 months. The control group received one 60-minute educational session on stroke and usual care. Primary outcome was physical activity (steps/day) at baseline, 3 and 6 months. Secondary outcomes were cardiovascular risk, walking ability, depression, exercise self-efficacy, participation, and quality of life.RESULTS: No statistically significant difference between-group was found at 3 and 6 months. At 3 months, clinically meaningful between-group differences were found for physical activity (MD 1380 steps/day), self-efficacy (MD 2 points), and participation (MD 13%). At 6 months, clinically meaningful between-group differences were found in self-efficacy (MD 3 points) and participation (MD 11%).CONCLUSION: The lack of sustained improvement in physical activity suggests further studies should focus on enhancing self-efficacy and maintaining engagement in self-monitoring.REGISTRATION: Clinical Trials NCT05461976.
KW - behaviour change techniques
KW - home‑based intervention
KW - physical activity
KW - pilot clinical trial
KW - self‑management
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=105002706939&partnerID=8YFLogxK
U2 - 10.1080/09638288.2025.2489762
DO - 10.1080/09638288.2025.2489762
M3 - Article
C2 - 40219905
SN - 0963-8288
SP - 1
EP - 8
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
ER -