Impact of mHealth technology on adherence to healthy PA after stroke : a randomized study
Grau-Pellicer, Montserrat ![Identificador ORCID](/img/uab/orcid.ico)
(Universitat Autònoma de Barcelona. Departament de Medicina)
F. Lalanza, Jaume ![Identificador ORCID](/img/uab/orcid.ico)
(Universitat Autònoma de Barcelona. Laboratori de Psicologia de l'Esport)
Jovell-Fernández, E. (Consorci Sanitari de Terrassa)
Capdevila Ortís, Lluís ![Identificador ORCID](/img/uab/orcid.ico)
(Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Data: |
2020 |
Descripció: |
15 pàg. |
Resum: |
Background: Physical activity (PA) is a key health behavior in people with stroke including risk reduction of recurrent stroke. Despite the beneficial effects of PA, many community-dwelling stroke survivors are physically inactive. Information and communication technologies are emerging as a possible method to promote adherence to PA. Objective: The aim of this study is to investigate the effectiveness of a mobile-health (mHealth) App in improving levels of PA. Methods: Forty-one chronic stroke survivors were randomized into an intervention group (IG) n=24 and a control group (CG) n=17. Participants in the IG were engaged in the Multimodal Rehabilitation Program (MMRP) that consisted on supervising adherence to PA through a mHealth app, participating in an 8-week rehabilitation program that included: aerobic, task-oriented, balance and stretching exercises. Participants also performed an ambulation program at home. The CG received a conventional rehabilitation program. Outcome variables were: adherence to PA, (walking and sitting time/day), walking speed (10MWT); walking endurance (6MWT); risk of falling (TUG); ADLs (Barthel); QoL (Eq-5D5L) and participant's satisfaction. Results: At the end of the intervention, community ambulation increased more in IG (38. 95 min; SD: 20. 37) than in the CG (9. 47 min; SD: 12. 11) (p≤. 05). Sitting time was reduced by 2. 96 (SD 2. 0) hours/day in the IG and by 0. 53 (SD 0. 24) hours in the CG (p≤. 05). Conclusions: The results suggest that mHealth technology provides a novel way to promote adherence to home exercise programs post stroke. However, frequent support and guidance of caregiver is required to ensure the use of mobile devices. |
Ajuts: |
Ministerio de Economía y Competitividad DEP2015-68538-C2-1-R Generalitat de Catalunya. Departament de Salut PERIS-SLT006/17/334
|
Nota: |
The study was registered with ClinicalTrials.gov Identifier: NCT03507894. |
Drets: |
Tots els drets reservats. ![](/img/licenses/InC.ico) |
Llengua: |
Anglès |
Document: |
Article ; recerca ; Versió acceptada per publicar |
Matèria: |
Adherence ;
Mhealth ;
Physical activity ;
Sedentary behavior ;
Stroke rehabilitation |
Publicat a: |
Topics in Stroke Rehabilitation, Vol. 27 Núm. 5 (2020) , p. 354-368, ISSN 1945-5119 |
DOI: 10.1080/10749357.2019.1691816
PMID: 31790639
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Registre creat el 2024-02-03, darrera modificació el 2024-05-04