Home > Articles > Published articles > Impact of mHealth technology on adherence to healthy PA after stroke : |
Date: | 2020 |
Description: | 15 pàg. |
Abstract: | 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. |
Grants: | Ministerio de Economía y Competitividad DEP2015-68538-C2-1-R Generalitat de Catalunya. Departament de Salut PERIS-SLT006/17/334 |
Note: | The study was registered with ClinicalTrials.gov Identifier: NCT03507894. |
Rights: | Tots els drets reservats. |
Language: | Anglès |
Document: | Article ; recerca ; Versió acceptada per publicar |
Subject: | Adherence ; Mhealth ; Physical activity ; Sedentary behavior ; Stroke rehabilitation |
Published in: | Topics in Stroke Rehabilitation, Vol. 27 Núm. 5 (2020) , p. 354-368, ISSN 1945-5119 |
Postprint 44 p, 2.6 MB |