Impact of mHealth technology on adherence to healthy PA after stroke : a randomized study
Grau-Pellicer, Montserrat (Universitat Autònoma de Barcelona. Departament de Medicina)
F. Lalanza, Jaume (Universitat Autònoma de Barcelona. Laboratori de Psicologia de l'Esport)
Jovell-Fernández, E. (Consorci Sanitari de Terrassa)
Capdevila Ortís, Lluís (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)

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

DOI: 10.1080/10749357.2019.1691816
PMID: 31790639

Postprint 44 p, 2.6 MB

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