Face to face and telephone-based self-management programmes were identified as having promise to engage stroke survivors in PA behaviour change .
Background Increasing physical activity ( PA ) levels ( regular movement such as walking and activities of daily living ) and reducing time spent sedentary improves cardiovascular health and reduces morbidity and mortality .
Fewer than 30 % of independently mobile stroke survivors undertake recommended levels of PA .
Sedentary behaviour is also high in this population .
We aim ed to systematic ally review the study characteristics and the promise of interventions targeting free-living PA and /or sedentary behaviour in adult stroke survivors .
Implementation of a stroke self-management program
ABSTRACT Secondary stroke prevention is championed as guideline care ; yet there are no systematic programs offered . We developed a stroke self-management program to address this gap and pilot test the program . We conducted a r and omized controlled trial at two Veterans Administration ( VA ) hospital sites where we recruited patients with an acute stroke to receive either the stroke program or an attention-control protocol over a 12-week period following hospital discharge . The stroke program included six sessions that facilitated stroke self management focusing on increasing self-efficacy to recover from stroke and engage in secondary stroke risk factor management . We surveyed outcomes at baseline , 3 and 6 months . We conducted an intention to treat analysis comparing the intervention to the control group on changes of outcomes between baseline and follow-up modeled by a linear model with fixed effects for treatment , visit , and the treatment by visit interaction adjusting for baseline . We recruited 63 participants ( 33 control and 30 intervention ) who were hospitalized with a primary diagnosis of ischemic stroke . We found trends in differences between groups on self-efficacy to communicate with physicians , weekly minutes spent in aerobic exercise , and on dimensions of stroke-specific quality of life . This pilot study demonstrated the feasibility of delivering a  stroke self-management program to recent stroke survivors in a healthcare organization . The program also demonstrated improvements in patient self-efficacy , self-management behaviors , specific dimensions of stroke-specific quality of life compared to a group that received an attention placebo program
Face to face and telephone-based self-management programmes were identified as having promise to engage stroke survivors in PA behaviour change .
Background Increasing physical activity ( PA ) levels ( regular movement such as walking and activities of daily living ) and reducing time spent sedentary improves cardiovascular health and reduces morbidity and mortality .
Fewer than 30 % of independently mobile stroke survivors undertake recommended levels of PA .
Sedentary behaviour is also high in this population .
We aim ed to systematic ally review the study characteristics and the promise of interventions targeting free-living PA and /or sedentary behaviour in adult stroke survivors .