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Development and feasibility of a sedentary behavior intervention for stroke: a case series

机译:久坐行为干预的发展与可行性 - 案例系列

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Background and Objective: High levels of sedentary behavior are prevalent among people with stroke and contribute to elevated risk for recurrent stroke. Few interventions reduce sedentary behavior post-stroke. The ABLE intervention aims to reduce sedentary behavior using activity monitoring, activity scheduling, problem-solving, and self-assessment to promote engagement in meaningful daily activities. The purpose of this study was to assess the feasibility (tolerability, acceptability, reliability, safety) of the ABLE intervention after stroke and describe trends in sedentary behavior at baseline and 4 weeks. Clinical Presentation: Participants (n = 5) who were 6 months to 2 years post-stroke, ambulatory, and reported >= 6 h of daily sitting time. Intervention: Twelve ABLE intervention sessions (3x/week for 4 weeks) conducted in participants' homes. The ABLE intervention includes activity monitoring, activity scheduling, self-assessment, and collaborative problem-solving. Results: All feasibility benchmarks were met for three participants. Two participants met tolerability and safety benchmarks but did not meet acceptability and reliability benchmarks. Variability in feasibility and sedentary behavior outcomes may be related to baseline levels of sedentary behavior and social support. Conclusions: The ABLE intervention was tolerable and safe. The intervention protocol was refined to enhance reliability and acceptability. Future studies should estimate the effects of the ABLE intervention.
机译:背景和目的:高水平的久坐不良行为在卒中人们中普遍,并有助于复发中风的升高风险。少量干预措施减少了中风后的久坐行为。能干的干预旨在利用活动监测,活动调度,解决问题和自我评估来减少久坐行为,以促进在有意义的日常活动中的参与。本研究的目的是评估中风后能干干预的可行性(可耐受性,可接受性,可靠性,安全性,并描述基线和4周的久坐行为的趋势。临床介绍:参与者(n = 5)谁为6个月至2年后行程,动态,报告,日常随身携带的时间。干预:在参与者的家庭中进行了十二次干预课程(3次/周4周)。能干的干预包括活动监测,活动调度,自我评估和协作解决问题。结果:三位参与者满足了所有可行性基准。两个参与者符合可容忍度和安全基准,但不符合可接受性和可靠性基准。可行性和久坐行为成果的可变性可能与久坐行为和社会支持的基线水平有关。结论:能干的干预是可忍受的和安全的。干预协议是提高可靠性和可接受性的。未来的研究应该估计能干干预的影响。

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