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Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study

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dc.contributor Háskóli Íslands
dc.contributor University of Iceland
dc.contributor.author Olafsdottir, Steinunn A.
dc.contributor.author Jónsdóttir, Helga
dc.contributor.author Bjartmarz, Ingibjörg
dc.contributor.author Magnusson, Charlotte
dc.contributor.author Caltenco, Héctor
dc.contributor.author Kytö, Mikko
dc.contributor.author Maye, Laura
dc.contributor.author McGookin, David
dc.contributor.author Árnadóttir, Sólveig Ása
dc.contributor.author Hjaltadóttir, Ingibjörg
dc.contributor.author Hafsteinsdóttir, Þóra B.
dc.date.accessioned 2020-12-21T12:48:44Z
dc.date.available 2020-12-21T12:48:44Z
dc.date.issued 2020-06-22
dc.identifier.citation Olafsdottir, S.A., Jonsdottir, H., Bjartmarz, I. et al. Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study. BMC Health Services Research 20, 562 (2020). https://doi.org/10.1186/s12913-020-05432-x
dc.identifier.issn 1472-6963
dc.identifier.uri https://hdl.handle.net/20.500.11815/2316
dc.description Publisher's version (útgefin grein)
dc.description.abstract Background: Technical applications can promote home-based exercise and physical activity of community-dwelling stroke survivors. Caregivers are often able and willing to assist with home-based exercise and physical activity but lack the knowledge and resources to do so. ActivABLES was established to promote home-based exercise and physical activity among community-dwelling stroke survivors, with support from their caregivers. The aim of our study is to investigate the feasibility of ActivABLES in terms of acceptability, demand, implementation and practicality. Methods: A convergent design of mixed methods research in which quantitative results were combined with personal experiences of a four-week use of ActivABLES by community-dwelling stroke survivors with support from their caregivers. Data collection before, during and after the four-week period included the Berg Balance Scale (BBS), Activities-Specific Balance Confidence Scale (ABC), Timed-Up-and-Go (TUG) and Five Times Sit to Stand Test (5xSST) and data from motion detectors. Semi-structured interviews were conducted with stroke survivors and caregivers after the four-week period. Descriptive statistics were used for quantitative data. Qualitative data was analysed with direct content analysis. Themes were identified related to the domains of feasibility: acceptability, demand, implementation and practicality. Data was integrated by examining any (dis)congruence in the quantitative and qualitative findings. Results: Ten stroke survivors aged 55–79 years participated with their informal caregivers. Functional improvements were shown in BBS (+ 2.5), ABC (+ 0.9), TUG (− 4.2) and 5xSST (− 2.7). More physical activity was detected with motion detectors (stand up/sit down + 2, number of steps + 227, standing + 0.3 h, hours sitting/lying − 0.3 h). The qualitative interviews identified themes for each feasibility domain: (i) acceptability: appreciation, functional improvements, self-initiated activities and expressed potential for future stroke survivors; (2) demand: reported use, interest in further use and need for follow-up; (3) implementation: importance of feedback, variety of exercises and progression of exercises and (4) practicality: need for support and technical problems. The quantitative and qualitative findings converged well with each other and supported the feasibility of ActivABLES. Conclusions: ActivABLES is feasible and can be a good asset for stroke survivors with slight or moderate disability to use in their homes. Further studies are needed with larger samples.
dc.description.sponsorship The reported work was mainly funded by the NordForsk ActivABLES project. We also received smaller grants from the Icelandic Physiotherapy Association and the Icelandic Ministry of Welfare. This funding financed the design of the study, the development of the prototypes, the collection, analysis and interpretation of data, and the writing of the manuscript. In addition, the funding financed traveling cost for researchers and the cost of the final publication.
dc.format.extent 562
dc.language.iso en
dc.publisher Springer Science and Business Media LLC
dc.relation.ispartofseries BMC Health Services Research;20(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject ActivABLES
dc.subject Exercise
dc.subject Stroke
dc.subject Heilablóðfall
dc.subject Hreyfing (heilsurækt)
dc.subject Sjúklingar
dc.title Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study
dc.type info:eu-repo/semantics/article
dcterms.license Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
dc.description.version Peer Reviewed
dc.identifier.journal BMC Health Services Research
dc.identifier.doi 10.1186/s12913-020-05432-x
dc.relation.url https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05432-x
dc.contributor.department Læknadeild (HÍ)
dc.contributor.department Faculty of Medicine (UI)
dc.contributor.department Hjúkrunarfræðideild (HÍ)
dc.contributor.department Faculty of Nursing (UI)
dc.contributor.school Heilbrigðisvísindasvið (HÍ)
dc.contributor.school School of Health Sciences (UI)


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