None listed
Conditions
Brief summary
This study aims to investigate whether an exercise program (TASK), with a self-management approach is feasible in terms of assisting people living in the community with stroke to exercise on an ongoing basis. Self-management in a complex condition like stroke is difficult. For self-management to be successful, an individual requires knowledge and skills, as well as the self-efficacy to be able to manage their exercise over the long term. We propose applying a more structured approach to self-management that includes training, resources and ongoing support – the TASK program. The proposed study includes two stages. In the first stage, participants will undertake the TASK program as physiotherapist-supervised practice. This practice is institution-based, supervised by physiotherapists and designed to progressively build knowledge and skills, and empower the person to exercise independently at home. In the second stage, participants will undertake TASK as self-directed practice, in which participants complete TASK independently at home. Throughout this stage participants will be provided with equipment, resources and ongoing remote support to complete the exercises. We anticipate the TASK program will remove barriers for people with stroke to self-manage their exercise upon discharge from formal rehabilitation and enhance their confidence to be more physically active in daily life. If the TASK program proves to be successful, physiotherapists will have an engaging, accessible and easy to deliver tool to a population where ongoing intervention is lacking – therefore enabling ongoing exercise.
Interventions
From Week 1 to 4, participants will undertake TASK physiotherapist-supervised practice, for 30 minutes a week at the rehabilitation center. The rehabilitation center physiotherapists will provide the intervention with training and support from the research assistant and study investigators.
TASK is an exercise program that has been created by the chief investigator (Dr Kate Scrivener) in collaboration with physiotherapy students at Macquarie University.
The TASK Program involves the practice o
From Week 1 to 4, participants will undertake TASK physiotherapist-supervised practice, for 30 minutes a week at the rehabilitation center. The rehabilitation center physiotherapists will provide the intervention with training and support from the research assistant and study investigators. TASK is an exercise program that has been created by the chief investigator (Dr Kate Scrivener) in collaboration with physiotherapy students at Macquarie University. The TASK Program involves the practice of five everyday tasks; sitting, standing up, standing, stepping and stepping up. Each task is practiced for approximately 5-minutes. The program is set to music. Each task has a video that demonstrates each exercise, highlights the correct technique and notes common errors. During the four weeks of supervised training, the physiotherapist supervising the program will implement a self-management approach, in which they teach the participant how to monitor their own technique, how to progress or regress each exercise and how to alter the dose. The dose will be altered by varying the amount of repetitions of exercises completed within the same duration e.g. the speed of exercise completion. The main aim of these sessions will be to equip the participant with the skills needed to continue the program safely with increasing independence in the home. From Week 5 to 12, participants will undertake TASK self-directed practice, for 30 minutes, three times a week at home. They will receive a resource package including a copy of the program (via app or website), exercise mat and exercise step. The floor mat is designed to be a visual cue to remind people to exercise within the home. Moreover, the mat guides equipment placement and provides targets for stepping. A member of the research team will contact each participant weekly via the participant’s preferred contact method (skype/facetime, voice phone or email). This contact will take a self-management approach and be designed to provide coaching, motivation, troubleshoot any issues and suggest progressions as appropriate. To monitor adherence to the program the participant will keep an exercise diary, furthermore the research team will access usage data from the application itself.
Sponsors
Macquarie University
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
*Adult *Have been discharged from formal rehabilitation *Can walk at > 0.6 m/s with or without an aid
Exclusion criteria
*Cannot read or understand verbal and written English *Do not have sufficient cognition to participate in a video-guided independent exercise program (as determined by their treating physiotherapist) *Do not have access to the internet at home.
Outcome results
None listed