None listed
Conditions
Brief summary
The ACTnow toolkit was designed for health professionals who were developing physical activity programs for survivors of stroke. This toolkit has completed stage 2 (co-design an ‘Adherence Counselling Toolkit’) and is currently in stage 3 (pilot testing in an inpatient and ambulatory stroke rehabilitation services of Flinders Medical Centre – RAP). Participants (health professionals and survivors of stroke) in stage 3 will provide feedback via a survey and semi-structured interview. This stage, stage 4, proposes to test the ACTnow toolkit in a chronic stroke population at the FMC-RAP outpatient Stroke Clinic as a RCT. It is hypothesised that the intervention group will have improved adherence and self-efficacy as they are using the toolkit which will develop individualised and tailored programs.
Interventions
Intervention group participants will work with the ACTnow facilitator and, using a theoretically informed behaviour change approach, will work through the ACTnow Toolkit https://blendcreative.wixsite.com/act-now-toolkit. The ACTnow Toolkit is designed to facilitate the development of individualized tailored exercise or other lifestyle programs, including resources for assessment of potential barriers to adherence and strategies for promoting adherence. The pathway through the toolkit will be ind
Intervention group participants will work with the ACTnow facilitator and, using a theoretically informed behaviour change approach, will work through the ACTnow Toolkit https://blendcreative.wixsite.com/act-now-toolkit. The ACTnow Toolkit is designed to facilitate the development of individualized tailored exercise or other lifestyle programs, including resources for assessment of potential barriers to adherence and strategies for promoting adherence. The pathway through the toolkit will be individually determined based on several questionnaires, and resources utilized can include the Capability, Opportunity, Motivation-Behaviour (COM-B) model questionnaire, the Stage of Change questionnaire, Behaviour Change Strategy Table, Action Plan, and Full Behaviour Change Plan. At the completion of this initial session which will be conducted by a registered physiotherapist, the participant will have a comprehensive, tailored, specific plan for change, incorporating theory-informed strategies to address identified potential barriers. This will be a one-off session, and it is anticipated that this will take approximately 60 minutes. All documents used in the toolkit session will be saved and stored for each participant
Sponsors
Southern Adelaide Local Health Network
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Eligible participants will be aged 18 years and over, diagnosed with stroke (ischemic or haemorrhagic) over 6 months prior, and able to communicate at a level to consent and participate in the ‘health coaching’ process with the ACTnow facilitator. The inclusion of telehealth participants will ensure priority populations (rural and remote) are included in this study.
Exclusion criteria
Unable to consent due to insufficient cognitive ability and/or communication to understand the study aims and information <18 years old
Outcome results
None listed