Exploring the views and experiences of people recovering from a stroke about a new text message intervention to promote physical activity after rehabilitation—Keeping Active with Texting After Stroke: A qualitative study.
Background: Participating in exercise following a stroke is essential for recovery. When community‐based rehabilitation services end, some people struggle to remain active. We codesigned Keeping Active with Texting After Stroke (KATS), a text message intervention to support home‐based, self‐directed...
| Publicado en: | Health Expectations Vol. 26; no. 5; pp. 2013 - 2023 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=171852966&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 171852966 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Oct2023 vid: 26 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 171852966 164715866 171852966 171852966 10.1111/hex.13809 171852966 ppf: 2013 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exploring the views and experiences of people recovering from a stroke about a new text message intervention to promote physical activity after rehabilitation—Keeping Active with Texting After Stroke: A qualitative study. aug: au: Farre, Albert Morris, Jacqui H. Irvine, Linda Dombrowski, Stephan U. Breckenridge, Jenna P. Ozakinci, Gozde Lebedis, Thérèse Jones, Claire affil: School of Health Sciences, University of Dundee, Dundee, UK sug: subj: Stroke Rehabilitation Patient Attitudes Evaluation Text Messaging Recovery Health Promotion Physical Activity Human Qualitative Studies Prospective Studies Semi-Structured Interview Telephone Scotland Audiorecording Thematic Analysis Data Analysis Software Male Female Middle Age Aged Coding Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Participating in exercise following a stroke is essential for recovery. When community‐based rehabilitation services end, some people struggle to remain active. We codesigned Keeping Active with Texting After Stroke (KATS), a text message intervention to support home‐based, self‐directed plans to continue exercising. KATS delivers a series of automated text messages over a 12‐week period from the point of discharge from National Health Service‐funded therapy. The aim of this study was to explore the views and experiences of the first cohort of participants to complete the KATS intervention about the meaning, engagement, workability and worth of the intervention. Methods: We undertook a qualitative study, theoretically informed by Normalisation Process Theory. We conducted semi‐structured telephone interviews with people with stroke from two Health Boards in Scotland. Data collection took place over two phases, with each participant being interviewed twice: first, halfway through intervention delivery (Week 6) and then again at the end of the intervention (Week 12). All interviews were audio‐recorded, transcribed and analysed thematically. Results: A total of 24 interviews were conducted with 12 participants. Our findings were organised around four overarching analytical themes: (1) making sense of KATS: timing and complementarity in the rehabilitation journey; (2) engaging with KATS: connection and identification with others; (3) making KATS work: flexibility and tailorable guidance; (4) appraising the worth of KATS: encouragement and friendliness. Participants differentiated KATS from current rehabilitation practice, finding it relevant, fitting and worthwhile. Variations were reported in engagement with behaviour change techniques, but participants were able to tailor KATS use, making it work for them in different ways. Conclusions: Perceived benefits went beyond promoting physical activity, including feeling supported and connected. Future research will test the effectiveness of KATS in promoting physical activity and explore any associations with relevant social and emotional secondary outcomes. Patient or Public Contribution: A research funding proposal was developed in collaboration with five people with stroke and three spouses. After securing funding, six people with stroke were invited to join the project's Collaborative Working Group, alongside health professionals and stroke rehabilitation experts, to codevelop the intervention and support the feasibility study. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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