Effect of Pre-Hospitalization Fall History on Physical Activity and Sedentary Behavior After the Implementation of a Behavioral Change Approach in Patients with Minor Ischemic Stroke: A Secondary Analysis of a Randomized Controlled Trial.

Background: We aimed to determine whether a history of falls before admission affected physical activity levels and sedentary behavior negatively after implementing a behavior modification approach in patients with minor ischemic stroke. Methods: This study constituted a secondary analysis of an int...

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Publicado en:International Journal of Behavioral Medicine Vol. 31; no. 5; pp. 649 - 659
Autores principales: Ashizawa, Ryota, Honda, Hiroya, Kameyama, Yuto, Yoshimoto, Yoshinobu
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
      vid: 31
      iid: 5
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s12529-023-10202-0
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        atl: Effect of Pre-Hospitalization Fall History on Physical Activity and Sedentary Behavior After the Implementation of a Behavioral Change Approach in Patients with Minor Ischemic Stroke: A Secondary Analysis of a Randomized Controlled Trial.
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        au:
          Ashizawa, Ryota
          Honda, Hiroya
          Kameyama, Yuto
          Yoshimoto, Yoshinobu
        affil: https://ror.org/00ecg5g90 Department of Rehabilitation, Seirei Mikatahara General Hospital, 3453 Mikatahara-Cho, Kita-Ku, Hamamatsu-Shi, 433-8558, Shizuoka, Japan
      sug:
        subj:
          Patient Admission
          Accidental Falls
          Physical Activity
          Sedentary Behavior
          Behavior Modification
          Ischemic Stroke Rehabilitation
          Human
          Secondary Analysis
          Stroke Patients
          Hospitalization
          Patient Discharge
          Japan
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: We aimed to determine whether a history of falls before admission affected physical activity levels and sedentary behavior negatively after implementing a behavior modification approach in patients with minor ischemic stroke. Methods: This study constituted a secondary analysis of an intervention trial. In the intervention study, patients with minor ischemic stroke were randomly assigned to two groups: intervention and control groups. The intervention group was encouraged to reduce sedentary behavior during hospitalization and after discharge, while the control group was encouraged to increase physical activity levels solely during hospitalization. The study included 52 patients who completed the intervention trial. The exposure factor examined was a history of falls. Upon admission, patients were queried about any falls experienced in the year preceding admission and subsequently classified into fall and non-fall groups based on their responses. The primary outcome of interest focused on changes in physical activity levels (step count, light-intensity physical activity, and moderate-to-vigorous-intensity physical activity) and sedentary behavior. Measurements were obtained at two time points: before the intervention, during hospitalization (baseline), and 3 months after discharge (post-intervention). Results: Only a significantly lower change in the number of steps taken in the fall group than in the non-fall group was found. Conclusion: Those with a history of falls showed a lesser change in the number of steps taken before and after implementing a behavior change approach compared with those without a history of falls. Those with a history of falls may have engaged in activities other than walking.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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