Encouraging post-stroke patients to be active seems possible: results of an intervention study with knowledge brokers

Disability and Rehabilitation
Mia WillemsAnne Visser-Meily

Abstract

Although physical activity and exercise for stroke patients is highly recommended for fast recovery, patients in hospitals and rehabilitation centres are insufficiently encouraged to be physically active. In this study, we investigated the impact of knowledge brokers (KBs), enterprising nurses and therapists, on health professionals' (HP) performance to encourage stroke inpatients to be physically active. This multicenter intervention study used a pre-post test design. Two or three KBs were trained in each stroke unit of 12 hospitals and 10 rehabilitation centres in The Netherlands. Questionnaires were completed by patients and HPs before and after the KB-intervention. The primary outcome was encouragement given by HPs to their patients to be physically active, as reported by patients and HPs. After the KB-intervention, many more patients (48%; N=217) reported at least some encouragement by HPs to be physically active than before (26%; N=243, p<0.000). HPs (N=288) on an average reported encouraging patients more often after the intervention, but this difference was significant only for occupational therapists and KBs. Based on patient's reports of HP behaviour, the KB-intervention appears effective since more patients felt enco...Continue Reading

References

Oct 9, 2004·Stroke; a Journal of Cerebral Circulation·Gert KwakkelPeter Langhorne
Feb 17, 2005·The Journal of Continuing Education in the Health Professions·Jeremy GrimshawJacqueline Tetroe
Jan 20, 2007·BMJ : British Medical Journal·Jonathan Lomas
May 3, 2008·Stroke; a Journal of Cerebral Circulation·Julie BernhardtBent Indredavik
Sep 16, 2008·BMC Medical Informatics and Decision Making·Anneke L FranckePatriek Mistiaen
Feb 21, 2009·Journal of Advanced Nursing·Marijke RensinkThóra Hafsteinsdóttir
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Richard BakerNoelle Robertson
Jan 15, 2011·Stroke; a Journal of Cerebral Circulation·Rose GalvinEmma Stokes
Mar 23, 2011·The Journal of Continuing Education in the Health Professions·Dianne CameronRobert Palisano
Aug 21, 2012·Journal of Clinical Nursing·Ingrid G L van de PortJohanna M A Visser-Meily
Oct 25, 2013·BMC Health Services Research·Mia WillemsAnne Visser-Meily

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Citations

Oct 16, 2020·The Cochrane Database of Systematic Reviews·Liana S CahillDenise O'Connor
May 28, 2021·Health & Social Care in the Community·Nicole EvansMelissa E Hay

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