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Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study

BACKGROUND: Survivors of stroke are often deconditioned and have limited opportunities for exercise post-rehabilitation. Cardiac Rehabilitation (CR), a structured exercise program offered post-cardiac event in the United States (U.S.), may provide an opportunity for continued exercise. The purpose o...

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Autores principales: Regan, Elizabeth W., Handlery, Reed, Stewart, Jill C., Pearson, Joseph L., Wilcox, Sara, Fritz, Stacy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007047/
https://www.ncbi.nlm.nih.gov/pubmed/33780477
http://dx.doi.org/10.1371/journal.pone.0247178
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author Regan, Elizabeth W.
Handlery, Reed
Stewart, Jill C.
Pearson, Joseph L.
Wilcox, Sara
Fritz, Stacy
author_facet Regan, Elizabeth W.
Handlery, Reed
Stewart, Jill C.
Pearson, Joseph L.
Wilcox, Sara
Fritz, Stacy
author_sort Regan, Elizabeth W.
collection PubMed
description BACKGROUND: Survivors of stroke are often deconditioned and have limited opportunities for exercise post-rehabilitation. Cardiac Rehabilitation (CR), a structured exercise program offered post-cardiac event in the United States (U.S.), may provide an opportunity for continued exercise. The purpose of this study was to examine the feasibility of integrating survivors of stroke into an existing, hospital-based CR program through an assessment of (1) recruitment, uptake and retention, (2) adherence and fidelity, (3) acceptability and (4) safety. METHODS: A mixed methods design combined a single group, pre-post design, pilot feasibility study with an imbedded qualitative inquiry. Survivors of stroke were recruited into a standard 12-week, 36 visit CR program. RESULTS: Fifty-three survivors were referred, 29 started and 24 completed the program. Program uptake rate was 55% and completion rate was 83%. Eleven completers and one non-completer participated in the qualitative interviews. Program completers attended an average of 25.25 (SD 5.82) sessions with an average of 38.93 (SD 5.64) exercise minutes per session while reaching targeted rate of perceived exertion levels. Qualitative themes included perceived benefits of an individualized program in a group setting, positive interactions with qualified staff, opportunities for socialization, and regular monitoring and staff attentiveness promoting feelings of safety. CONCLUSIONS: Survivors of stroke were able to meet Medicare standard dosage (frequency and session duration) and rate of perceived intensity goals, and perceived the program as needed regardless of their mobility limitations or previous exercise experience. Primary challenges included managing referrals and uptake. Results support feasibility and benefit for survivors to integrate into U.S. CR programs.
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spelling pubmed-80070472021-04-07 Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study Regan, Elizabeth W. Handlery, Reed Stewart, Jill C. Pearson, Joseph L. Wilcox, Sara Fritz, Stacy PLoS One Research Article BACKGROUND: Survivors of stroke are often deconditioned and have limited opportunities for exercise post-rehabilitation. Cardiac Rehabilitation (CR), a structured exercise program offered post-cardiac event in the United States (U.S.), may provide an opportunity for continued exercise. The purpose of this study was to examine the feasibility of integrating survivors of stroke into an existing, hospital-based CR program through an assessment of (1) recruitment, uptake and retention, (2) adherence and fidelity, (3) acceptability and (4) safety. METHODS: A mixed methods design combined a single group, pre-post design, pilot feasibility study with an imbedded qualitative inquiry. Survivors of stroke were recruited into a standard 12-week, 36 visit CR program. RESULTS: Fifty-three survivors were referred, 29 started and 24 completed the program. Program uptake rate was 55% and completion rate was 83%. Eleven completers and one non-completer participated in the qualitative interviews. Program completers attended an average of 25.25 (SD 5.82) sessions with an average of 38.93 (SD 5.64) exercise minutes per session while reaching targeted rate of perceived exertion levels. Qualitative themes included perceived benefits of an individualized program in a group setting, positive interactions with qualified staff, opportunities for socialization, and regular monitoring and staff attentiveness promoting feelings of safety. CONCLUSIONS: Survivors of stroke were able to meet Medicare standard dosage (frequency and session duration) and rate of perceived intensity goals, and perceived the program as needed regardless of their mobility limitations or previous exercise experience. Primary challenges included managing referrals and uptake. Results support feasibility and benefit for survivors to integrate into U.S. CR programs. Public Library of Science 2021-03-29 /pmc/articles/PMC8007047/ /pubmed/33780477 http://dx.doi.org/10.1371/journal.pone.0247178 Text en © 2021 Regan et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Regan, Elizabeth W.
Handlery, Reed
Stewart, Jill C.
Pearson, Joseph L.
Wilcox, Sara
Fritz, Stacy
Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study
title Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study
title_full Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study
title_fullStr Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study
title_full_unstemmed Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study
title_short Feasibility of integrating survivors of stroke into cardiac rehabilitation: A mixed methods pilot study
title_sort feasibility of integrating survivors of stroke into cardiac rehabilitation: a mixed methods pilot study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007047/
https://www.ncbi.nlm.nih.gov/pubmed/33780477
http://dx.doi.org/10.1371/journal.pone.0247178
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