Abstract

Objectives: To develop an adherence questionnaire specific to stroke and measure the level of adherence to home-based exercises among community-dwelling stroke survivors. Methods: We developed and validated the “Stroke-Specific Measure of Adherence to Home-based Exercises” (SS-MAHE). We measured the exercise adherence among 92 community-dwelling stroke survivors in a cross-sectional study. Results: The SS-MAHE has two sections covering (a) the dosage of prescribed exercises and (b) dosage of actual exercises done by the participants. It was found to be reliable with ICC score of 0.81 (95% CI, 0.44, 0.94, p =.001.) Adherence was measured by comparing prescribed exercises to the actual exercises performed at home. We rated participants as “adherent” if they were following more than 70% of the prescribed exercise dosage. In our sample of 92 stroke survivors, only 28% of participants were adherent to prescribed home-based exercises. Conclusion: SS-MAHE is a practical and reliable tool to measure adherence to home-based exercises after a stroke. Exercise adherence among stroke survivors is less than ideal. There is a need for strategies to specifically target exercise adherence in stroke survivors.

Original languageEnglish
Article numbere1827
JournalPhysiotherapy Research International
DOIs
Publication statusAccepted/In press - 01-01-2019

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Independent Living
Survivors
India
Stroke
Exercise

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

@article{16226aa79e3d462ca353da874f09ae60,
title = "Measurement of adherence to home-based exercises among community-dwelling stroke survivors in India",
abstract = "Objectives: To develop an adherence questionnaire specific to stroke and measure the level of adherence to home-based exercises among community-dwelling stroke survivors. Methods: We developed and validated the “Stroke-Specific Measure of Adherence to Home-based Exercises” (SS-MAHE). We measured the exercise adherence among 92 community-dwelling stroke survivors in a cross-sectional study. Results: The SS-MAHE has two sections covering (a) the dosage of prescribed exercises and (b) dosage of actual exercises done by the participants. It was found to be reliable with ICC score of 0.81 (95{\%} CI, 0.44, 0.94, p =.001.) Adherence was measured by comparing prescribed exercises to the actual exercises performed at home. We rated participants as “adherent” if they were following more than 70{\%} of the prescribed exercise dosage. In our sample of 92 stroke survivors, only 28{\%} of participants were adherent to prescribed home-based exercises. Conclusion: SS-MAHE is a practical and reliable tool to measure adherence to home-based exercises after a stroke. Exercise adherence among stroke survivors is less than ideal. There is a need for strategies to specifically target exercise adherence in stroke survivors.",
author = "Amreen Mahmood and Solomon, {John Michael} and Coralie English and Unnikrishnan Bhaskaran and Girish Menon and Natarajan Manikandan",
year = "2019",
month = "1",
day = "1",
doi = "10.1002/pri.1827",
language = "English",
journal = "Physiotherapy Research International",
issn = "1358-2267",
publisher = "John Wiley and Sons Ltd",

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TY - JOUR

T1 - Measurement of adherence to home-based exercises among community-dwelling stroke survivors in India

AU - Mahmood, Amreen

AU - Solomon, John Michael

AU - English, Coralie

AU - Bhaskaran, Unnikrishnan

AU - Menon, Girish

AU - Manikandan, Natarajan

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objectives: To develop an adherence questionnaire specific to stroke and measure the level of adherence to home-based exercises among community-dwelling stroke survivors. Methods: We developed and validated the “Stroke-Specific Measure of Adherence to Home-based Exercises” (SS-MAHE). We measured the exercise adherence among 92 community-dwelling stroke survivors in a cross-sectional study. Results: The SS-MAHE has two sections covering (a) the dosage of prescribed exercises and (b) dosage of actual exercises done by the participants. It was found to be reliable with ICC score of 0.81 (95% CI, 0.44, 0.94, p =.001.) Adherence was measured by comparing prescribed exercises to the actual exercises performed at home. We rated participants as “adherent” if they were following more than 70% of the prescribed exercise dosage. In our sample of 92 stroke survivors, only 28% of participants were adherent to prescribed home-based exercises. Conclusion: SS-MAHE is a practical and reliable tool to measure adherence to home-based exercises after a stroke. Exercise adherence among stroke survivors is less than ideal. There is a need for strategies to specifically target exercise adherence in stroke survivors.

AB - Objectives: To develop an adherence questionnaire specific to stroke and measure the level of adherence to home-based exercises among community-dwelling stroke survivors. Methods: We developed and validated the “Stroke-Specific Measure of Adherence to Home-based Exercises” (SS-MAHE). We measured the exercise adherence among 92 community-dwelling stroke survivors in a cross-sectional study. Results: The SS-MAHE has two sections covering (a) the dosage of prescribed exercises and (b) dosage of actual exercises done by the participants. It was found to be reliable with ICC score of 0.81 (95% CI, 0.44, 0.94, p =.001.) Adherence was measured by comparing prescribed exercises to the actual exercises performed at home. We rated participants as “adherent” if they were following more than 70% of the prescribed exercise dosage. In our sample of 92 stroke survivors, only 28% of participants were adherent to prescribed home-based exercises. Conclusion: SS-MAHE is a practical and reliable tool to measure adherence to home-based exercises after a stroke. Exercise adherence among stroke survivors is less than ideal. There is a need for strategies to specifically target exercise adherence in stroke survivors.

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