- Title
- Adherence to home exercises and rehabilitation (ADHERE) after stroke in low-to-middle-income countries: A randomized controlled trial
- Creator
- Mahmood, Amreen; Nayak, Pradeepa; English, Coralie; Deshmukh, Anagha; Shashikiran, U.; Manikandan, N.; Solomon, John M.
- Relation
- Topics in Stroke Rehabilitation Vol. 29, Issue 6, p. 438-448
- Publisher Link
- http://dx.doi.org/10.1080/10749357.2021.1940800
- Publisher
- Taylor & Francis
- Resource Type
- journal article
- Date
- 2022
- Description
- Background: Adherence to prescribed exercises is essential for home-based programs to be effective, but evidence for strategies to enhance exercise adherence in people with stroke is lacking. Objectives: To determine the effect of adherence strategies on the proportion of people with stroke who adhere to prescribed home-based exercises and their level of adherence at 6 and 12 weeks of intervention. Our secondary objective was to determine the effect of the combined intervention on mobility and quality of life post-stroke. Methods: We conducted an RCT among people with stroke (Exp = 27, Con = 25) living in semi-urban India. Both groups received standard hospital care and a home exercise program. The experimental group also received adherence strategies delivered over five sessions. Adherence was measured using the Stroke-Specific Measure of Adherence to Home-based Exercises (SS-MAHE) , mobility using Mobility Disability Scale, and quality of life using the Stroke Impact Scale. Results: The experimental group had better exercise adherence compared to the control group both at six (mean difference [MD] 45, 95% CI 40, 64, p < .001) and 12 weeks (MD 51, 95% CI 39, 63, p < .001). The experimental group also had better mobility at 12 weeks (median (IQR), experimental 42 (57), median (IQR), control 95 (50), p = .002). There was no difference in the quality of life scores between groups at six or 12 weeks. Conclusion: The adherence strategies were effective in improving exercise adherence and mobility post-stroke but did not improve quality of life. Trial registration: CTRI/2018/08/015212.
- Subject
- adherence; compliance; home-based exercises; rehabilitation; health behavior; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1473981
- Identifier
- uon:49173
- Identifier
- ISSN:1074-9357
- Language
- eng
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