A Home‐Based Behaviour Change Intervention With Sedentary Behaviour and Physical Activity in People With Stroke and Diabetes—A Feasibility and Safety Study

Physiotherapy Research International, 2025 · DOI: https://doi.org/10.1002/pri.70048 · Published: January 1, 2025

Simple Explanation

This study explores whether a 12-week 'Everyday Life is Rehabilitation' (ELiR) intervention is feasible and safe for stroke survivors with type 2 diabetes. The intervention involves healthcare professionals consulting with patients to reduce sedentary behavior and increase physical activity. The study looked at recruitment, adherence, practicality, implementation, and safety as primary outcomes.

Study Duration

12 Weeks

Participants

14 stroke survivors with type 2 diabetes

Evidence Level

Not specified

Key Findings

1
The ELiR intervention showed high adherence among participants.
2
The intervention was found to be feasible and safe for stroke survivors with diabetes.
3
Adjustments like modified inclusion criteria and SMS reminders are suggested for future studies to improve usability and data collection.

Research Summary

This study aimed to determine the feasibility and safety of the ELiR intervention in stroke survivors with DM targeting SB and PA through motivational interviewing. Overall, the intervention was feasible and safe, but adjustments are needed to improve usability. The study suggests that the ELiR intervention can be implemented into clinical practice to support behavior change, increase physical activity, and reduce sedentary behavior, pending further clinical trials.

Practical Implications

Clinical Practice

The ELiR intervention can be integrated into physiotherapy practice to reduce sedentary behavior and increase physical activity in stroke survivors with or without diabetes.

Patient Adherence

High adherence to motivational interviews and accelerometer usage suggests that stroke survivors are receptive to structured behavior change interventions.

Safe Physical Activity Promotion

Physiotherapists should continue incorporating strategies to promote safe physical activity while minimizing fall risks.

Study Limitations

1
Small sample size limits generalisability
2
Low response rate on questionnaires
3
Changes in SB could not be attributed to the intervention alone as there was no control group

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