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A behavioural inter...
A behavioural intervention increases physical activity in people with subacute spinal cord injury : a randomised trial
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- Nooijen, Carla F. (författare)
- Department of Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam
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Stam, H. J. (författare)
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Bergen, M. P. (författare)
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Bongers-Janssen, H. M. (författare)
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Valent, L. (författare)
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van Langeveld, S. (författare)
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Twisk, J. (författare)
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Act-Active Research, Group (författare)
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van den Berg-Emons, R. J. (författare)
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(creator_code:org_t)
- Elsevier BV, 2016
- 2016
- Engelska.
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Ingår i: Journal of Physiotherapy. - : Elsevier BV. - 1836-9553 .- 1836-9561. ; 62:1, s. 35-41
- Relaterad länk:
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https://doi.org/10.1...
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https://www.ncbi.nlm...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- QUESTIONS: For people with subacute spinal cord injury, does rehabilitation that is reinforced with the addition of a behavioural intervention to promote physical activity lead to a more active lifestyle than rehabilitation alone? DESIGN: Randomised, controlled trial with concealed allocation, intention-to-treat analysis, and blinded assessors. PARTICIPANTS: Forty-five adults with subacute spinal cord injury who were undergoing inpatient rehabilitation and were dependent on a manual wheelchair. The spinal cord injuries were characterised as: tetraplegia 33%; motor complete 62%; mean time since injury 150 days (SD 74). INTERVENTION: All participants received regular rehabilitation, including handcycle training. Only the experimental group received a behavioural intervention promoting an active lifestyle after discharge. This intervention involved 13 individual sessions delivered by a coach who was trained in motivational interviewing; it began 2 months before and ended 6 months after discharge from inpatient rehabilitation. OUTCOME MEASURES: The primary outcome was physical activity, which was objectively measured with an accelerometer-based activity monitor 2 months before discharge, at discharge, and 6 and 12 months after discharge from inpatient rehabilitation. The accelerometry data were analysed as total wheeled physical activity, sedentary time and motility. Self-reported physical activity was a secondary outcome. RESULTS: The behavioural intervention significantly increased wheeled physical activity (overall between-group difference from generalised estimating equation 21minutes per day, 95% CI 8 to 35). This difference was evident 6 months after discharge (28minutes per day, 95% CI 8 to 48) and maintained at 12 months after discharge (25minutes per day, 95% CI 1 to 50). No significant intervention effect was found for sedentary time or motility. Self-reported physical activity also significantly improved. CONCLUSION: The behavioural intervention was effective in eliciting a behavioural change toward a more active lifestyle among people with subacute spinal cord injury. TRIAL REGISTRATION: NTR2424.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)
Nyckelord
- Accelerometry
- Adult
- *Behavior Therapy
- Exercise/*psychology
- Female
- Humans
- *Life Style
- Male
- Middle Aged
- Spinal Cord Injuries/psychology/*rehabilitation
- Treatment Outcome
- Behaviour modification
- Motor activity
- Physical activity
- Physical therapy
- Spinal cord injury
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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