Effects on sedentary behaviour of an approach to reduce sedentary behaviour in patients with minor ischaemic stroke: A randomised controlled trial

• Published in: Clinical rehabilitation Vol. 37; no. 4; p. 545
• Main Authors: Ashizawa, Ryota, Honda, Hiroya, Take, Koki, Yoshizawa, Kohei, Kameyama, Yuto, Yoshimoto, Yoshinobu
• Format: Journal Article
• Language: English
• Published: England 01.04.2023
• Subjects: Brain Ischemia - psychology; Brain Ischemia - rehabilitation; Brain Ischemia - therapy; Health Behavior; Humans; Ischemic Stroke - psychology; Ischemic Stroke - rehabilitation; Ischemic Stroke - therapy; Sedentary Behavior; post-intervention; follow-up; randomised controlled trial; sedentary behaviour; minor ischaemic stroke
• ISSN: 1477-0873
• DOI: 10.1177/02692155221135412

To determine the effects on sedentary behaviour of an approach that promotes reduction in sedentary behaviour in patients with minor ischaemic stroke after intervention and at follow-up. A randomised controlled trial. During hospitalisation and after hospital discharge. In total, 86 patients with minor ischaemic stroke admitted to an acute care hospital were assigned to the intervention (n = 43) and control (n = 43) groups. An intervention group that received an approach to reduce sedentary behaviour upon hospital admission until 3 months after discharge (education, self-monitoring, phone calls, etc.) and a control group that received the usual care during hospitalisation. From 3 to 6 months after discharge, no group received any intervention. The primary outcome was the change (%) in sedentary behaviour from baseline to post-intervention (3 months after discharge) and follow-up (6 months after discharge). Sedentary behaviour was measured at baseline (upon hospital admission), post-intervention, and at follow-up using accelerometers. At the post-intervention stage, the intervention group showed a significantly greater change in sedentary behaviour from baseline than that shown by the control group (sedentary behaviour: intervention group, -22.7%; control group, -14.9%;  = 0.013; effect size = 0.58). At follow-up too, the intervention group showed a significantly greater change in sedentary behaviour from baseline than that shown by the control group (sedentary behaviour: intervention group, -20.4%; control group, -13.6%;  = 0.025; effect size = 0.54). An approach to reduce sedentary behaviour in patients with minor ischaemic stroke effectively reduces sedentary behaviour, which is sustained up to follow-up. This study is registered at www.umin.ac.jp/ctr/index/htm UMIN000038616.