title: Counselling increases physical activity behaviour nine weeks after rehabilitation.
abstract: BACKGROUND
  For people with disabilities, a physically active lifestyle can reduce the risk of secondary health problems and improve overall functioning.
  
  
  OBJECTIVE
  To determine the effects of the sport stimulation programme "rehabilitation and sports" (R&S) and R&S combined with the daily physical activity promotion programme "active after rehabilitation" (AaR) on sport participation and daily physical activity behaviour nine weeks after inpatient or outpatient rehabilitation.
  
  
  METHODS
  Subjects in four intervention rehabilitation centres were randomised to a group receiving R&S only (n = 315) or a group receiving R&S and AaR (n = 284). Subjects in six control rehabilitation centres (n = 603) received the usual care. Most common diagnoses were stroke, neurological disorders, and back disorders. Two sport and two daily physical activity outcomes were assessed with questionnaires seven weeks before and nine weeks after the end of rehabilitation. Data were analysed by intention to treat and on treatment multilevel analyses, comparing both intervention groups with the control group.
  
  
  RESULTS
  The R&S group showed no significant change. Intention to treat analyses of the R&S+AaR group showed significant improvements in one sport (p = 0.02) and one physical activity outcome (p = 0.03). On treatment analyses in the R&S+AaR group showed significant improvements in both sport outcomes (p<0.01 and p = 0.02) and one physical activity outcome (p<0.01).
  
  
  CONCLUSIONS
  Only the combination of R&S and AaR had increased sports participation and daily physical activity behaviour nine weeks after the end of inpatient or outpatient rehabilitation.
authors.affiliation: Department of Public and Occupational Health, EMGO-Institute, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: H P
authors.initials: HP
authors.lastname: van der Ploeg
authors.forename: K R M
authors.initials: KR
authors.lastname: Streppel
authors.forename: A J
authors.initials: AJ
authors.lastname: van der Beek
authors.forename: L H V
authors.initials: LH
authors.lastname: van der Woude
authors.forename: M M R
authors.initials: MM
authors.lastname: Vollenbroek-Hutten
authors.forename: W H
authors.initials: WH
authors.lastname: van Harten
authors.forename: W
authors.initials: W
authors.lastname: van Mechelen
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D003376:Counseling; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D015444:Exercise / Q000523:psychology; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010809:Physical Fitness / Q000523:psychology; D013177:Sports / Q000523:psychology; D013997:Time Factors