title: A lifestyle intervention as supplement to a physical activity programme in rehabilitation after stroke: a randomized controlled trial.
abstract: OBJECTIVE
  To evaluate the effectiveness of lifestyle group intervention on well-being, occupation and social participation.
  
  
  METHODS
  A randomized controlled trial.
  
  
  METHODS
  Senior centres in the community.
  
  
  METHODS
  Of 204 stroke survivors screened, 99 (49%) were randomized three months after stroke whereby 86 (87%) participants (mean (SD) age 77.0 (7.1) years) completed all assessments (39 in the intervention group and 47 in the control group).
  
  
  METHODS
  A lifestyle course in combination with physical activity (intervention group) compared with physical activity alone (control group). Both programmes were held once a week for nine months.
  
  
  METHODS
  The Short Form Questionnaire (SF-36), addressing well-being and social participation. Assessments were performed at baseline and at nine months follow-up.
  
  
  RESULTS
  We found no statistically significant differences between the groups at the nine months follow-up in the SF-36. Adjusted mean differences in change scores in the eight subscales of SF-36 were; 'mental health' (+1.8, 95% confidence interval (CI) -4.0, +7.6), 'vitality' (-3.0, 95% CI -9.6, +3.6), 'bodily pain' (+3.3, 95% CI -7.8, +14.4), 'general health' (-1.6, 95% CI -8.4, +5.1), 'social functioning' (-2.5, 95% CI -12.8, +7.8), 'physical functioning' (+1.0, 95% CI -6.7, +8.6), 'role physical' (-7.1, 95% CI -22.7, +8.4), 'role emotional' (+11.8, 95% CI -4.4, +28.0).
  
  
  CONCLUSIONS
  Improvements were seen in both groups, but no statistically significant differences were found in the intervention group compared to controls. An intervention comprising regular group-based activity with peers may be sufficient in the long-term rehabilitation after stroke.
authors.affiliation: Oslo University Hospital, Geriatric Medicine, Oslo, Norway. Anne.Lund@hioa.no
authors.forename: A
authors.initials: A
authors.lastname: Lund
authors.forename: M
authors.initials: M
authors.lastname: Michelet
authors.forename: L
authors.initials: L
authors.lastname: Sandvik
authors.forename: Tb
authors.initials: T
authors.lastname: Wyller
authors.forename: U
authors.initials: U
authors.lastname: Sveen
mesh_terms: D000368:Aged; D001007:Anxiety / Q000628:therapy; D003863:Depression / Q000628:therapy; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D009043:Motor Activity; D009483:Neuropsychological Tests; D009788:Occupational Therapy; D058992:Social Participation; D000071939:Stroke Rehabilitation