title: The effect of a structured programme to increase patient activity during inpatient stroke rehabilitation: a Phase I cohort study.
abstract: OBJECTIVE
  To develop an intervention and undertake a proof-of-concept evaluation of its feasibility, acceptability, and impact on recorded patient activity levels during inpatient stroke rehabilitation.
  
  
  METHODS
  A longitudinal cohort design.
  
  
  METHODS
  Three inpatient stroke rehabilitation services.
  
  
  METHODS
  Stroke survivors receiving inpatient rehabilitation.
  
  
  METHODS
  A programme designed to increase patient activity, including individualised patient timetables, independent practice, therapeutic group work, and structured social activities was developed and implemented without additional resource.
  
  
  METHODS
  Patients' recorded activity levels were compared for two weeks before and after implementation of the programme. Data regarding the estimated time spent in different types of activity were extracted from patient treatment records, patients' and therapists' diaries, or timetables (if used) to measure patient activity levels
  
  
  RESULTS
  At baseline, recorded activity levels were low; patients undertook a mean of 61 minutes (SD = 39) of activity per day. After implementation of the programme, recorded activity levels significantly increased to a mean of 123 minutes (SD = 88) per day (p = 0.0001). The time spent in all types of recorded activity increased (p = 0.0001-0.002), except psychology where the increase did not reach significance (p = 0.670).
  
  
  CONCLUSIONS
  A structured programme can significantly increase recorded patient activity levels during inpatient stroke rehabilitation without additional resource.
authors.affiliation: School of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK Sarah.Tyson@manchester.ac.uk.
authors.forename: S F
authors.initials: SF
authors.lastname: Tyson
authors.affiliation: School of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK Greater Manchester Strategic Clinical Network, Stockport, UK.
authors.forename: L
authors.initials: L
authors.lastname: Burton
authors.affiliation: Greater Manchester Strategic Clinical Network, Stockport, UK.
authors.forename: A
authors.initials: A
authors.lastname: McGovern
mesh_terms: D000203:Activities of Daily Living; D017028:Caregivers / Q000193:education*; D005240:Feasibility Studies; D006801:Humans; D007297:Inpatients; D007398:Interpersonal Relations; D008137:Longitudinal Studies; D009043:Motor Activity; D009788:Occupational Therapy / Q000379:methods / Q000458:organization & administration / Q000706:statistics & numerical data; D010379:Peer Group; D026741:Physical Therapy Modalities / Q000458:organization & administration / Q000706:statistics & numerical data; D012648:Self Care / Q000379:methods*; D012919:Social Behavior; D012944:Social Support; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D013997:Time Factors; D006113:United Kingdom
keywords: Planning rehabilitation; everyday physical activity; implementation; stroke