RehabMove 2018: Effectiveness and feasibility of Activity Coach+; a physical activity intervention in hard-to-reach physically disabled people
| Main Authors: | Krops, L.A., Dijkstra, P.U., Horemans, H.L.D., Bussmann, J.B.J., Geertzen, J.H.B., Dekker, R. |
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| Format: | Proceeding |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1483601 |
Daftar Isi:
- PURPOSE: Physically disabled participate less in physical activity (PA) compared to healthy people. Existing PA interventions are mainly performed in rehabilitation-, school- or primary healthcare settings, limiting their reach. Systematic development applying Intervention Mapping resulted in the community-based intervention Activity Coach+, aiming to stimulate both organized and non-organized PA in hard-to-reach physically disabled people. The purpose of this study was to test effectiveness and feasibility of Activity Coach+. METHODS: Activity Coach+ was implemented in community, and evaluated using a longitudinal study including measurements at baseline, and after 2, 4, 6 and 12 months. PA behavior was measured using the Activ8 accelerometer and the adapted SQUASH questionnaire. Body mass index (BMI), waist circumference, systolic blood pressure, hand grip force, 10 meter walk test, 6 minute walk test and Berg Balance Scale were measured to assess health changes. Bio psychosocial health was assessed using the RAND-36, Exercise Self-Efficacy Scale, Fatigue Severity Scale and IMPACT-S questionnaire. Data was analyzed using non-parametric Friedman tests. RESULTS: Currently, results of the first four months after implementation of Activity Coach+ are present. During the first four months, 29 hard-to-reach physically disabled people participated in Activity Coach+, of whom two dropped out. PA behavior did not change within the first four months. BMI (p=.004), 10 meter walk test (p=.001), 6 minute walk test (p=.020), dynamic balance (p=.014) and vitality (RAND-36) (p=.049) increased over time after implementation of Activity Coach+. A relevant trend was found for the increase of hand grip force (p=.055). CONCLUSION: Activity Coach+ was found feasible in a community setting. First indications for effectiveness of Activity Coach+ in hard-to-reach physically disabled people were provided. Long-term effectiveness of Activity Coach+ will be presented at the conference.