Adherence Rate, Barriers to Attend, Safety, and Overall Experience of a Remote Physical Exercise Program During the COVID-19 Pandemic for Individuals After Stroke.

Autor:	Torriani-Pasin C; Laboratory of Motor Behavior, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil., Palma GCDS; Laboratory of Motor Behavior, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil., Makhoul MP; Laboratory of Motor Behavior, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil., Antonio BA; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil., Lara ARF; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil., da Silva TA; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil., Caldeira MF; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil., Júnior RPA; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil., Domingues VL; Laboratory of Motor Behavior, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil., de Freitas TB; Laboratory of Motor Behavior, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil., Mochizuki L; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in psychology [Front Psychol] 2021 Jul 09; Vol. 12, pp. 647883. Date of Electronic Publication: 2021 Jul 09 (Print Publication: 2021).
DOI:	10.3389/fpsyg.2021.647883
Abstrakt:	Introduction: The actions taken by the government to deal with the consequences of the coronavirus diseases 2019 (COVID-19) pandemic caused different levels of restriction on the mobility of the population. The need to continue offering physical exercise to individuals after stroke became an emergency. However, these individuals may have barriers to adhere to the programs delivered remotely. There is a lack of evidence related to adherence, attendance, safety, and satisfaction of remote exercise programs for this population. Objective: The aim was to evaluate adherence and barriers to attend a remote physical exercise program for individuals after stroke. We aimed (a) to identify adherence and attendance rate of the remote physical exercise program (i.e., number of participants engaged, number of sessions attended, and exercise time in remote program); (b) to identify the safety of a remote physical exercise program (i.e., falls, pain, or dizziness when performing the exercises, fear, or insecurity); and (c) to identify the overall experience to participate in a remote program. Materials and methods: This is a longitudinal study, including 36 stroke survivors who already attended a face-to-face physical exercise program prior to the COVID-19 pandemic. The remote physical exercise program included sessions for 2 days/week for a duration of 22 weeks, with a total of 44 sessions, which were delivered asynchrony via recorded video sessions. As outcome measures, we performed two questionnaires (via weekly telephone calls) to identify attendance, barriers, safety, and overall experience related to the program. Results: The adherence rate was 86 (9%). The attendance rate was 19, with a total of 8 sessions (108.3 min/week). The main barriers for lower attendance rate were as follows: lack of motor skills and physical fitness to workout in 80 reports (20.6%), followed by no exercise companion in 44 reports (11.3%). The remote physical program has been shown to be safe, and the overall experience was positive from the perspectives of the participants and the family members. Conclusion: Although the adherence rate was high, the attendance rate was low on the remote physical exercise program. The main barriers to attending the program remotely reflect the need of tailoring individually an asynchrony mode of delivering the sessions to individuals after stroke. Our results also indicate how the COVID-19 impacted the health conditions of stroke survivors. The program was safe, and the overall experience indicated a change in the mental, physical, and social health of individuals after stroke and their family members. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Torriani-Pasin, Palma, Makhoul, Antonio, Lara, Silva, Caldeira, Júnior, Domingues, Freitas and Mochizuki.)
Databáze:	MEDLINE
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