The Adaptive Physical Activity Study for Stroke (TAPAS)
Stroke
About this trial
This is an interventional treatment trial for Stroke
Eligibility Criteria
Inclusion Criteria: 18 years+ Clinician-confirmed stroke- ischaemic or haemorrhagic subtype Living within 90km of University Person in the first 6 months post-stroke No longer receiving inpatient or outpatient or community-based physical activity rehabilitation modified Rankin Scale score of 0-3 People post-stroke who are able to express their basic needs verbally Have access to relevant technology to enable mHealth intervention delivery Have cognitive capacity to provide informed consent Medical clearance for participation in the TAPAS programme. Exclusion Criteria: -Contraindications for undertaking physical activity e.g. safety, presence of unstable heart disease
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Other
Other
Structured exercise
Lifestyle Physical Activity
Participants assigned to Structured Exercise will be provided with twice weekly strengthening exercise classes, delivered through the digital platform. The exercise classes will follow a circuit class style, in order to target a moderate-vigorous exercise intensity, in keeping with recent guidelines on secondary stroke prevention. Classes will include a full body warm up followed by a circuit of eight strengthening exercises completed for between one and three sets of 12 repetitions. Participants will be encouraged to exercise to fatigue on the 12th repetition of each set. This will be repeated for increasing sets and adding resistance through the use of resistance bands. During each session, participants will be reminded to reach their targeted weekly step count goals. The structured exercise component is informed by international clinical guidelines (Kleindorfer et al 2021 and Billinger et al 2021).
The Lifestyle PA component was developed using the Behaviour Change Wheel (BCW) Guide to Designing Interventions and is underpinned by the COM-B model of behavior change (Michie et al., 2014). This posits that people need capability(C), opportunity(O), and motivation(M) to perform a behavior(B). The aim of the Lifestyle PA component is to increase the capability, opportunity, and motivation of participants to reach their daily step count goals. To achieve this the 3 stages of the BCW intervention design process were followed. The first stage, understanding the behaviour, is done through a review of the literature and primary qualitative research(Cardy et al., 2022). This stage identifies the change objectives of the intervention. Stage 2 requires the selection of intervention functions and the policies that would support them. The final stage is defining the content of the intervention using behaviour change techniques (BCTs) and selecting their mode of delivery.