Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals

Objective: Maintaining long-term physical activity after a stroke is challenging. “The Stroke School”, a standardized physical exercise programme, was developed and patients’ and healthcare professionals’ experiences of participating were explored. Design: Qualitative study. Methods: Eight patient...

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Main Authors: Rikke Steen Krawcyk, Katrine Vollbrecht Amdi, Christina Kruuse, Thordis Thomsen
Format: Article
Language:English
Published: Medical Journals Sweden 2025-03-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access:https://medicaljournalssweden.se/jrm/article/view/42881
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author Rikke Steen Krawcyk
Katrine Vollbrecht Amdi
Christina Kruuse
Thordis Thomsen
author_facet Rikke Steen Krawcyk
Katrine Vollbrecht Amdi
Christina Kruuse
Thordis Thomsen
author_sort Rikke Steen Krawcyk
collection DOAJ
description Objective: Maintaining long-term physical activity after a stroke is challenging. “The Stroke School”, a standardized physical exercise programme, was developed and patients’ and healthcare professionals’ experiences of participating were explored. Design: Qualitative study. Methods: Eight patients with minor stroke or transient ischaemic attack (TIA) completed a feasibility study on The Stroke School intervention in conjunction with their supervising municipal physiotherapists (n = 5). All informants were invited for semi-structured focus-group interviews, during which they were asked to reflect on their experience attending The Stroke School. Audio recordings from 3 focus-group interviews lasting 90 min each were transcribed to text verbatim and analysed with qualitative content analysis. Results: Thirteen informants attended 3 focus-group interviews. Five categories were identified (i–iii representing the patients’ perspective and iv–v the physiotherapists’ perspectives): (i) window of opportunity, (ii) benefits of participating in the study, (iii) strengths and pitfalls of transitioning from the hospital to the municipalities, (iv) effective communication across sectors, and (v) empowering patients to continue exercising independently. Conclusion: The Stroke School intervention was feasible, provided patient safety throughout the study, and resulted in effective communication and collaboration across sectors. However, identifying factors that facilitate life-long exercise behaviour changes is still warranted.
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spelling doaj-art-8d6611dcc58a47a280c2b308d5030c102025-08-20T02:42:48ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-03-015710.2340/jrm.v57.42881Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionalsRikke Steen Krawcyk0https://orcid.org/0000-0002-3362-0826Katrine Vollbrecht Amdi1https://orcid.org/0009-0005-0559-1705Christina Kruuse2https://orcid.org/0000-0002-4210-0523Thordis Thomsen3https://orcid.org/0000-0003-3517-7722Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark; Department of Neurology, Neurovascular Research Unit, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, DenmarkDepartment of Neurology, Neurovascular Research Unit, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, DenmarkDepartment of Neurology, Neurovascular Research Unit, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark; Department of Brain and Spinal Cord Injury, Neuroscience Center, Copenhagen University Hospital Rigshospitalet, openhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, DenmarkDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark; Department of Anaesthesiology, Copenhagen University Hospital - Herlev and Gentofte, Co-penhagen, DenmarkObjective: Maintaining long-term physical activity after a stroke is challenging. “The Stroke School”, a standardized physical exercise programme, was developed and patients’ and healthcare professionals’ experiences of participating were explored. Design: Qualitative study. Methods: Eight patients with minor stroke or transient ischaemic attack (TIA) completed a feasibility study on The Stroke School intervention in conjunction with their supervising municipal physiotherapists (n = 5). All informants were invited for semi-structured focus-group interviews, during which they were asked to reflect on their experience attending The Stroke School. Audio recordings from 3 focus-group interviews lasting 90 min each were transcribed to text verbatim and analysed with qualitative content analysis. Results: Thirteen informants attended 3 focus-group interviews. Five categories were identified (i–iii representing the patients’ perspective and iv–v the physiotherapists’ perspectives): (i) window of opportunity, (ii) benefits of participating in the study, (iii) strengths and pitfalls of transitioning from the hospital to the municipalities, (iv) effective communication across sectors, and (v) empowering patients to continue exercising independently. Conclusion: The Stroke School intervention was feasible, provided patient safety throughout the study, and resulted in effective communication and collaboration across sectors. However, identifying factors that facilitate life-long exercise behaviour changes is still warranted. https://medicaljournalssweden.se/jrm/article/view/42881behavior changecross-sectoral interventionminor strokephysical exercisequalitative researchtransient ischemic attack
spellingShingle Rikke Steen Krawcyk
Katrine Vollbrecht Amdi
Christina Kruuse
Thordis Thomsen
Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals
Journal of Rehabilitation Medicine
behavior change
cross-sectoral intervention
minor stroke
physical exercise
qualitative research
transient ischemic attack
title Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals
title_full Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals
title_fullStr Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals
title_full_unstemmed Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals
title_short Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals
title_sort supervised exercise after minor stroke an evaluation from the perspective of patients and healthcare professionals
topic behavior change
cross-sectoral intervention
minor stroke
physical exercise
qualitative research
transient ischemic attack
url https://medicaljournalssweden.se/jrm/article/view/42881
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AT katrinevollbrechtamdi supervisedexerciseafterminorstrokeanevaluationfromtheperspectiveofpatientsandhealthcareprofessionals
AT christinakruuse supervisedexerciseafterminorstrokeanevaluationfromtheperspectiveofpatientsandhealthcareprofessionals
AT thordisthomsen supervisedexerciseafterminorstrokeanevaluationfromtheperspectiveofpatientsandhealthcareprofessionals