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Counselling increases physical activity behaviour nine weeks after rehabilitation [with consumer summary]
van der Ploeg HP, Streppel KR, van der Beek AJ, van der Woude LH, Vollenbroek-Hutten MM, van Harten WH, van Mechelen W
British Journal of Sports Medicine 2006 Mar;40(3):223-229
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: For people with disabilities, a physically active lifestyle can reduce the risk of secondary health problems and improve overall functioning. OBJECTIVES: To determine the effects of the sport stimulation programme 'rehabilitation and sports' (RandS) and RandS combined with the daily physical activity promotion programme 'active after rehabilitation' (AaR) on sport participation and daily physical activity behaviour nine weeks after inpatient or outpatient rehabilitation. METHODS: Subjects in four intervention rehabilitation centres were randomised to a group receiving RandS only (n = 315) or a group receiving RandS and AaR (n = 284). Subjects in six control rehabilitation centres (n = 603) received the usual care. Most common diagnoses were stroke, neurological disorders, and back disorders. Two sport and two daily physical activity outcomes were assessed with questionnaires seven weeks before and nine weeks after the end of rehabilitation. Data were analysed by intention to treat and on treatment multilevel analyses, comparing both intervention groups with the control group. RESULTS: The RandS group showed no significant change. Intention to treat analyses of the RandS+AaR group showed significant improvements in one sport (p = 0.02) and one physical activity outcome (p = 0.03). On treatment analyses in the RandS and AaR group showed significant improvements in both sport outcomes (p < 0.01 and p = 0.02) and one physical activity outcome (p < 0.01). CONCLUSIONS: Only the combination of RandS and AaR had increased sports participation and daily physical activity behaviour nine weeks after the end of inpatient or outpatient rehabilitation".
Reproduced with permission from the BMJ Publishing Group.

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