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| Successfully improving physical activity behavior 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 |
| American Journal of Health Promotion 2007 Jan-Feb;21(3):153-159 |
| 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* |
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PURPOSE: To determine the effects of the physical activity promotion programs Rehabilitation and Sports (RandS) and Active after Rehabilitation (AaR) on sport and daily physical activity 1 year after in- or outpatient rehabilitation. DESIGN: Subjects in intervention rehabilitation centers were randomized into a group receiving RandS only (n = 315) and a group receiving RandS and AaR (n = 284). Subjects in six control centers (n = 603) received usual care. SETTING: Ten Dutch rehabilitation centers. SUBJECTS: Subjects consisted of 1,202 rehabilitation patients. Most frequent diagnoses were stroke, neurological disorders, and back disorders. INTERVENTION: Both the sport stimulation program (RandS) and the daily physical activity promotion program (AaR) consisted of personalized tailored counseling. MEASURES: Two sport outcomes and two daily physical activity outcomes were assessed with questionnaires at baseline and 1 year after rehabilitation. Analysis: Multilevel analyses comparing both intervention groups to the control group. RESULTS: The RandS program showed no significant effects. Intention-to-treat analyses in the RandS+AaR group showed borderline significant improvements in one sport (odds ratio (OR) 1.66, p = 0.02) and both physical activity outcomes (OR 1.68, p = 0.01 and regression coefficient = 10.78, p = 0.05). On-treatment analyses in the RandS and AaR group showed similar but stronger effects. CONCLUSION: The combination of the RandS and AaR programs improved physical activity behavior and sport participation 1 year after in- or outpatient rehabilitation. The RandS program alone did not have any effects.
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