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Feasibility, acceptability, and fidelity of Physical Activity Routines After Stroke (PARAS): a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community-dwelling adult stroke survivors

Lookup NU author(s): Sarah Moore, Dr Darren Flynn, Professor Christopher PriceORCiD, Dr Leah Avery



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© 2022, The Author(s).Background: Low levels of habitual physical activity and high levels of sedentary behaviour are commonly observed post-stroke. We aimed to assess the feasibility, acceptability and fidelity of a multifaceted, theory- and evidence-informed supported self-management intervention targeting physical activity and sedentary behaviour after stroke: Physical Activity Routines After Stroke (PARAS). Methods: Adult stroke survivors and healthcare professionals were recruited from North East England stroke services. Stroke survivor physical activity and sedentary behaviour were targeted by a self-management behavioural intervention supported by healthcare professionals trained in intervention delivery. The main outcomes were protocol and intervention acceptability and feasibility and fidelity of intervention delivery. Results: Eleven healthcare professionals (9 physiotherapists; 2 occupational therapists) participated in the study. Stroke survivor recruitment was lower than anticipated (19 versus target of up to 35). The healthcare professional training programme was feasible, with fidelity assessment of delivery supporting this finding. Data completeness was acceptable according to a priori criteria (>60%), except for stroke survivor questionnaire return rate (59%) and interview uptake (52%). No serious adverse events occurred. Healthcare professionals and stroke survivors perceived intervention delivery to be feasible and acceptable with minor modifications highlighted including the potential for earlier delivery in the stroke pathway. Conclusions: The study protocol and intervention delivery were feasible and acceptable to stroke survivors and healthcare professionals with modifications required before large-scale evaluation. Trial registration: ISRCTN35516780. Registered on October 24, 2018.

Publication metadata

Author(s): Moore SA, Flynn D, Jones S, Price CIM, Avery L

Publication type: Article

Publication status: Published

Journal: Pilot and Feasibility Studies

Year: 2022

Volume: 8

Issue: 1

Online publication date: 03/09/2022

Acceptance date: 28/07/2022

Date deposited: 27/06/2023

ISSN (electronic): 2055-5784

Publisher: BioMed Central Ltd


DOI: 10.1186/s40814-022-01139-4


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Funder referenceFunder name
ICA-CL-2015-01-012National Institute for Health Research (NIHR)