Successfully Improving Physical Activity Behavior after Rehabilitation

Purpose. To determine the effects of the physical activity promotion programs Rehabilitation & Sports (R&S) 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 r...

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Bibliographic Details
Published in:American journal of health promotion 2007-01, Vol.21 (3), p.153-159
Main Authors: van der Ploeg, Hidde P., Streppel, Kitty R. M., van der Beek, Allard J., van der Woude, Luc H. V., Vollenbroek-Hutten, Miriam M. R., van Harten, Wim H., van Mechelen, Willem
Format: Article
Language:English
Subjects:
Adult
Disabled people
Exercise
Female
Health Behavior
Health Promotion
Health technology assessment
Humans
Male
Middle Aged
Motivation
Netherlands
Physical activity
Program Evaluation
Rehabilitation
Sports
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Summary:Purpose. To determine the effects of the physical activity promotion programs Rehabilitation & Sports (R&S) 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 R&S only (n = 315) and a group receiving R&S and AaR (n = 284). Subjects in six control centers (n = 603) received usual care. Setting. Ten Dutch rehabilitation centers. Subjects. Subjects consisted of 1202 rehabilitation patients. Most frequent diagnoses were stroke, neurological disorders, and back disorders. Intervention. Both the sport stimulation program (R&S) 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 R&S program showed no significant effects. Intention-to-treat analyses in the R&S + AaR group showed borderline significant improvements in one sport (odds ratio [OR] = 1.66, p = .02) and both physical activity outcomes (OR = 1.68, p = .01 and regression coefficient = 10.78, p = .05). On-treatment analyses in the R&S + AaR group showed similar but stronger effects. Conclusions. The combination of the R&S and AaR programs improved physical activity behavior and sport participation 1 year after in- or outpatient rehabilitation. The R&S program alone did not have any effects.
ISSN:0890-1171
2168-6602
DOI:10.4278/0890-1171-21.3.153