The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Sheetal Kara [verfasserIn] Mokgobadibe Veronica Ntsiea [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	adherence home exercise programme stroke

Übergeordnetes Werk:	In: Hong Kong Journal of Occupational Therapy - SAGE Publishing, 2016, 26(2015), C, Seite 33-41
Übergeordnetes Werk:	volume:26 ; year:2015 ; number:C ; pages:33-41

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.hkjot.2015.12.004

Katalog-ID:	DOAJ037273485

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allfields	10.1016/j.hkjot.2015.12.004 doi (DE-627)DOAJ037273485 (DE-599)DOAJ17f082deeeae4d1aab429db3b3028957 DE-627 ger DE-627 rakwb eng RM1-950 Sheetal Kara verfasserin aut The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended. adherence home exercise programme stroke Therapeutics. Pharmacology Mokgobadibe Veronica Ntsiea verfasserin aut In Hong Kong Journal of Occupational Therapy SAGE Publishing, 2016 26(2015), C, Seite 33-41 (DE-627)499548035 (DE-600)2202253-3 18764398 nnns volume:26 year:2015 number:C pages:33-41 https://doi.org/10.1016/j.hkjot.2015.12.004 kostenfrei https://doaj.org/article/17f082deeeae4d1aab429db3b3028957 kostenfrei http://www.sciencedirect.com/science/article/pii/S1569186115000388 kostenfrei https://doaj.org/toc/1569-1861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2098 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2015 C 33-41
spelling	10.1016/j.hkjot.2015.12.004 doi (DE-627)DOAJ037273485 (DE-599)DOAJ17f082deeeae4d1aab429db3b3028957 DE-627 ger DE-627 rakwb eng RM1-950 Sheetal Kara verfasserin aut The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended. adherence home exercise programme stroke Therapeutics. Pharmacology Mokgobadibe Veronica Ntsiea verfasserin aut In Hong Kong Journal of Occupational Therapy SAGE Publishing, 2016 26(2015), C, Seite 33-41 (DE-627)499548035 (DE-600)2202253-3 18764398 nnns volume:26 year:2015 number:C pages:33-41 https://doi.org/10.1016/j.hkjot.2015.12.004 kostenfrei https://doaj.org/article/17f082deeeae4d1aab429db3b3028957 kostenfrei http://www.sciencedirect.com/science/article/pii/S1569186115000388 kostenfrei https://doaj.org/toc/1569-1861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2098 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2015 C 33-41
allfields_unstemmed	10.1016/j.hkjot.2015.12.004 doi (DE-627)DOAJ037273485 (DE-599)DOAJ17f082deeeae4d1aab429db3b3028957 DE-627 ger DE-627 rakwb eng RM1-950 Sheetal Kara verfasserin aut The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended. adherence home exercise programme stroke Therapeutics. Pharmacology Mokgobadibe Veronica Ntsiea verfasserin aut In Hong Kong Journal of Occupational Therapy SAGE Publishing, 2016 26(2015), C, Seite 33-41 (DE-627)499548035 (DE-600)2202253-3 18764398 nnns volume:26 year:2015 number:C pages:33-41 https://doi.org/10.1016/j.hkjot.2015.12.004 kostenfrei https://doaj.org/article/17f082deeeae4d1aab429db3b3028957 kostenfrei http://www.sciencedirect.com/science/article/pii/S1569186115000388 kostenfrei https://doaj.org/toc/1569-1861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2098 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2015 C 33-41
allfieldsGer	10.1016/j.hkjot.2015.12.004 doi (DE-627)DOAJ037273485 (DE-599)DOAJ17f082deeeae4d1aab429db3b3028957 DE-627 ger DE-627 rakwb eng RM1-950 Sheetal Kara verfasserin aut The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended. adherence home exercise programme stroke Therapeutics. Pharmacology Mokgobadibe Veronica Ntsiea verfasserin aut In Hong Kong Journal of Occupational Therapy SAGE Publishing, 2016 26(2015), C, Seite 33-41 (DE-627)499548035 (DE-600)2202253-3 18764398 nnns volume:26 year:2015 number:C pages:33-41 https://doi.org/10.1016/j.hkjot.2015.12.004 kostenfrei https://doaj.org/article/17f082deeeae4d1aab429db3b3028957 kostenfrei http://www.sciencedirect.com/science/article/pii/S1569186115000388 kostenfrei https://doaj.org/toc/1569-1861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2098 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2015 C 33-41
allfieldsSound	10.1016/j.hkjot.2015.12.004 doi (DE-627)DOAJ037273485 (DE-599)DOAJ17f082deeeae4d1aab429db3b3028957 DE-627 ger DE-627 rakwb eng RM1-950 Sheetal Kara verfasserin aut The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended. adherence home exercise programme stroke Therapeutics. Pharmacology Mokgobadibe Veronica Ntsiea verfasserin aut In Hong Kong Journal of Occupational Therapy SAGE Publishing, 2016 26(2015), C, Seite 33-41 (DE-627)499548035 (DE-600)2202253-3 18764398 nnns volume:26 year:2015 number:C pages:33-41 https://doi.org/10.1016/j.hkjot.2015.12.004 kostenfrei https://doaj.org/article/17f082deeeae4d1aab429db3b3028957 kostenfrei http://www.sciencedirect.com/science/article/pii/S1569186115000388 kostenfrei https://doaj.org/toc/1569-1861 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_374 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2034 GBV_ILN_2068 GBV_ILN_2098 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2015 C 33-41
language	English
source	In Hong Kong Journal of Occupational Therapy 26(2015), C, Seite 33-41 volume:26 year:2015 number:C pages:33-41
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title	The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke
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title_full	The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke
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author_browse	Sheetal Kara Mokgobadibe Veronica Ntsiea
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doi_str_mv	10.1016/j.hkjot.2015.12.004
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title_sort	effect of a written and pictorial home exercise prescription on adherence for people with stroke
callnumber	RM1-950
title_auth	The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke
abstract	Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended.
abstractGer	Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended.
abstract_unstemmed	Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 ± 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p = .40; BI, p = .65) and adherence (p = .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also does not appear to be a relationship between functional ability and level of adherence, which may be due to most of the study participants being within the optimal time frame for spontaneous functional recovery. Further study at different time frames in stroke rehabilitation in different contexts is recommended.
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title_short	The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke
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