Article

OBJECTIVE: To evaluate the effectiveness of lifestyle group intervention on
well-being, occupation and social participation. DESIGN:
A randomized controlled
trial. SETTING: Senior centres in the community.
SUBJECTS: Of 204 stroke
survivors screened, 99 (49%) were randomized three months after stroke whereby 86
(87%) participants (mean (SD) age 77.0 (7.1) years) completed all assessments (39
in the intervention group and 47 in the control group). INTERVENTION: A lifestyle
course in combination with physical activity (intervention group) compared with
physical activity alone (control group). Both programmes were held once a week
for nine months. MAIN OUTCOME MEASURE: The Short Form Questionnaire (SF-36),
addressing well-being and social participation. Assessments were performed at
baseline and at nine months follow-up. RESULTS: We found no statistically
significant differences between the groups at the nine months follow-up in the
SF-36. Adjusted mean differences in change scores in the eight subscales of SF-36
were; 'mental health' (+1.8, 95% confidence interval (CI) -4.0, +7.6), 'vitality'
(-3.0, 95% CI -9.6, +3.6), 'bodily pain' (+3.3, 95% CI -7.8, +14.4), 'general
health' (-1.6, 95% CI -8.4, +5.1), 'social functioning' (-2.5, 95% CI -12.8,
+7.8), 'physical functioning' (+1.0, 95% CI -6.7, +8.6), 'role physical' (-7.1,
95% CI -22.7, +8.4), 'role emotional' (+11.8, 95% CI -4.4,
+28.0). CONCLUSIONS:
Improvements were seen in both groups, but no statistically significant
differences were found in the intervention group compared to controls. An intervention comprising regular group-based activity with peers may be sufficient
in the long-term rehabilitation after stroke.

Langue : ANGLAIS