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5. A Systematic Review and Meta-Analysis of Exercise Interventions and Use of Exercise Principles to Reduce Fear of Falling in Community-Dwelling Older Adults

Author

Feng, Chengying, Adebero, Tony, DePaul, Vincent G., Vafaei, Afshin, Norman, Kathleen E., and Auais, Mohammad

Subjects
Falls (Accidents) -- Risk factors -- Prevention, Exercise therapy -- Patient outcomes
Abstract

Objective. Fear of falling (FOF) contributes to activity restriction and institutionalization among older adults, and exercise interventions are linked to reduction in FOF. Adhering to exercise principles and adapting optimal exercise parameters are fundamental to optimizing the effectiveness of exercise interventions. The purpose of this review was to describe FOF exercise interventions in community-dwelling older adults, evaluate the extent to which these interventions followed the exercise principles and reported exercise parameters, and quantify the effect of these interventions on reducing FOF. Methods. Randomized controlled trials (RCTs) of FOF exercise interventions in older adults ([greater than or equal to]65 years) were identified from 4 databases. The methodological quality of RCTs was assessed using the Physiotherapy Evidence Database scale. A random-effect model was used in the meta-analysis. Results. Seventy-five RCTs were included in this review. With regard to reporting exercise principles, specificity was reported in 92% of trials, progression in 72%, reversibility in 32%, overload in 31%, diminished return in 21%, and initial value in 8%. For exercise parameters, 97% of RCTs reported exercise type; 89%, frequency; and 85%, time. Only 25% reported the intensity. The pooled effect of exercise interventions on FOF among all included studies was a standard mean difference of -0.34 (95% CI =-0.44 to -0.23). Conclusion. This study showed a significant small to moderate effect size of exercise interventions in reducing FOF among community-dwelling older adults. Most exercise principles and intensity of exercises were not adequately reported in included trials. Impact. These inadequate reports could undermine efforts to examine the optimal dosage for exercise prescription. More attention must be given to designing and reporting components of therapeutic exercise programs to facilitate evidence-based practice. Keywords: Accidental Falls, Aged, Exercise Therapy, Geriatrics, Introduction Fear of falling (FOF) is a major public concern because it has been associated with activity restriction, increased fall risks, and institutionalization among older adults. (1) FOF has been [...]

Published
2022
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7. Mapping of primary care and health care utilization in naturally occurring retirement communities: Ontario, Canada

Author

Frymire, Eliot, DePaul, Vincent, Gozdyra, Peter, Nguyen, Paul, and Donnelly, Catherine

Subjects
Medical care -- Utilization, Primary health care -- Services, Retirement communities -- Health aspects -- Environmental aspects -- Economic aspects, Health, Science and technology
Abstract

Context: Naturally occurring retirement communities (NORCs) are unplanned communities with a high proportion of older residents. Mapping NORCs and understanding their unique sociodemographic characteristics and health utilization patterns can assist primary care teams in supporting older adults by: i) identifying geographical areas of high service need and, ii) developing neighborhood based programs. Study Design and Analysis Observational Design: Descriptive analysis identifying proportions of communities in the province of Ontario, Canada with [greater than or equal to] 40% of persons with >55 years of age (NORCs) and the sociodemographic characteristics (e.g., Ontario Marginalization Index), health utilization and primary care enrollment models were displayed in a series of maps. Maps offered a visual presentation of provincial patterns of high density of older adults . The forward sortation areas, geographical units based on the first 3 characters of the Canadian postal code, from the 2016 census year were used. Dataset: Linked administrative data at ICES, an independent, non-profit research institute that routinely collects sociodemographic and healthcare information for the residents in Ontario, Canada. Population: All resident of Ontario >55 years of age as of March 31, 2021 (N=4,663,813). Intervention/Instrument: Maps to depict the distribution of NORCs and the patterns of health. Outcome Measure: Geographical patterns of NORCs in Ontario, Canada. Results: The regional distribution of NORCs varies across the province, with a greater number of NORCs identified in the Eastern and Northern regions of Ontario. The majority of NORCs had high proportion of older adults enrolled in team based models of primary care. Patterns of health use and frailty varied across the province. Conclusions: This is the first known study to map health use and primary care enrollment in NORCs in a province and highlights the complex and varied patterns of regional distribution. Mapping NORCs is an important resource for decision makers and planners to leverage primary care in supporting older adults to age in their communities., Presenters Eliot Frymire, MA, BEd, Vincent DePaul, Peter Gozdyra, MA, Paul Nguyen, PhD, Catherine Donnelly, [...]

Published
2023

9. Predictive Understanding of Stream Salinization in a Developed Watershed Using Machine Learning

Author

Smith, Jared D., Koenig, Lauren E., Sleckman, Margaux J., Appling, Alison P., Sadler, Jeffrey M., DePaul, Vincent T., and Szabo, Zoltan

Abstract

Stream salinization is a global issue, yet few models can provide reliable salinity estimates for unmonitored locations at the time scales required for ecological exposure assessments. Machine learning approaches are presented that use spatially limited high-frequency monitoring and spatially distributed discrete samples to estimate the daily stream-specific conductance across a watershed. We compare the predictive performance of space- and time-unaware Random Forest models and space- and time-aware Recurrent Graph Convolution Neural Network models (KGE: 0.67 and 0.64, respectively) and use explainable artificial intelligence methods to interpret model predictions and understand salinization drivers. These models are applied to the Delaware River Basin, a developed watershed with diverse land uses that experiences anthropogenic salinization from winter deicer applications. These models capture seasonality for the winter first flush of deicers, and the streams with elevated predictions correspond well with indicators of deicer application. This result suggests that these models can be used to identify potential salinity-impaired streams for winter best management practices. Daily salinity predictions are driven primarily by land cover (urbanization) trends that may represent anthropogenic salinization processes and weather at time scales up to three months. Such modeling approaches are likely transferable to other watersheds and can be applied to further understand salinization risks and drivers.

Published
2024
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19. Strategies for specialty training of healthcare professionals in low-resource settings: a systematic review on evidence from stroke care

Author

Habibi, Junaid, primary, Bosch, Jackie, additional, Bidulka, Patrick, additional, Belson, Sarah, additional, DePaul, Vincent, additional, Gandhi, Dorcas, additional, Kumurenzi, Anne, additional, Melifonwu, Rita, additional, Pandian, Jeyaraj, additional, Langhorne, Peter, additional, Solomon, John M., additional, Dawar, Dimple, additional, Carroll, Sandra, additional, Urimubenshi, Gerard, additional, Kaddumukasa, Martin, additional, and Hamilton, Leah, additional

Published
2023
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22. Additional file 1 of Strategies for specialty training of healthcare professionals in low-resource settings: a systematic review on evidence from stroke care

Author

Habibi, Junaid, Bosch, Jackie, Bidulka, Patrick, Belson, Sarah, DePaul, Vincent, Gandhi, Dorcas, Kumurenzi, Anne, Melifonwu, Rita, Pandian, Jeyaraj, Langhorne, Peter, Solomon, John M., Dawar, Dimple, Carroll, Sandra, Urimubenshi, Gerard, Kaddumukasa, Martin, and Hamilton, Leah

Abstract

Additional file 1.

Published
2023
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26. The Impact of a Naturally Occurring Retirement Community Supportive Services Program on Older Adult Participants’ Social Networks: Semistructured Interview Study

Author

Mills, Christine Marie, primary, Parniak, Simone, additional, Hand, Carri, additional, McGrath, Colleen, additional, Laliberte Rudman, Debbie, additional, Chislett, Cassandra, additional, Giberson, Mariah, additional, White, Lauren, additional, DePaul, Vincent, additional, and Donnelly, Catherine, additional

Published
2022
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27. Evaluation of a Student-Older Adult Telephone Befriending Program to Reduce Social Isolation during the COVID-19 Pandemic: A Pilot Evaluation

Author

Ahuja, Manan, Lewis, Kaitlin, Kim, Leanne, Owais, Sawayra, Compagnone, Jordana, Fallico, Laura, Fishbein, Francine, Stefanova, Isabella, Xu, Kai Man, Boulos, Mary, Gui, Shannon, Basu, Monisha, Cooper, Tracy, Kay, Kelly, Hogan, David B., Morais, José A., Molnar, Frank, Lam, Robert E., Borrie, Michael J., Koerber, Raphaelle, Vaccarello, Linh, Ho, Allan, MacKay, Scott, Ebert, Patricia, Harbridge, Cathy, Hogan, David, Mukharyamova, Alfiya, Foster, Nicoda, Wang, Irene, Kabitsis, Pauline P., Hamelin, Mary Ann, Troung, Nga, Lee, Janny, Sinha, Samir K., Thompson, Cody, Bharadia, Morgan, Sadowski, Cheryl, Chuen, Victoria, Chan, Adrian, Alibhai, Shabbir, Chau, Vicky, Dholakia, Saumil, Bagheri, Alireza, Simpson, Alexander (Sandy), Hewitt, David, Ratcliffe, Michael, Booth, Dr Malcolm, Lafleur, Benoit, Jibb, Samantha, Gingrich, Shaen, Lane, Susan, Clarke, Jo-Anne, Fat, Guillaume Lim, Gopaul, Aquila, Pananos, Demetri, Taabazuing, Mary-Margaret, Schnarr, Lindsay, Bater, Marilyn, Dai, Serina, Freedman, Amy, Degan, Sophie Del, Forget, Marie-France, Leblanc, Julie, Desjardins, Michaël, Durand, Madeleine, Vu, Thien Tuong Minh, Nguyen, Quoc Dinh, Desmarais, Philippe, Miles, Amy, Norris, Mireille, Reppas-Rindlisbacher, Christina, Finlay, Jessica M, Mahar, Alyson, Siddhpuria, Shailee, Hallet, Julie, Rochon, Paula, Kobayashi, Lindsay C, Wong, Eric, Gormley, Jessica, Lee, Justin, Conroy, Maeve, Patterson, Christopher, Xu, Victoria YY, Sham, Rosalind, Moy, Sally, Naglie, Gary, Smith, Jagger, Mahon, Joel, Almeida, Quincy, Bherer, Louis, Burhan, Amer, Liu-Ambrose, Teresa, Middleton, Laura, Nagamatsu, Lindsay, Speechley, Mark, Montero-Odasso, Manuel, Osman, Abdelhady, Ali, Shehzad, Payen, Anaïs, Beuscart, Jean-Baptiste, Soula, Julien, Verloop, David, Defebvre, Marguerite-Marie, Dambre, Delphine, Godard-Sebillotte, Claire, Pieruccini-Faria, Frederico, Haddad, Seyyed, Cornish, Ben, McIlroy, Bill, Bartha, Rob, Investigators, All ONDRI, Searle, Samuel, Walsh, Steve, Davis, Giselle, Mercier, Tara, Rockwood, Kenneth, Davis, Daniel, Haroon, Babar, Sultana, Munira, Campbell, Karen, Jennings, Morgan, Orange, Joseph B., Knowlton, Jill, George, Armin St., Bryant, Dianne, Akter, Ripa, Kim, Kristine, Huang, Allen, Arsenault-Lapierre, Geneviève, Bui, Tammy, Sourial, Nadia, Quesnel-Vallée, Amélie, Massamba, Victoria, Rochette, Louis, Morgan, Debra, Kosteniuk, Julie, Vedel, Isabelle, Aubin, Vincent, Paquet, Steve, Durand, Pierre J., Pageau, Félix, Bharaj, Neetika, Suárez, Pablo Solla, Obrand, Jeremy, Chetrit, Jessica, Ahmad, Fayeza, Lantagne, Sarah, Morrison, David, Xue, Xiaoqing, Afilalo, Marc, Richards, Brent, Afilalo, Jonathan, Bray, Nick W, Witt, Suzanne T, Bartha, Robert, Doherty, Timothy J, Nagamatsu, Lindsay S, Almeida, Quincy J, Arsenault-Lapierre, Genevieve, Cameron, Julie, Kolomitro, Klodiana, Dalgarno, Nancy, Turnnidge, Jennifer, Pelland, Lucie, Auais, Mohammad, Carr, Frances, Morgan, Angela, Devapura, Shehani, Williams, Christina, Symon, Jennifer, Howe-Riddell, Carolyn, Miller, Angela, Boone, Jennifer, Ebbage, Kevin, Jadaviji, Shalmin, Mathura, Pamela, Charles, Lesley, Parmar, Jasneet, Suzette, Brémault-Phillips, Pike, Ashley, Dobbs, Bonnie, Tian, Peter George, Piazza, Nicolo, Goldfarb, Michael, Martucci, Giuseppe, Rudski, Lawrence, Spaziano, Marco, Morin, Jean-Francois, Lachapelle, Kevin, Langlois, Yves, D’Amico, Danielle, Yusupov, Iris, Zhu, Lynn, Lass, Jordan W., Levine, Brian, Vandermorris, Susan, Troyer, Angela K., Ewa, Vivian, Lee, Jennifer, Jones, Chris, Gutscher, Abram, Feng, Chengying, Adebero, Tony, DePaul, Vincent, Vafaei, Afshin, Norman, Kathleen, Gallibois, Molly, Rogers, Kyle, Folkins, Chris, Jarrett, Pamela, Magalhaes, Sandra, Gibson, Kirstian, Gao, Yuchen, Ottley, Katherine M., Qiao, Thomas, Myge, Ivy, Compton, Roslyn M., Wickson-Griffiths, Abigail, Hunter, Paulette V., Network, Saskatchewan Long-Term Care, Gill, Navjot, Connelly, Denise, Godwin, Bradley, Hanson, Natasha, Kervin, Emily, Skerry, Leanne, McCloskey, Rose, Hassanabadi, Nazila, Berger, Claudie, Papaioannou, Alexandra, Cheung, Angela M, Rahme, Elham, Leslie, William D, Goltzman, David, Morin, Suzanne, Hogeveen, Sophie, Heckman, George, Milne, Kelly, Hirdes, John, Horne, Natalie, Marshall, Emily, Andrew, Melissa, Hunter, Susan, Somerville, Lyndsay, Lanting, Brent, Ivo, Jessica, Pitre, Teresa, Faisal, Sadaf, Antunes, Kristen, Oda, Kasumi, Patel, Tejal, Jacob, Gabriella, Sherwood, Malcolm, Malik, Shabhaz, Baker, Jacquie, Bhangu, Jaspreet, Khoury, Lara, Moors, Joy, Lampron, Jacynthe, Figueira, Sonshire, Nemnom, Marie-Joe, Eagles, Debra, Koop, Jennifer, Lee, Linda, Hillier, Loretta M., Gregg, Susie, Hickman, Kathy, Agla, Caitlin, Carducci, Jillian, Skimson, Kara, Dillon-Martin, Sharon, Kuzych, Lissa, Beuermann, Lindsay, Parikh, Ruchi, Lee, Catherine, Lee, Ahreum, McArthur, Caitlin, Ioannidis, George, Adachi, Jonathan D, Griffith, Lauren E, Thabane, Lehana, Giangregorio, Lora, Morin, Suzanne N, Madden, Kenneth, Feldman, Boris, Arishenkoff, Shane, Meneilly, Graydon, Mah, Jasmine, Godin, Judith, Stevens, Susan, Keefe, Janice, Sun, Michael, Goodwin, Josh, Cheung, Bonnie, von Maltzahn, Maia, Mailhot, Tanya, Clausen, Christina, Crump, Laura, Leblanc, Marie-Eve, Sanzone, Lia, Marr, Sharon, Doherty, Michelle, Siemon, Jennifer, Hillier, Loretta, Milroy, Desmond, Marrone, Erica, Maalouf, Mona, Moorhouse, Paige, Shetty, Nabha, Mallery, Laurie, Miller, Ashley, VonMaltzahn, Maia, Naug, Anne Marie Krueger, Tinning, Amanda, Buckler, Melissa, Stasiulis, Elaine, Sandhu, Harvir, Brookes, Jahnel, Vrkljan, Brenda, Mariano, Claudia, Gélinas, Isabelle, Byszewski, Anna, Rapoport, Mark J., Sanford, Sarah, Bédard, Michel, Belchior, Patricia, Crizzle, Alexander, Marshall, Shawn, Rapoport, Mark, Nene, Sofia, Bennett, Roxanne, Morin, Suzanne N., Nixon, Lara, Sampson, Megan, Punungwe, Fadzai Moreblessing, Kelly, Martina, Nuique, Kate, Papillon-Ferland, Louise, Castonguay, Valérie, Anderson, Sharon, Pollard, Cheryl, Poole, Lisa, Leslie, Myles, McGhan, Gwen, Weir, Carolyn, Pooler, Charlotte, Stickney-Lee, Jennifer, Shapkin, Kimberly, Peyrusqué, Eva, Kergoat, Marie-Jeanne, Bolduc, Aline, Buckinx, Fanny, Law, Caroline, Veillette, Nathalie, Fonseca, Raquel, Aubertin-Leheudre, Mylène, Quan, Samuel, Menec, Verena, O’Connell, Megan, Cloutier, Denise, Newall, Nancy, Tate, Robert, John, Philip St., Qureshi, Natasha, Djekic-Ivankovic, Maria, Wall, Michelle, Berry, Gregory, Mayo, Nancy, Gélinas, Céline, Funnell, Larry, Racey, Megan, Markle-Reid, Maureen, Fitzpatrick-Lewis, Donna, Ali, Muhammad Usman, Gagné, Hélène, Ploeg, Jenny, Sztramko, Richard, Harrison, Lisa, Sherifali, Diana, Sacco, Veronica, Stolee, Paul, Boscart, Veronique, MacEachen, Ellen, Malik, Shabaz, Borrie, Micheal, Fogarty, Jennifer, Savage, Rachel, Sirisegaram, Luxey, Thain, Jenny, Diachun, Laura, Lingard, Lorelei, Cristancho, Sayra, Triscott, Jean, Huang, James, Moores, David, Tian, Peter George Jaminal, and Cerna, Judith

Subjects
Abstracts, Eligible for the Edmund V. Cowdry Award, Finalists for the Willard and Phoebe Thompson Award, Posters, Eligible for the Réjean Hébert Canadian Institutes of Health Research - Institute on Aging Prize, Eligible for the Dr. Jack & Dr. ASA Award
Published
2021

28. Strategies for Specialty Training of Healthcare Professionals in Low-Resource Settings: A Systematic Review on Evidence from Stroke Care

Author

Habibi, Junaid, primary, Bosch, Jackie, additional, Bidulka, Patrick, additional, Belson, Sarah, additional, DePaul, Vincent, additional, Gandhi, Dorcas, additional, Kumurenzi, Anne, additional, Melifonwu, Rita, additional, Pandian, Jeyaraj, additional, Langhorne, Peter, additional, Solomon, John, additional, Dawar, Dimple, additional, Carroll, Sandra, additional, Urimubenshi, Gerard, additional, Kaddumukasa, Martin, additional, and Hamilton, Leah, additional

Published
2022
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30. Barriers and facilitators to older adults’ engagement in healthy aging initiatives

Author

Hastings-Truelove, Amber, primary, Ghahari, Setareh, additional, Coderre-Ball, Angela, additional, Kessler, Dorothy, additional, Turnnidge, Jennifer, additional, Lester, Britney, additional, Auais, Mohammad, additional, Dalgarno, Nancy, additional, DePaul, Vincent, additional, Donnelly, Catherine, additional, Finlayson, Marcia, additional, Hopkins-Rosseel, Diana, additional, Kolomitro, Klodiana, additional, Norman, Kathleen, additional, Lawson, Trisha L., additional, Stockley, Denise, additional, Van Wylick, Richard, additional, and Woo, Kevin, additional

Published
2022
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34. The impact of a naturally occurring retirement community supportive services program on older adult participants’ social networks: a qualitative study (Preprint)

Author

Mills, Christine, primary, Parniak, Simone, additional, Hand, Carri, additional, McGrath, Colleen, additional, Laliberte Rudman, Debbie, additional, Chislett, Cassandra, additional, Giberson, Mariah, additional, White, Lauren, additional, DePaul, Vincent, additional, and Donnelly, Catherine, additional

Published
2022
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35. sj-docx-1-cre-10.1177_02692155221105586 - Supplemental material for Art skill-based rehabilitation training for upper limb sensorimotor recovery post-stroke: A feasibility study

Author

Christiansen, April, Scythes, Marta, Ritsma, Benjamin R, Scott, Stephen H, and DePaul, Vincent

Subjects
FOS: Clinical medicine, 110604 Sports Medicine, FOS: Health sciences, 110904 Neurology and Neuromuscular Diseases, 110314 Orthopaedics
Abstract

Supplemental material, sj-docx-1-cre-10.1177_02692155221105586 for Art skill-based rehabilitation training for upper limb sensorimotor recovery post-stroke: A feasibility study by April Christiansen, Marta Scythes, Benjamin R Ritsma, Stephen H Scott and Vincent DePaul in Clinical Rehabilitation

Published
2022
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37. Development and evaluation of Self-Management and Task-Oriented Approach to Rehabilitation Training (START) in the home: case report

Author

Richardson, Julie, DePaul, Vincent, Officer, Alexis, Wilkins, Seanne, Letts, Lori, Bosch, Jackie, and Wishart, Laurie

Subjects
Home care -- Training, Rehabilitation -- Training, Medical personnel -- Training, Physical therapists -- Training, Health
Abstract

Background. The incidence of stroke and subsequent level of disability will increase, as age is the greatest risk factor for stroke and the world's population is aging. Hospital admissions are too brief for patients to regain necessary function. Research to examine therapy delivered within the home environment has the potential to expedite relearning of function and reduce health care expenditures. Purpose. This case report describes the use of the knowledge-to-action cycle (KTA) to develop and evaluate an evidence-based approach for rehabilitation in the home that incorporates self-management and task-oriented functional training (TOFT) for people with stroke. Case Description. The KTA cycle was used to guide adaptation of evidence from self-management and TOFT into an approach titled START (Self-Management and Task-Oriented Approach to Rehabilitation Training). Three stakeholder symposiums identified barriers and supports to implementation. Clinical practice leaders were engaged as partners in the development of the intervention. An online learning management system housed the resources to support therapist training. Therapist focus groups were conducted and stroke outcomes were used to assess patient response. Outcomes. Eight therapists completed 4 workshops and applied the home intervention in 12 people with stroke. A mentoring process for therapists included feedback from peers and experts after viewing treatment videos. Therapist response was determined from the focus groups; patient response was measured by standardized assessments. The therapists noted that the intervention was easier to implement with patients who were motivated and had minimal cognitive impairment. Discussion. The KTA cycle provided a structure for the development of this evidence-based rehabilitation intervention, which was feasible to implement in the home. Further evaluation needs to be undertaken to assess the effectiveness of START., The disability associated with stroke will increase, as age is the strongest predictive risk factor for stroke and the segment of the population ≥ 65 years of age in North [...]

Published
2015
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48. Varied overground walking-task practice versus body-weight-supported treadmill training in ambulatory adults within one year of stroke: a randomized controlled trial protocol

Author

DePaul Vincent G, Wishart Laurie R, Richardson Julie, Lee Timothy D, and Thabane Lehana

Subjects
Neurology. Diseases of the nervous system, RC346-429
Abstract

Abstract Background Although task-oriented training has been shown to improve walking outcomes after stroke, it is not yet clear whether one task-oriented approach is superior to another. The purpose of this study is to compare the effectiveness of the Motor Learning Walking Program (MLWP), a varied overground walking task program consistent with key motor learning principles, to body-weight-supported treadmill training (BWSTT) in community-dwelling, ambulatory, adults within 1 year of stroke. Methods/Design A parallel, randomized controlled trial with stratification by baseline gait speed will be conducted. Allocation will be controlled by a central randomization service and participants will be allocated to the two active intervention groups (1:1) using a permuted block randomization process. Seventy participants will be assigned to one of two 15-session training programs. In MLWP, one physiotherapist will supervise practice of various overground walking tasks. Instructions, feedback, and guidance will be provided in a manner that facilitates self-evaluation and problem solving. In BWSTT, training will emphasize repetition of the normal gait cycle while supported over a treadmill, assisted by up to three physiotherapists. Outcomes will be assessed by a blinded assessor at baseline, post-intervention and at 2-month follow-up. The primary outcome will be post-intervention comfortable gait speed. Secondary outcomes include fast gait speed, walking endurance, balance self-efficacy, participation in community mobility, health-related quality of life, and goal attainment. Groups will be compared using analysis of covariance with baseline gait speed strata as the single covariate. Intention-to-treat analysis will be used. Discussion In order to direct clinicians, patients, and other health decision-makers, there is a need for a head-to-head comparison of different approaches to active, task-related walking training after stroke. We hypothesize that outcomes will be optimized through the application of a task-related training program that is consistent with key motor learning principles related to practice, guidance and feedback. Trial Registration ClinicalTrials.gov # NCT00561405

Published
2011
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49. A006 Patterns of Sedentary Behaviour and Physical Activity in Older Adults Post Hip Fracture

Author

Hamilton, Clayon B., Chesworth, Bert M., Zusman, Enav Zipora, Dawes, Martin, Fleig, Lena, McAllister, Megan M., Cook, Wendy L., McKay, Heather A., Khan, Karim M., Brasher, Penelope, Ashe, Maureen C., Dewan, Neha, MacDermid, Joy, MacIntyre, Norma, Grewal, Ruby, Fricke, Moni, Harvey, Liz, Pereira, Gisele, Garrett, Mark, Babatunde, Folarin Omoniyi, MacDermid, Joy C., McGowan, Emer, Martin, Gillian, Stokes, Emma, Sharma, Vivek, Zia, Nayeem, Kaur, Harraman, Christie, Heather Joyce, Rapko, Sarah Michelle, Stobart, Lori Patricia Graumann, Levac, Danielle E., Miller, Patricia A., Glegg, Stephanie M. N., Colquhoun, Heather, Wright, F. Virginia, Young, Rozlyn, Chan, Catherine, Dawes, Stacey, Tse, Emily, Greig, Alison M., Murphy, Sue, Lowe, Eric, Miles, Luke, Richards, Scott, von Schellwitz, Christopher, Wark, Krysta, Dawson, Lynn, Harrington, Kristyn, Dessureault, Liam, Martin, Anne-Michelle, Tehrani, Pooneh, DeVries, Zachary, Howe, Jo-Anne Adelle, Salbach, Nancy Margaret, Tee, Alda, Moller, Jason, French, Esme, Lang, Melissa, Hoens, Alison, Westby, Marie D., Longstaff, Steven, Duggan, Maureen, Young, Steven James, Tait, James Curtis, Jawl, Bradley, Hoens, Alison Alice Maria, Houghton, Pamela, Nussbaum, Ethne L., Shay, Barbara L., Musselman, Kristin, Miller, Stuart, Pollock, Courtney, Miller, Kimberly, Garland, Jayne, Carvajal, Jennifer, Sheppard, Phillip, Harris, Susan R., Moreside, Janice Marie, Scannell, Joan P., Roots, Robin K., Murphy, Susan, Worthington, Anne, Yeung, Euson, Gibson, Barbara, Shaw, jay, Kuper, Ayelet, Nixon, Stephanie, Switzer-McIntyre, Sharon, Song, Wonju, Sharkey, Megan, Norman, Kathleen, Hopkins-Rosseel, Diana, Miller, Carol E., Puri, Carol, Nilson, JoAnn Kathryn, Mulder, Kathy J., Wittmeier, Kristy, Schachter, Candice L., Arnold, Cathy, Oosman, Sarah, Lomotey, Richard, Beavers, Lindsay, Miller, Erin, Manns, Patricia, Kwok, Alyson, Nazarali, Jenna, Schroeder, Linaya, Sehn, Megan, Stout, Kirsten, Potter, Jadon, Singh, Lauren, Durocher, Liz, Roy, Thomas, Abonyi, Sylvia, Oosman, Sarah N., Roberts, Kerrie Anne, Lowcock, Janet Elizabeth, Dhir, Jasdeep, Walton, Dave, Millard, Jim, Mori, Brenda, Evans, Cathy, Webber, Sandra C., Harvey, Elizabeth H., Dean, Brenda G., Proctor, Peggy L., Lindsay, Jane, Harvey, Drew, Hunter, Susan, Batchelor, Frances, Hill, Keith, Hill, Anne-Marie, Mackintosh, Shylie, Payne, Michael, Arnold, Catherine, Johnston, JoAnn Walker, Lanovaz, Joel, Lattimer, Lauren, Richardson, Julie Anne, Letts, Lori, Chan, David, Sinclair, Susanne, Mangin, Derelie, Sarah, Sanford, Wojkowski, Sarah, Donnelly, Catherine, Benson, Katie, Schimmell, Alex, Truong, Devonna, Dunkley, Magen, DePaul, Vincent G., Esculier, Jean-Francois, Bouyer, Laurent Julien, Roy, Jean-Sébastien, Whittaker, Jackie L., Toomey, Clodagh, Nettel-Aguirre, Alberto, Jaremko, Jacob, Woodhouse, Linda J., Emery, Carolyn A., Kennedy, Deborah M., Stratford, Paul, Massei, Michael, Sanzo, Paolo, Przysucha, Eryk, Dhaidan, Ghaith, Maunula, Mikko, Solomon, Vaeda, Souza-Barros, Leanna, Gabison, Sharon, Lilge, Lothar, Ezeugwu, Victor E., Garga, Neera, Manns, Patricia J., Barclay, Ruth, Miller, Pat, Pooyania, Sepideh, Nixon, Stephanie A., Cameron, Cathy, Chambers, Lori, Kassam, Aly, Montgomery, Robin, Worthington, Catherine, Maimbolwa, Margaret, Mbulaheni, Tola, Pierre-Pierre, Valerie, Tattle, Stephen, Katz, Shikma, Kalichman, Leonid, Zaltzman, Yacov, Arad, Racheli, Nachmani, Hadas, Hauser, Daniele, Marcus, Esther-Lee, Bernard, Stephanie, Moffet, Helene, Dumoulin, Chantale, Ouellet, Marie-Pier, Plante, Marie, Odole, Adesola Christiana, Olugbenga-Alfred, Adenike Agnes, Siu, Henry, Razmjou, Helen, Robarts, Susan, Kennedy, Deborah, Holtby, Richard, Bognar, Stephanie, DeFaria, AnneMarie, O’Dwyer, Casey, Pankiw, Elana, Simic, Jennifer, Nyhof-Young, Joyce, Teixeira, Suzanne, Barker, Meghan, Nasopoulos, Theodora, Noad, Jennifer, Patterson, Kara K., Sibley, Kathryn M., Adams, Meaghan Shearer, Staines, W. 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Keltie, Cyr, Scott, Deneiko, Melanie, Okrainec, Matthew, Kzyzyk, Joanne, Madill, Stéphanie Jane, AlOnazi, Mona M., Miazga, Kirsten J., Culos-Reed, S. Nicole, Yurick, Janice, and Smith-Turchyn, Jenna

Subjects
Poster Presentations, Innovation in Education, Abstract Presentations, Student Abstracts, Proposal Presentations, Physiotherapy Research: from Basic Science to Population Health, Article, Best Practice, Practice Models and Health Policy
Published
2016

50. Promoting Independent Mobility-related Physical ACTivity (IMPACT) in an inpatient stroke rehabilitation unit: a proof-of-concept evaluation of self-management intervention.

Author

DePaul, Vincent G., Bosch, Jackie, Oczkowski, Wieslaw J., Wishart, Laurie, O'Donnell, Martin, and Hart, Robert G.

Subjects
*CONVALESCENCE, *GOAL (Psychology), *HEALTH behavior, *INTERVIEWING, *RESEARCH methodology, *REHABILITATION centers, *STATISTICAL sampling, *SELF-management (Psychology), *WALKING, *QUANTITATIVE research, *HUMAN services programs, *PRE-tests & post-tests, *PHYSICAL activity, *STROKE rehabilitation, *DESCRIPTIVE statistics, *STROKE units
Abstract

Purpose: To establish proof-of-concept of a novel rehabilitation self-management program that aims to optimize walking recovery after stroke through engaging patients in independent walking-related practice outside of supervised physiotherapy sessions. Materials and Methods: The Independent Mobility-related Physical ACTivity (IMPACT) Program is a coach-supported intervention that uses self-management strategies to empower patients to engage in additional autonomous walking-related activities after stroke during and after inpatient rehabilitation. The aim of this study was to assess whether implementation of this intervention would be associated with targeted patient behaviors; goal setting, negotiation and completion of a walking-related practice plan outside of formal therapy sessions. Using a pre-intervention/post-intervention design, the Independent Mobility-related Physical Activity program was implemented with a convenience sample of 10 adults (mean age 62.3; SD 11.7 years) within an inpatient stroke rehabilitation unit (mean stroke onset 25.3 [SD 10.5] days). Results: All participants were able to set a personal goal, negotiate an autonomous walking-related activity practice plan, and partially or completely adhere to that plan. Patients completed an average of 36 min/day of practice outside of supervised physiotherapy, practicing on weekdays and weekend days. All patients indicated that the Independent Mobility-related Physical Activity program helped them increase their activity, and indicated they would continue to practice walking-related activities beyond the coaching period. The IMPACT program is a feasible self-management strategy to facilitate walking-related practice outside of supervised therapy time during inpatient stroke rehabilitation. Patients were able to engage in goal-setting and practice plan development with support of a therapist-coach. Patients who are able to stand and walk with minimal assist were able to practice walking-related activities outside of formal therapy sessions. Therapists may benefit from specific training and support to adopt self-management strategies into practice. [ABSTRACT FROM AUTHOR]

Published
2020
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