Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitation
Objectives To test the feasibility and acceptability of a text-message-delivered behavioural intervention to promote and maintain physical activity and recovery after stroke rehabilitation.Design A single-arm acceptability and feasibility study.Setting Community rehabilitation services in two Health...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/2/e093838.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823864508624404480 |
|---|---|
| author | Gozde Ozakinci Stephan U Dombrowski Andrew Murphy Albert Farre Jenna Breckenridge Jacqui H Morris Linda A Irvine Keith Jenkinson |
| author_facet | Gozde Ozakinci Stephan U Dombrowski Andrew Murphy Albert Farre Jenna Breckenridge Jacqui H Morris Linda A Irvine Keith Jenkinson |
| author_sort | Gozde Ozakinci |
| collection | DOAJ |
| description | Objectives To test the feasibility and acceptability of a text-message-delivered behavioural intervention to promote and maintain physical activity and recovery after stroke rehabilitation.Design A single-arm acceptability and feasibility study.Setting Community rehabilitation services in two Health Board areas in Scotland.Participants People with stroke who could participate in physical activities and use a mobile phone were recruited during rehabilitation and community rehabilitation.Intervention Keeping Active with Texting after Stroke (KATS) is an automated text message-delivered intervention informed by behaviour change theory. It delivers a structured sequence of 103 messages over 14 weeks to support the uptake and maintenance of physical activities following stroke rehabilitation.Outcomes Data on recruitment, retention and satisfaction were collected. Semistructured interviews explored intervention acceptability. Preintervention and postintervention measures provided preliminary information on step count, functional independence, mental well-being, self-efficacy and quality of life.Results 18 men and 13 women were recruited; three withdrew before intervention commencement. All 28 participants who received at least one text message completed the study, indicating 100% retention. Median satisfaction score was 23/25 (range 12–25). All but one participant read and responded to texts, indicating good engagement. Effect sizes (Cohen’s d; per cent change) were demonstrated in step count (0.2; 13%), extended activities of daily living (0.24; 8.3%) and mental well-being (0.35; 7%). Participants perceived KATS as acceptable, valuing messages and motivational prompts, but personalised tailoring was desired by some.Conclusions Recruitment, retention and outcome measure completion were feasible, and KATS was perceived as acceptable. Findings suggest some modifications of messages and goal-setting processes are required to accommodate participants with diverse physical activity capabilities before a definitive trial. Promising indicators of effects were detected, although interpretation must be cautious because the study was not powered to determine efficacy, and there was no control group. Based on these findings, KATS will be further optimised before evaluating effectiveness in a randomised controlled trial.Trial registration number and protocol availability ISRCTN 13704805 https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/keeping-active-with-texting-after-stroke-kats/Protocol available https://www.isrctn.com/ISRCTN13704805?q=13704805&filters=&sort=&offset=1&totalResults=1&page=1&pageSize=10 |
| format | Article |
| id | doaj-art-905436e18dad4cdc84c36f05950db8c7 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-905436e18dad4cdc84c36f05950db8c72025-02-09T03:50:10ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-093838Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitationGozde Ozakinci0Stephan U Dombrowski1Andrew Murphy2Albert Farre3Jenna Breckenridge4Jacqui H Morris5Linda A Irvine6Keith Jenkinson7Faculty of Natural Sciences, Division of Psychology, University of Stirling, Stirling, UKKinesiology, University of New Brunswick Fredericton, Fredericton, New Brunswick, CanadaSchool of Medicine, University of Dundee, Dundee, UKSchool of Health Sciences, University of Dundee, Dundee, UKSchool of Health Sciences, University of Dundee, Dundee, UKSchool of Health Sciences, University of Dundee, Dundee, UKSchool of Health Sciences, University of Dundee, Dundee, UKSchool of Health Sciences, University of Dundee, Dundee, UKObjectives To test the feasibility and acceptability of a text-message-delivered behavioural intervention to promote and maintain physical activity and recovery after stroke rehabilitation.Design A single-arm acceptability and feasibility study.Setting Community rehabilitation services in two Health Board areas in Scotland.Participants People with stroke who could participate in physical activities and use a mobile phone were recruited during rehabilitation and community rehabilitation.Intervention Keeping Active with Texting after Stroke (KATS) is an automated text message-delivered intervention informed by behaviour change theory. It delivers a structured sequence of 103 messages over 14 weeks to support the uptake and maintenance of physical activities following stroke rehabilitation.Outcomes Data on recruitment, retention and satisfaction were collected. Semistructured interviews explored intervention acceptability. Preintervention and postintervention measures provided preliminary information on step count, functional independence, mental well-being, self-efficacy and quality of life.Results 18 men and 13 women were recruited; three withdrew before intervention commencement. All 28 participants who received at least one text message completed the study, indicating 100% retention. Median satisfaction score was 23/25 (range 12–25). All but one participant read and responded to texts, indicating good engagement. Effect sizes (Cohen’s d; per cent change) were demonstrated in step count (0.2; 13%), extended activities of daily living (0.24; 8.3%) and mental well-being (0.35; 7%). Participants perceived KATS as acceptable, valuing messages and motivational prompts, but personalised tailoring was desired by some.Conclusions Recruitment, retention and outcome measure completion were feasible, and KATS was perceived as acceptable. Findings suggest some modifications of messages and goal-setting processes are required to accommodate participants with diverse physical activity capabilities before a definitive trial. Promising indicators of effects were detected, although interpretation must be cautious because the study was not powered to determine efficacy, and there was no control group. Based on these findings, KATS will be further optimised before evaluating effectiveness in a randomised controlled trial.Trial registration number and protocol availability ISRCTN 13704805 https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/keeping-active-with-texting-after-stroke-kats/Protocol available https://www.isrctn.com/ISRCTN13704805?q=13704805&filters=&sort=&offset=1&totalResults=1&page=1&pageSize=10https://bmjopen.bmj.com/content/15/2/e093838.full |
| spellingShingle | Gozde Ozakinci Stephan U Dombrowski Andrew Murphy Albert Farre Jenna Breckenridge Jacqui H Morris Linda A Irvine Keith Jenkinson Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitation BMJ Open |
| title | Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitation |
| title_full | Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitation |
| title_fullStr | Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitation |
| title_full_unstemmed | Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitation |
| title_short | Keeping Active with Texting after Stroke (KATS): a single-arm feasibility and acceptability study of a behavioural intervention to promote community-based physical activity after stroke rehabilitation |
| title_sort | keeping active with texting after stroke kats a single arm feasibility and acceptability study of a behavioural intervention to promote community based physical activity after stroke rehabilitation |
| url | https://bmjopen.bmj.com/content/15/2/e093838.full |
| work_keys_str_mv | AT gozdeozakinci keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation AT stephanudombrowski keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation AT andrewmurphy keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation AT albertfarre keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation AT jennabreckenridge keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation AT jacquihmorris keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation AT lindaairvine keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation AT keithjenkinson keepingactivewithtextingafterstrokekatsasinglearmfeasibilityandacceptabilitystudyofabehaviouralinterventiontopromotecommunitybasedphysicalactivityafterstrokerehabilitation |