The stroke exercise preference inventory is feasible to use in a community rehabilitation setting

ABSTRACT

Exploring exercise preferences may help people to adhere to exercise programs by promoting customized programs to suit the person’s choices and concerns. We investigated if the Stroke Exercise Preference Inventory, a questionnaire designed to explore stroke survivors’ preferences for exercise and potential barriers, was feasible to use, and whether it assisted physiotherapists to design ongoing exercise programs in a mixed diagnostic convenience sample attending community rehabilitation. Physiotherapy staff interviewed 42 participants, and sought feedback about the questionnaire. Participant responses for exercise preferences and perceived barriers were then summarized. The questionnaire was quick to administer, readily understood, and considered relevant to consider when discussing options for exercise. Clinicians reported the questionnaire was useful for 48% (20/42) of participants, as it engaged the participant, clarified their preferences and allowed problem solving of potential barriers to exercise. Participants expressed strong preferences to be challenged, and to receive supervision and support. Preferences regarding environmental and social context of exercise varied widely. Difficulty getting started was the most common barrier reported. The Stroke Exercise Preference Inventory was feasible to use with a mixed diagnostic group during community rehabilitation, and provides structure to explore preferences and barriers to exercise. It remains to be tested whether use of the questionnaire promotes adherence to exercise programs.

KEYWORDS:

• Exercise therapy
• physical therapy
• treatment adherence and compliance
• delivery of healthcare
• rehabilitation

Acknowledgments

We are grateful to the patients and staff who undertook the survey and completed data collection.

Declaration of interest

Toby Cumming instigated and supervised the development of the Stroke Exercise Preference Inventory. There are no other conflicts of interest for declaration.