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resources

In these videos, you'll see health professionals and stroke survivors using the ACT Now Toolkit. We've included demonstrations with a motivated survivor who's ready for change, another who's less motivated and has more barriers, and sessions addressing a non-physical activity goal.

Motivated and Ready

ACT Now in action.

Overcoming Barriers

Supporting less motivated survivors.

Beyond Physical

Achieving non-activity goals with ACT Now.

Toolkit Brochures

These brochures explain the background and purpose of the ACT Now Toolkit, and they're perfect for printing and sharing with health professionals and survivors of stroke.

The brochure for survivors of stroke, featuring a photograph of an elderly woman with white hair using a walking frame. She is walking alongside a younger woman in a garden outdoors.
The brochure for health professionals, featuring a photograph of an elderly man with white hair using a wooden walking stick to as a support to stand from a seated position. A younger woman is offering support.

references

Caetano, L. C., Pacheco, B. D., Samora, G. A., Teixeira-Salmela, L. F. & Scianni, A. A. (2020). Self-efficacy to engage in physical exercise and walking ability best predicted exercise adherence after stroke. Stroke Research and Treatment, 2957623.

 

Cheng, D., Qu, Z., Huang, J., Xiao, Y., Luo, H. & Wang, J. (2015). Motivational interviewing for improving recovery after stroke. Cochrane Database of Systematic Reviews, (6).

 

Gunnes, M., Indredavik, B., Langhammer, B., Lydersen, S., Ihle-Hansen, H., Dahl, A. E. & Askim, T. (2019). Associations between adherence to the physical activity and exercise program applied in the LAST Study and functional recovery after stroke. Archives of Physical Medicine and Rehabilitation, 100(12): 2251-2259.

 

Hay-Smith, E., McClurg, D., Frawley, H. & Dean, S. (2016). Exercise adherence: integrating theory, evidence and behaviour change techniques. Physiotherapy 102 7-9.

 

Keyworth, C., Epton, T., Goldthorpe, J., Calam, R. & Armitage, C. (2020). Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM‐B”). British Journal of Health Psychology, 25, 474-501.

 

Levy, T., Huxley, K., Vuu, S. & Lewis, L. (2023). Physical activity for people with chronic conditions: a systematic review of toolkits to promote adherence. Disability and Rehabilitationhttps://doi.org/10.1080/09638288.2023.2296525

 

Marcus, B. H., & Forsyth, L. (2009). Motivating people to be physically active (2nd ed.). Human Kinetics.

McGrane, N., Galvin, R., Cusack, T. & Stokes, E. (2015). Addition of motivational interventions to exercise and traditional physiotherapy: a review and meta-analysis. Physiotherapy, 101(1): 1-12.

Michie, S., Van Stralen, M. M. & West, R. (2011). The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Journal of Implementation Science, 6(1): 42.

 

Michie, S., Atkins, L. & West, R. (2014). The behaviour change wheel: a guide to designing interventions. Silverback publishing.

 

Moore, A. J., Holden, M. A., Foster, N. E. & Jinks, C. (2020). Therapeutic alliance facilitates adherence to physiotherapy-led exercise and physical activity for older adults with knee pain: a longitudinal qualitative study. Journal of Physiotherapy, 66(1): 45-53.

 

Morris, J. H. (2016). Body, person and environment: why promoting physical activity (PA) with stroke survivors requires holistic thinking. Brain Impairment, 17(1): 3-15.

 

Prochaska, J. O. & DiClemente, C. C. (1983). Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research & Practice, 19(3): 276.

 

Van der Ploeg, H., Streppel, K., Van der Beek, A., Van der Woude, L.,Vollenbroek-Hutten, M. M. R., van Harten, W. H. & Van Mechelen, W. (2006). Counselling increases physical activity behaviour nine weeks after rehabilitation. British Journal of Sports Medicine, 40(3): 223-229.

 

World Health Organisation. (2003). Adherence to long-term therapies: evidence for action. Geneva: World Health Organisation.

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