In-reach increased the number of stroke survivors referred to an exercise after stroke service and the uptake of exercise after stroke: A service evaluation
(2016) In-reach increased the number of stroke survivors referred to an exercise after stroke service and the uptake of exercise after stroke: A service evaluation, no. 19.
Questions: How does In-reach impact on the uptake of exercise after stroke? How does three months of community-based exercise impact on physical function, mental well-being, and quality of life in stroke survivors? Design: Service evaluation using secondary data analysis of data collected as part of the In-reach project and the exercise after stroke (EAS) service at the Edinburgh Leisure (EL) centres. Participant data: Participant data was pulled from the existing data from the In-reach project. Outcome measures: Primary outcome measures were the number of stroke survivors referred for EAS and the number of stroke survivors who took up EAS at the EL centres before and after the In-reach project. Secondary outcome measures included the Timed Up and Go test; 10 Meter Walk Test; Warwick-Edinburgh Mental Well-Being Scale; and the Stroke Impact Scale (SIS) version 3.0 Result: 60 people with stroke were referred for EAS from January to October 2014 from the Royal Infirmary of Edinburgh exclusively as part of the In-reach project. Of these, 36 (60%) took up exercise at the EL centres. Following three months of community-based exercise there was a statistically significant change in all secondary outcome measures expect for SIS4 pre (Mdn= 92.9) and post (Mdn= 96.4), z= -1.77, p=0.08, r= -0.35, and SIS7 pre (Mdn=85.0) and post (Mdn=95.0), z=-1.78, p=0.08, r=-0.36. Conclusion: More research is needed to more comprehensively understand the impact In-reach has on the number of stroke survivors referred for EAS and the impact it has on the uptake of EAS among stroke survivors. Quantitative and qualitative longitudinal work could be undertaken to further explore the long-term effects, if any, of participation in community-based EAS.