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Measuring stroke patients’ exercise preferences using a discrete choice experiment

Wolfgang Geidl, Katja Knocke, Wilfried Schupp, Klaus Pfeifer
  • Wolfgang Geidl
    Division Exercise and Health, Department Psychology and Sport Science, Institute of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Germany | wolfgang.geidl@fau.de
  • Katja Knocke
    Kiliani Clinic for Neurological, Orthopaedic and Neuro-Onkological Rehabilitation, Bad Windsheim, Germany
  • Wilfried Schupp
    Department Neurology and Neuropsychology, m&i-Clinic Herzogenaurach, Herzogenaurach, Germany
  • Klaus Pfeifer
    Division Exercise and Health, Department Psychology and Sport Science, Institute of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Germany

Abstract

Physical activity post stroke improves health, yet physical inactivity is highly prevalent. Tailored exercise programs considering physical activity preferences are a promising approach to promote physical activity. Therefore, this study seeks to measure exercise preferences of stroke survivors. Stroke survivors conducted a discrete choice experiment (DCE). DCE was presented in a face-to-face interview where patients had to choose eight times between two different exercise programs. Exercise programs differed by characteristics, with the six attributes under consideration being social situation, location, type of exercise, intensity, frequency, and duration. Utilities of the exercise attributes were estimated with a logit choice model. Stroke survivors (n=103, mean age: 67, SD=13.0; 60% male) show significant differences in the rated utilities of the exercise attributes (P<0.001). Participants had strong preferences for light and moderate intense physical activity and favored shorter exercise sessions. Stroke survivors have remarkable exercise preferences especially for intensity and duration of exercise. Results contribute to the tailoring of physical activity programs after stroke thereby facilitating maintenance of physical activity.

Keywords

Stroke, Rehabilitation, Discrete Choice Experiment, Motor Activity, Physical Activity

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Submitted: 2016-11-30 08:55:39
Published: 2018-03-30 00:00:00
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Copyright (c) 2018 Wolfgang Geidl, Katja Knocke, Wilfried Schupp, Klaus Pfeifer

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