Measuring stroke patients’ exercise preferences using a discrete choice experiment

  • Wolfgang Geidl | wolfgang.geidl@fau.de Division Exercise and Health, Department Psychology and Sport Science, Institute of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Germany.
  • 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.

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Published
2018-03-30
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Articles
Keywords:
Stroke, Rehabilitation, Discrete Choice Experiment, Motor Activity, Physical Activity
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How to Cite
Geidl, W., Knocke, K., Schupp, W., & Pfeifer, K. (2018). Measuring stroke patients’ exercise preferences using a discrete choice experiment. Neurology International, 10(1). https://doi.org/10.4081/ni.2018.6993