Effect of a Home Leisure Education Program After Stroke: A Randomized Controlled Trial
Abstract
Desrosiers J, Noreau L, Rochette A, Carbonneau H, Fontaine L, Viscogliosi C, Bravo G. Effect of a home leisure education program after stroke: a randomized controlled trial.
Objective
To evaluate the effect of a leisure education program on participation in and satisfaction with leisure activities (leisure-related outcomes), and well-being, depressive symptoms, and quality of life (primary outcomes) after stroke.
Design
Randomized controlled trial.
Setting
Home and community.
Participants
Sixty-two people with stroke.
Intervention
Experimental participants (n=33) received the leisure education program at home once a week for 8 to 12 weeks. Control participants (n=29) were visited at home at a similar frequency. Participants were evaluated before and after the program by a blinded assessor.
Main Outcome Measures
Change from preintervention to postintervention in: minutes of leisure activity per day, number of leisure activities, the Leisure Satisfaction Scale, the Individualized Leisure Profile, the General Well-Being Schedule (GWBS), the Center for Epidemiological Studies Depression Scale, and the Stroke-Adapted Sickness Impact Profile (SA-SIP30).
Results
There was a statistically significant difference in change scores between the groups for satisfaction with leisure with a mean difference of 11.9 points (95% confidence interval [CI], 4.2−19.5) and participation in active leisure with a mean difference of 14.0 minutes (95% CI, 3.2−24.9). There was also a statistically significant difference between groups for improvement in depressive symptoms with a mean difference of −7.2 (95% CI, −12.5 to −1.9). Differences between groups were not statistically significant on the SA-SIP30 (0.2; 95% CI, −1.3 to 1.8) and GWBS (2.2; 95% CI, −5.6 to 10.0).
Conclusions
The results indicate the effectiveness of the leisure education program for improving participation in leisure activities, improving satisfaction with leisure and reducing depression in people with stroke.
aResearch Centre on Aging, University Institute of Geriatrics of Sherbrooke, Sherbrooke, QC, Canada
bFaculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
cCenter for Interdisciplinary Research in Rehabilitation and Social Integration, Rehabilitation Department and Université Laval, Quebec City, QC, Canada
dSchool of Rehabilitation, Université de Montréal, Montreal, QC, Canada.
Correspondence to Johanne Desrosiers, PhD, Research Centre on Aging, 1036 Belvédère sud, Sherbrooke, QC J1H 4C4, Canada
Supported by the Canadian Institutes of Health Research (grant no. MOP-49526).
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
ABSTRACT