JMIR Publications

ABSTRACT

Background:

As more people survive stroke, there is a growing need for services and programs that support the long-term needs of people living with the effects of stroke. Exercise has many benefits, yet most people with stroke do not have access to specialized exercise programs that meet their needs in their communities. To catalyze the implementation of these programs, our team developed the Stroke Recovery in Motion Planner, an evidence-informed implementation guide for teams planning a community-based exercise program for people with stroke.

Objective:

The objective of this study was to conduct a user review to elicit user perceptions of the usefulness and acceptability of the Planner to inform revisions.

Methods:

This mixed-methods study used a concurrent triangulation design. We enrolled a diverse sample of end-users (program managers/coordinators, rehabilitation health partners, fitness professionals) from three main groups: those who are currently planning a program, those who intend to plan a program in the future, and those who previously planned a program. Participants reviewed the Planner and completed a questionnaire and interviews to identify positive features, areas for improvement, value, and feasibility. We used descriptive statistics for quantitative data and content analysis for qualitative data. We triangulated data sources to identify Planner modifications.

Results:

Thirty-nine people participated. Overall, feedback was positive, highlighting the value of the Planner’s comprehensiveness, tools and templates, and real-world examples. The identified areas for improvement included making clear the need for specific steps, refining navigation, and creating more action-oriented content. Most participants reported an increase in knowledge and confidence after reading the Planner and reported that using the resource would improve their planning approach.

Conclusions:

We used a rigorous and user-centered process to develop and evaluate the Planner. End-users indicated that it is a valuable resource and identified specific changes for improvement. The Planner was subsequently updated and is now publicly available for community planning teams to use to plan and deliver evidence-informed, sustainable, community-based exercise programs for people with stroke.