Category: Stroke; Lifestyle Medicine
Objective : To create an appropriate adaptation of the Diabetes Prevention Program – Group Lifestyle Balance program (DPP-GLB) that meets the unique needs of people post stroke.
Community-Based Participatory Research approach with an Advisory Board of key stakeholders.
Setting : Community
Participants (or Animals, Specimens, Cadavers) : Twenty-six Advisory Board members including people who have had a stroke, caregivers, clinicians, community partners, and researchers.
The DPP-GLB intervention is a 12-month, comprehensive lifestyle behavior change program. The goal of the DPP-GLB is 5-7% weight loss by promoting physical activity participation (safe and progressive increase to achieve 150 minutes of moderate intensity activity each week) and USDA My Plate dietary/calorie recommendations.
Main Outcome Measure(s) : Qualitative data about adaptations including content, mode of delivery, outcome measures, and approaches to physical activity, dietary, and weight loss behavior.
Results : Advisory Board member recommendations included (1) greater curriculum emphasis on modifiable stroke risk factors and heart health, (2) caregiver participation in the program, and (3) stroke specific physical activity and dietary recommendations through videos, web links, and expert guest speakers.
Conclusions : Evidence-based lifestyle interventions are lacking for people after stroke and there is a need to adapt existing approaches to address the unique needs of this growing population. Our Community-Based Participatory Research approach to adapting the DPP-GLB provides specific recommendations to support the health behaviors of people after stroke. Future directions include efficacy testing of the adapted curriculum through a rigorous randomized clinical trial. Ultimately, results of an RCT will lead to the development of an evidence-based model for implementation in community settings.
Simon Driver– Director of Rehabilitation Research, Baylor Scott and White Institute for Rehabilitation, Dallas, Texas
Chad Swank– Research Scientist, Baylor Scott & White Institute for Rehabilitation, Dallas, Texas
Ryan Bailey– Postdoctoral Research Scholar, Washinton University in St. Louis, Saint Louis, Missouri
Katherine Froehlich-Grobe– Associate Director of Rehabilitation Research, Baylor Scott & White Institute for Rehabilitation, Dallas, Texas
Evan Elizabeth McShan– Clinical Research Coordinator, Baylor Scott & White Institute for Rehabilitation, Dallas, Texas
Stephanie Calhoun– Research Enrollment Analyst, Baylor Scott & White Research Institute, Dallas, Texas
M. Kaye Kramer– Adjunct Associate Professor, University of Pittsburgh Graduate School of Public Health, Dallas, Texas