Adherence to Accelerometry Measurement of Community Ambulation Poststroke
Open accessAbstract
Background: The step activity monitor (SAM) quantifies steps taken in the home and community by patient populations. Although the SAM has been used to study individuals after stroke, adherence to the use of SAMs has not been addressed. Participants' adherence to wearing the monitor is critical for obtaining accurate assessments. Objective: The purpose of this study was to determine the rate of and predictors for inferred adherence to the use of the SAM after stroke. Design: A cross-sectional design was used. Methods: Community-dwelling individuals (n=408) 2 months after stroke with moderate-to-severe gait impairment (gait speed of ≤0.8 m/s) were studied. Step activity was assessed for 2 days with the SAM. Inferred adherence was established in 3 periods: 6:00 am to 12:00 pm, 12:01 pm to 6:00 pm, and 6:01 pm to 12:00 am. Adherence was defined as activity recorded in all 3 periods. The percentage of participant adherence for the first day, second day, both days, and either day was calculated. Demographic and clinical characteristics of adherers and nonadherers were compared. Independent adherence predictors were identified by means of stepwise logistic regression. Results: Inferred adherence rates for the first day, second day, both days, and either day were 68%, 61%, 53%, and 76%, respectively. Upper and lower extremity impairment, balance control, and endurance were significantly different between adherers and nonadherers. On the other hand, older age, greater balance self-efficacy, and better walking endurance were significant predictors of adherence. Limitations: Participants were individuals with subacute stroke. Therefore, the findings of this study may not be generalized to individuals during the acute and chronic phases of stroke recovery. Conclusions: Strategies to improve adherence are needed when collecting data for more than 1 day and in samples with younger individuals and those with low levels of balance self-efficacy and walking endurance.
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A large study (n = 408) investigating adherence to a step activity monitor over 2 days reported adherence rates between 61 and 68% for separate days.
“A large study (n = 408) that investigating adherence to the use of step activity monitor over 2-day reported adherence rates between 61 and 68% for separate days, but only 53% of participants wore the sensors for two consecutive days [63].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [63]
Older individuals and those with better balance self-efficacy and walking endurance showed better adherence.
“Older individuals and those with better balance self-efficacy and walking endurance showed better adherence [63].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [63]
Only 53% of participants in that study wore the sensors for two consecutive days.
“A large study (n = 408) that investigating adherence to the use of step activity monitor over 2-day reported adherence rates between 61 and 68% for separate days, but only 53% of participants wore the sensors for two consecutive days [63].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [63]
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- Authors
- Barak, S., Wu, S. S., Dai, Y., Duncan, P. W., & Behrman, A. L.
- Affiliations
- Kaye Academic College of Education (IL)
- University of Florida (US)
- Wake Forest University (US)
- University of Louisville (US)
- Corresponding author
- Barak, Sharon
- Venue
- Physical Therapy
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-01-01
- Volume
- 94
- Issue
- 1
- Pages
- 101-110
- ISSN
- 0031-9023 (ISSN-L)
- 1538-6724
- PMC
- PMC3892677
- OpenAlex
- W2154316997
- Cited by
- 27
- References
- 32
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 5 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 1
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Physical Therapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (P30AG028740)
- National Institute of Neurological Disorders and Stroke (R01NS050506)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- accelerometry, adherence, community-dwelling stroke survivors, gait disturbance, balance self-efficacy, walking endurance, balance control, predictors of adherence
- MeSH terms
- Stroke Rehabilitation, Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Postural Balance, Female, Humans, Male, Middle Aged, Patient Compliance, Physical Endurance, Surveys and Questionnaires, Recovery of Function, Gait Disorders, Neurologic, Stroke, Accelerometry
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