Background/Aims
Although many strokes are preventable, stroke remains a leading cause of disability and death worldwide. Recurrent stroke increases disability and healthcare burden. Regular physical activity and healthy lifestyle behaviours can reduce risk, yet many stroke survivors lack structured guidance after hospital discharge. Community-based programmes may support secondary prevention by providing exercise, education and behaviour-change interventions. This study aimed to evaluate whether a secondary stroke prevention programme delivered within a community rehabilitation service was feasible and acceptable for participants.
Methods
A secondary stroke prevention programme comprising supervised exercise, multidisciplinary education and health coaching was evaluated. The group-based programme was delivered through face-to-face and telehealth sessions. Feasibility was assessed through referrals, uptake, participant characteristics and attendance. Acceptability was measured through satisfaction ratings. Secondary outcomes included self-reported lifestyle changes and pre–post changes in waist circumference and the 6-Minute Walk Test.
Results
Seven programmes were delivered over 12 months, enrolling 37 participants. Education-session attendance averaged 79%, and 30 participants completed the programme. Satisfaction was high for relevance, safety and intention to continue. Most participants modified 2.5 lifestyle behaviours on average. Significant improvements were observed in walking distance and waist circumference.
Conclusion
The programme was feasible, acceptable and associated with positive health changes.