{
  "abstract": "Background Stroke survivors often experience prolonged sedentary behaviour, which is associated with negative health outcomes, including increased risk of cardiovascular diseases, further mobility limitations, and mental health issues. All members of society can benefit from reducing sedentary behaviour and in stroke populations it is particularly important for recovery and overall health. ADAPT builds upon the RECREATE project, in which we developed and tested ‘Get Set Go’ (GSG), an intervention to promote regular movement after stroke.Some stroke survivors found GSG beneficial, but it did not meet the diverse needs of all stroke survivors. The ADAPT study builds on previous work by: 1) understanding how different ‘types’ of stroke survivors engage with movement, 2) identifying how GSG can be refined to support a wider range of individuals 3) outlining refinement recommendations.Methods A secondary analysis of stroke survivor interview data from the RECREATE study is being undertaken using Ideal-Type analysis. This approach categorises stroke survivors based on their behaviours, thoughts, and values regarding standing and moving after stroke. By understanding how different survivors approach movement, we can develop targeted strategies to increase engagement with GSG. In addition to interview analysis, the study involves eight workshops (four with stroke survivors and their carers; four with stroke professionals). This collaborative approach offers a robust and systematic means of establishing and refining the ‘types’, and subsequent recommendations. Outreach work will expand the diversity of input from under-represented communities.Results Analysis is in progress, with preliminary findings indicating four stroke survivor ‘types’: 1) Determined, 2) Passive, 3) Fearful/hesitant, and 4) Other life priorities. These typologies are characterised by different attitudes and challenges in respect of non-sedentary behaviour post-stroke. In future workshops, the final ‘types’ will be confirmed, and strategies for adapting the intervention will be developed. The recommendations will focus on tailoring the programme’s content, delivery, and support mechanisms.Discussion The recommendations will provide valuable insights into refining interventions to engage a broader range of stroke survivors in movement which will promote non-sedentary behaviour and better health outcomes. Additionally, creative engagement and dissemination methods, such as an exhibition of artwork by stroke survivors, will convey the importance of movement in recovery to new populations. These efforts will inform public health strategies around reducing sedentary behaviour after stroke, and may be applicable to other health conditions.",
  "authors": [
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, University of Leeds, Leeds UK"
      ],
      "name": "Jessica Johansson"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals, Bradford, UK"
      ],
      "name": "Rosie Shannon"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals, Bradford, UK"
      ],
      "name": "Sarah Gibson"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, University of Leeds, Leeds UK"
      ],
      "name": "Anne Forster"
    }
  ],
  "title": "P41 The ADAPT study: recommendations for how to refine our get set go intervention to reduce sedentary behaviour and improve health outcomes after stroke",
  "uid": "620dd4c4-f53c-52b7-83b2-0d5e4259eb59"
}