I bet your stroke hospital can't even justify spending a couple of bucks on a cheap pedometer. I would just demand they prescribe you a Fitbit.
https://www.ncbi.nlm.nih.gov/pubmed/27716297
Pears S1,2,
Bijker M1,
Morton K1,3,
Vasconcelos J4,
Parker RA5,
Westgate K6,
Brage S6,
Wilson E7,2,
Prevost AT4,2,
Kinmonth AL3,2,
Griffin S3,2,
Sutton S1,2,
Hardeman W8,9,10;
VBI Programme Team.
Abstract
BACKGROUND:
Very
brief interventions (VBIs) for physical activity are promising, but
there is uncertainty about their potential effectiveness and cost. We
assessed potential efficacy, feasibility, acceptability, and cost of
three VBIs in primary care, in order to select the most promising
intervention for evaluation in a subsequent large-scale RCT.
METHODS:
Three
hundred and ninety four adults aged 40-74 years were randomised to a
Motivational (n = 83), Pedometer (n = 74), or Combined (n = 80)
intervention, delivered immediately after a preventative health check in
primary care, or control (Health Check only; n = 157). Potential
efficacy was measured as the probability of a positive difference
between an intervention arm and the control arm in mean physical
activity, measured by accelerometry at 4 weeks.
RESULTS:
For
the primary outcome the estimated effect sizes (95 % CI) relative to
the Control arm for the Motivational, Pedometer and Combined arms were
respectively: +20.3 (-45.0, +85.7), +23.5 (-51.3, +98.3), and -3.1
(-69.3, +63.1) counts per minute. There was a73% probability of a
positive effect on physical activity for each of the Motivational and
Pedometer VBIs relative to control, but only 46 % for the Combined VBI.
Only the Pedometer VBI was deliverable within 5 min. All VBIs were
acceptable and low cost.
CONCLUSIONS:
Based on the four criteria, the Pedometer VBI was selected for evaluation in a large-scale trial.
TRIAL REGISTRATION:
Current Controlled Trials ISRCTN02863077 . Retrospectively registered 05/10/2012.
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