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Neurology International
  • Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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  • Open Access

30 March 2018

Measuring Stroke Patients’ Exercise Preferences Using a Discrete Choice Experiment

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1
Division Exercise and Health, Department Psychology and Sport Science, Institute of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Germany
2
Kiliani Clinic for Neurological, Orthopaedic and Neuro- Onkological Rehabilitation, Bad Windsheim, Germany
3
Department Neurology and Neuropsychology, m&i-Clinic Herzogenaurach, Herzogenaurach, Germany
*
Author to whom correspondence should be addressed.

Abstract

Physical activity post stroke improves health, yet physical inactivity is highly prevalent. Tailored exercise programs considering physical activity preferences are a promising approach to promote physical activity. Therefore, this study seeks to measure exercise preferences of stroke survivors. Stroke survivors conducted a discrete choice experiment (DCE). DCE was presented in a face-to-face interview where patients had to choose eight times between two different exercise programs. Exercise programs differed by characteristics, with the six attributes under consideration being social situation, location, type of exercise, intensity, frequency, and duration. Utilities of the exercise attributes were estimated with a logit choice model. Stroke survivors (n=103, mean age: 67, SD=13.0; 60% male) show significant differences in the rated utilities of the exercise attributes (P<0.001). Participants had strong preferences for light and moderate intense physical activity and favored shorter exercise sessions. Stroke survivors have remarkable exercise preferences especially for intensity and duration of exercise. Results contribute to the tailoring of physical activity programs after stroke thereby facilitating maintenance of physical activity.

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