Successfully Improving Physical Activity Behavior After Rehabilitation

Hidde P. van der Ploeg, Kitty R.M. Streppel, Allard J. van der Beek, Luc H.V. Woude, Miriam Marie Rosé Vollenbroek-Hutten, Willem H. van Harten, Willem van Mechelen

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68 Citations (Scopus)


Purpose To determine the effects of the physical activity promotion programs Rehabilitation & Sports (R&S) and Active after Rehabilitation (AaR) on sport and daily physical activity 1 year after in- or outpatient rehabilitation. Design Subjects in intervention rehabilitation centers were randomized into a group receiving R&S only (n  =  315) and a group receiving R&S and AaR (n  =  284). Subjects in six control centers (n  =  603) received usual care. Setting Ten Dutch rehabilitation centers. Subjects Subjects consisted of 1202 rehabilitation patients. Most frequent diagnoses were stroke, neurological disorders, and back disorders. Intervention Both the sport stimulation program (R&S) and the daily physical activity promotion program (AaR) consisted of personalized tailored counseling. Measures Two sport outcomes and two daily physical activity outcomes were assessed with questionnaires at baseline and 1 year after rehabilitation. Analysis Multilevel analyses comparing both intervention groups to the control group. Results The R&S program showed no significant effects. Intention-to-treat analyses in the R&S + AaR group showed borderline significant improvements in one sport (odds ratio [OR]  =  1.66, p  =  .02) and both physical activity outcomes (OR  =  1.68, p  =  .01 and regression coefficient  =  10.78, p  =  .05). On-treatment analyses in the R&S + AaR group showed similar but stronger effects. Conclusions The combination of the R&S and AaR programs improved physical activity behavior and sport participation 1 year after in- or outpatient rehabilitation. The R&S program alone did not have any effects
Original languageUndefined
Pages (from-to)153-159
JournalAmerican journal of health promotion
Issue number3
Publication statusPublished - 2007


  • Study design: quasi-experimental
  • People With Disabilities
  • Health focus: fitness/physical activity
  • Target population circumstances: geographic location (The Netherlands)
  • Target population: adults
  • Physical Exercise
  • Outcome measure: behavioral
  • Sports
  • IR-78576
  • Manuscript format: research
  • Research purpose: intervention testing/program evaluation
  • Setting: clinical/health care
  • Leisure Activities
  • Strategy: skill building/behavior change

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