Primary Objective

To describe (1) an evidence-based approach to promoting a healthy lifestyle, the Diabetes Prevention Program Group Lifestyle Balance intervention, and (2) our work with input from an Advisory Board of stakeholders to modify the program to meet the unique needs of people post stroke.

Research Design

Community-Based Participatory Research

Methods and Procedures

An Advisory Board of stakeholders was convened to modify the Group Lifestyle Balance intervention to meet the unique needs of people post stroke.

Main Outcomes and Results

The primary adaptations that emerged from the Advisory Board included (1) curriculum emphasis on heart health after stroke, (2) care partner participation, (3) physical activity, dietary, and weight loss modifications specific to people after stroke, and (4) general programmatic recommendations (e.g., wider age range of participants; eligibility based on time since stroke; alternative modes of delivery).

Conclusions

Feedback from the diverse group of stakeholders provides the basis for modifying an evidence-based healthy lifestyle intervention to meet the unique needs of people after stroke. Future research efforts should examine the efficacy and effectiveness of the adapted program to prevent weight gain after stroke and reduce the risk of chronic conditions including diabetes, metabolic syndrome, and heart disease.

中文翻译：

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为中风后的人们创造适当的健康生活方式干预措施。

主要目标

描述（1）促进健康生活方式的循证方法，糖尿病预防计划小组生活方式平衡干预措施，以及（2）我们在利益相关者咨询委员会的意见下进行的工作，以修改该计划以满足人们的独特需求中风后。

研究设计

社区参与研究

方法与程序

召集了一个利益相关者咨询委员会，以修改“小组生活方式平衡”干预措施，以满足中风后人们的独特需求。

主要结果和结果

咨询委员会提出的主要适应措施包括：（1）以中风后心脏健康为重点的课程；（2）护理伙伴的参与；（3）中风后特定于人的体育活动，饮食和减肥方法；以及（4）一般性计划建议（例如，参与者的年龄范围更广；基于自中风以来的时间资格；其他分娩方式）。

结论

来自不同利益相关者群体的反馈为修改基于证据的健康生活方式干预措施提供了基础，以满足中风后人们的独特需求。未来的研究工作应检查适应方案的有效性和有效性，以预防中风后体重增加并减少包括糖尿病，代谢综合征和心脏病在内的慢性疾病的风险。