Examining dyadic processes in a person-centred intervention to increase outdoor walking after stroke
University of New Brunswick
People with stroke are typically inactive. Dyadic interventions which involve two people working together to support change may increase activity. This study examines dyadic processes in a dyadic intervention for walking after stroke. Single-arm observational pilot intervention study with qualitative process evaluation. Participants were people with stroke and their walking buddies. The 12-week intervention involved face-to-face and telephone sessions. Interview data and fieldnotes were thematically analyzed. 21 dyads were recruited. Ten dyads completed the intervention prior to COVID-19 restrictions. Eighteen dyads completed exit interviews. Four major themes were created: ‘Communication’ which helped to adapt to the environment, deepened relationships and promoted understanding; ‘Motivation’ which was increased by encouragement and improvement; ‘Confidence’ stemming from improved ability, comfort and independence; and ‘Enjoyment’ through reconnecting with the partner and the community. The dyadic structure of the intervention gave rise to several dyadic processes in relation to initiating and maintaining behaviour change.