The acceptability and experience of a functional training programme (ReTrain) in community dwelling stroke survivors in South West England: a qualitative study

Abstract

Copyright © Author(s) (or their employer(s)) 2018. Rehabilitation Training (ReTrain) is a group based approach to functional training post stroke. ReTrain has recently been evaluated through a pilot RCT. Objective: This article reports on the acceptability of the intervention as described by trial participants. Design: A qualitative approach was undertaken. Of the 45 participants recruited into the trial, 23 were randomised to receive ReTrain. Following a sampling strategy, 10 participants undertook 1:1 semi-structured audiorecorded interviews. Transcripts were analysed following a modified Framework Approach. Results: Six themes were developed including exploration of: the physical and psychological impacts of training; the perceived mechanisms of change; the interaction of the group; and approach of the trainer. A further theme considered the reported longer term impact of participation. Overall the results indicated the acceptability of the intervention, but also key areas for potential modification in the definitive trial. These include: a need to consider potential impact on both physical and psychological function; careful consideration of dosing and fatigue and the interpersonal factors that facilitate appropriate level of delivery; the trainer to participant ratio; and enhancing features that support continuation of activity post intervention.