From: Study protocol: home-based telehealth stroke care: a randomized trial for veterans
 | Teletherapist questions: | Responses: |  |  |
---|---|---|---|---|
1. | In the last WEEK, has anything happened to your PHYSICAL health or in your life that we should know about that will prevent you from starting your exercise routine? | Yes | No | Â |
2. | If response is Yes: "I am sorry to hear that. If you feel dizzy, have problems with your speech, eyesight, or increased weakness, you should call your doctor or 911." | |||
3. | Let's take a look at the exercise plan that we put together. Have you been able to follow this plan? | Yes | No | Â |
4. | If answer is Yes, "That is great! Keep up the good work, and continue to exercise as often as you are able to do so." | |||
5. | If answer is No, go to question #28. | |||
6. | So, let us take a look at your BALANCE ACTIVITIES. In the past week, did you do the exercises we gave you? | Yes | No | N/A |
7. | Exactly how many TIMES last week were you able to do the balance activity? | Times | Â | |
8. | Exactly how many MINUTES were you able to do the balance activity each time? | Minutes | Â | |
9. | So, let us take a look at your STRENGTH ACTIVITES. In the past week, did you do the exercises we gave you? | Yes | No | N/A |
10. | Exactly how many TIMES last week were you able to do the strength activity? | Times | Â | |
11. | Exactly how many MINUTES were you able to do the balance activity each time? | Minutes | Â | |
12. | Please tell me what EXERCISES you have been able to do this week. | |||
 | Exercises for non-ambulatory/unable to stand independently: |  |  | |
13. | Did you do the BRIDGING exercise? | Yes | No | N/A |
14. | Did you do the LEG CROSSOVER exercise? | Yes | No | N/A |
15. | Did you do the HEEL SLIDES exercise? | Yes | No | N/A |
16. | Did you do the SIDE-LYING TO SIT exercise? | Yes | No | N/A |
17. | Did you do the SITTING BALANCE exercise? | Yes | No | N/A |
18. | Did you do the DYNAMIC SITTING BALANCE exercise? | Yes | No | N/A |
19. | OK. | |||
20. | Exercises for ambulatory/able to stand independently: | Â | Â | Â |
21. | Did you do the HIP AND KNEE BENDS exercise? | Yes | No | N/A |
22. | Did you do the HEEL RAISES exercise? | Yes | No | N/A |
23. | Did you do the SIT TO STAND exercise? | Yes | No | N/A |
24. | Did you do the MARCHING IN PLACE exercise? | Yes | No | N/A |
25. | Did you do the TANDEM WALKING exercise? | Yes | No | N/A |
26. | Did you do the DYNAMIC STANDING BALANCE exercise? | Yes | No | N/A |
27. | OK. | |||
28. | What is preventing you from doing your PRESCRIBED PHYSICAL ACTIVITIES? | 1. Not enough time to exercise | ||
 |  | 2. Not enough strength or energy | ||
 |  | 3. Do not understand how to do the exercise(s) | ||
 |  | 4. I need some help with the exercise(s) | ||
 |  | 5. Other: | ||
29. | What would make it easier for you to be active on a regular basis? | 1. To make more time | ||
 |  | 2. Ask someone to explain how to do exercise(s) | ||
 |  | 3. Ask for help with exercise(s) | ||
 |  | 4. Other: | ||
30. | Do you still have trouble with balance activities? | Yes | No | N/A |
31. | Do you still have trouble with strength activities? | Yes | No | N/A |
32. | This is important for your recovery, well-being and overall health. Keep going. | Â | Â | Â |
33. | Please review the set exercises that we have given you. These exercises will show you how to build back your strength. | Â | Â | Â |
34. | Will you agree to do this? | Yes | No | N/A |
35. | If answer is NO, "I'm sorry to hear that, but don't give up, keep trying during the next week." | Â | Â | Â |