BACKGROUND Sustainable physical activity (PA) and health-related quality of life (HR-QoL) are two key goals in today’s rehabilitation practice. Therefore, rehabilitation programs to promote PA need to be evaluated on sustainability of these outcomes after rehabilitation. PURPOSES To identify PA and HR-QoL trajectories after rehabilitation and to determine the association between those trajectories. METHODS People with a physical disability/chronic disease (N=1719) were followed from 3-6 weeks before discharge (T0) to 14 (T1), 33 (T2) and 52 (T3) weeks after rehabilitation in the Rehabilitation, Sports and Active lifestyle study. They participated in the Rehabilitation, Sports and Exercise (RSE) program in Dutch rehabilitation care. Latent Class analysis was used to identify PA and HR-QoL trajectories, based on questionnaire data. A Chi-squared test was performed to determine the association between PA and HR-QoL trajectories. RESULTS Six PA trajectories were identified: two large stable trajectories ‘semi-active’ (N=943) and ‘active’ (N=188), and four small intermediate trajectories ‘recovery’ (N=91), ‘decline’ (N=67), ‘strong recovery’ (N=21) and ‘strong decline’ (N=10). Five HR-QoL trajectories were identified: two large stable trajectories ‘moderate’ (N=617) and ‘high’ (N=394), two small intermediate trajectories ‘recovery’ (N=56) and ‘decline’ (N=31), and one two-person trajectory ‘strong recovery’. The two large and stable PA and HR-QoL trajectories are significantly associated (χ2=33.5(1), p<.001, φc=.20). Of our sample, 55% (N=479) followed both the semi-active and the moderate HR-QoL trajectory, and 10% (N=83) followed both the active and the high HR-QoL trajectory. CONCLUSIONS Most people obtained a semi-active trajectory, but a moderate HR-QoL trajectory after the RSE program, which might suggest optimization of the program to reach sustainable and high levels of PA and HR-QoL after rehabilitation. PA and HR-QoL trajectories are longitudinally associated.
|Publication status||Published - Sept-2019|