Combining two motor training modalities, circuit class training and a home exercise programme, for people after stroke (the MATCH trial): intervention description and adherence strategies

Describe an intervention combining a home exercise programme (HEP) and circuit class training (CCT) to increase motor practice dosage, with strategies to improve adherence. This development study presents the intervention using the Template for Intervention Description and Replication (TIDieR) framework. It details the rationale, application and adherence strategies for the HEP and CCT, emphasising task-oriented training (TOT). Individuals in the subacute phase after a stroke. A complex intervention called motor training and application of Adherences trategies in Two modalities, CCT and HEP (MATCH) was developed, comprising two manuals (HEP and CCT) that can be used separately or combined. The HEP features customised booklets with four tasks, aiming for at least 100 repetitions per task daily to support independent practice. The CCT involves 12 sessions, each lasting 60 min. Key components focus on adherence strategies, including providing information, tailoring tasks to individual preferences, promoting self-monitoring, and addressing barriers to practice. The MATCH manuals offer therapists and researchers a structured approach to designing interventions that increase motor practice dosage and adherence. The MATCH aims to improve motor and functional recovery, participant motivation, and self-management for HEP, particularly for post-stroke individuals. Future studies should evaluate adoption, fidelity, penetration and cost-effectiveness in implementation trials, including those planned within Public Health Centres.

本研究旨在描述一项联合家庭锻炼计划（home exercise programme, HEP）与循环课程训练（circuit class training, CCT）的干预方案，以提升运动练习剂量，并配套相应策略以提高干预依从性。本开发性研究采用干预描述与复制模板（Template for Intervention Description and Replication, TIDieR）框架呈现该干预方案。研究详细阐述了HEP与CCT的设计依据、实施方式及依从性提升策略，重点强调任务导向训练（task-oriented training, TOT）。研究对象为脑卒中亚急性期患者。本研究开发了一项名为“双模态运动训练与依从性策略应用（motor training and application of adherence strategies in two modalities, CCT and HEP, MATCH）”的复杂干预方案，包含可独立使用或联合应用的HEP与CCT两份手册。其中HEP采用定制化手册，涵盖四项任务，要求每项任务每日至少完成100次重复练习，以支持患者独立完成训练。CCT包含12节课程，每节时长60分钟。方案的核心组成部分聚焦于依从性提升策略，包括提供相关信息、根据个体偏好定制任务、鼓励自我监控以及应对练习障碍。MATCH手册为治疗师与研究者提供了结构化的干预设计路径，可有效提升运动练习剂量与干预依从性。本方案旨在改善运动功能与日常功能恢复、提升参与者动机及HEP的自我管理能力，尤其适用于脑卒中后人群。未来研究应在实施性试验中评估该方案的采用情况、实施保真度、覆盖范围与成本效益，包括计划在公共卫生中心（Public Health Centres）开展的相关试验。