RISE Intervention Study – Scaling up

Supporting Behaviour Change with Face-to-Face Coaching, an E-Health Application, and an Activity Monitor

Understanding the RISE Intervention Study

Welcome to the RISE intervention study page, where we explore innovative methods to support behavior change in individuals post-stroke. This study leverages a combination of face-to-face coaching, an e-health application, and an activity monitor to promote sustainable physical activity and reduce sedentary behavior.

RISE intervention study - Supporting Behaviour Change with Face-to-Face Coaching, an E-Health Application, and an Activity Monitor

Why Physical Activity Matters Post-Stroke

It is well-known that regular physical activity is crucial for individuals recovering from a stroke. However, what is less known is that prolonged sitting or lying down, regardless of overall physical activity levels, poses significant health risks. Research indicates that extensive sedentary behavior increases the risk of cardiovascular diseases and premature death. Specifically, individuals who sit for more than ten hours a day have a 40% higher risk of death within three years compared to those who sit less.

Tailored Approach to Reducing Sedentary Behavior

Addressing sedentary behavior requires a specific and targeted approach, especially for individuals in the early months post-stroke. Traditional interventions often overlook the importance of reducing sitting time. The RISE intervention study aims to fill this gap by developing a personalized, blended care program that combines modern technology with professional healthcare support.

Components of the RISE Intervention

Face-to-Face Coaching

Personalized sessions with a physiotherapist to guide and motivate patients.

E-Health Application

A user-friendly app designed to monitor and encourage physical activity.

Activity Monitor

The Activ8 Gen2 device to track movement and provide real-time feedback.

This comprehensive approach ensures that individuals receive the necessary support to change their behavior and take control of their health.

The RISE Project: A Broader Perspective

The RISE project is not limited to the intervention study alone. It includes a cohort study to identify patterns in physical activity among stroke survivors and factors influencing healthy or unhealthy behavior. The insights from this study help refine and personalize the interventions.

Additionally, the RISE project encompasses the development of a behavioral diagnostic tool. This tool enables physiotherapists to tailor the intervention components to the specific needs of each patient, enhancing the effectiveness of the treatment.


Integration with the RISE Study

The behavioral intervention used in this project is called ‘RISE’. The goal is to reduce and interrupt sitting time, enabling patients to sustainably change their activity behavior. A key aspect of the intervention is home visits by physiotherapists, who provide personalized advice and support to help patients move more, sit less, and sleep better. This is facilitated by a specially developed motion sensor that patients can carry in their pocket, along with a corresponding smartphone app.

Key Benefits of the RISE Intervention

Personalized Care: Tailored interventions based on individual activity patterns and health needs.

Comprehensive Support: Integration of face-to-face coaching with advanced monitoring technology.

Sustainable Behavior Change: Focus on long-term behavior modification and self-management.

New Funding to Enhance Post-Stroke Recovery

Addressing Critical Health Risks Post-Stroke

People who have experienced a stroke are at high risk of suffering another transient ischemic attack (TIA), new stroke, or heart attack within a year. To tackle this, the funding organization ZonMw is investing €1.1 million in a project aimed at improving the daily balance of sitting, physical activity, and sleep behavior in this patient group. Led by physiotherapy scientist Martijn Pisters from UMC Utrecht and biomedical scientist Yvonne Hartman from Fontys University of Applied Sciences, the project’s goal is to reduce the likelihood of subsequent health issues post-stroke.

High Stakes and High Hopes

Annually, 40,000 people in the Netherlands suffer a stroke, with about 25% experiencing a second cardiovascular event within a year. These subsequent health issues can be life-threatening and have a profound impact on patients, their families, and healthcare costs. Preventing these events could significantly improve patient outcomes and reduce healthcare expenses.

Focus on Lifestyle Improvement

With the ZonMw-funded project, researchers aim to reduce the incidence of new cardiovascular events by improving the lifestyle of high-risk stroke patients. “In cardiac rehabilitation, we see a 35% reduction in new major cardiovascular events and mortality post-heart attack,” says Martijn Pisters. “We hope to achieve similar results with our intervention.”

Extensive Collaboration

The project plans to collaborate with neurologists, rehabilitation doctors, and specialist nurses in twenty hospitals, along with about fifty to sixty primary care physiotherapists.

Join the RISE Intervention Study

If you or a loved one is recovering from a stroke and struggles with sedentary behavior, consider joining the RISE intervention study. Our program is designed to provide optimal support and improve quality of life through innovative and personalized care.

For more information and to participate in the study, please contact us.

Activ8 wearable activity & sleep sensor

Activ8 offers consumer & medical-grade wearable devices for monitoring activity and sleep for use in consumer lifestyle, sports, research, clinical, therapy and OEM. Solutions that are both easy to use and scientifically validated.


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