Construction of a home-based agile exercise fall prevention program for patients with subacute ischemic stroke based on the HAPA theory and multimodal agile framework
LI Xiaofang
SUN Zhaoyu
YUAN Ling
WU Guoyan
ZHANG Jing
WANG Wen
WANG Yinhua
Abstract：Objective:To construct a home-based agile exercise fall prevention program for patients with subacute ischemic stroke,to provide a basis for fall prevention management in stroke patients.Methods:Based on the health action process approach(HAPA)theory,a preliminary draft of the home-based agile exercise fall prevention program for patients with subacute ischemic stroke was developed through literature review and group discussions.The Delphi method was applied to finalize the program.Results:Two rounds of expert consultation were conducted.The questionnaire response rates of 83.33%and 100.00%,respectively.The expert authority coefficient was 0.840.Kendall's coordination coefficients were 0.333 and 0.300,respectively(both P<0.001).In the second round,the coefficient of variation ranged from 0.05 to 0.23.The item importance scores ranged from 3.93 to 4.93.The full-score rates ranged from 33.3%to 93.3%.The finalized program included 3 first-level indicators,8 second-level indicators,and 27 third-level indicators.Conclusions:The home-based agile exercise fall prevention program for patients with subacute ischemic stroke is reliable,scientific,feasible,and safe.It could provide a basis for developing fall prevention management interventions for patients with subacute ischemic stroke.
Keywords：strokeagile exercisefallssubacute stagehome-basedhealth action process approachmultimodal agile frameworkDelphi method
Publication Date：2026-03-25
Online Publishing Date：2026-03-26(First online date of this platform, not the publication date of the document)
Pages：7( 1011-1017 )