The ReTrain trial: Evaluating intervention fidelity via video analysis of the independently getting up off the floor (IGO) technique

Abstract

ReTrain is a pilot randomised controlled trial of a community-based physical rehabilitation programme for stroke survivors, based on the Action for Rehabilitation from Neurological Injury (ARNI) approach (http://arni.uk.com/). The focus on functional mobility includes teaching IGO, a technique designed to compensate for hemiparesis, allowing stroke survivors to get up off the floor independently of others, furniture or aids. We examined the supervised execution of IGO to understand whether trainers taught IGO with fidelity to the ReTrain manual, whether participants were adhering to trainer guidance, and to what extent the technique could be safely altered.