{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T14:44:23Z","timestamp":1788446663449,"version":"build-2803163510"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:00:00Z","timestamp":1702339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Background: Stroke is the leading cause of disability and the second-most leading cause of mortality. Stroke has both physical and psychological impact on the lives of stroke survivors. Lifestyle modifications have a pivotal role in post-stroke management care. The Paving the Path to Wellness Program (PPWP) is a 12-week program offered to stroke survivors at Spaulding Rehabilitation Center following discharge. The program encompasses the following domains: physical activity, nutrition, stress management, time-outs, energy, sleep, purpose, and social connections. Objective: The purpose of this pilot study was to evaluate the effectiveness of the PPWP on the recovery of stroke survivors. Methods: Three stroke survivors who participated in the program were interviewed following completion of the program. Results: The results showed the PPWP had a positive impact on physical health (e.g., increased physical activity, weight loss, nutrition awareness, and better stress management); helped to create a new purpose (e.g., happiness, satisfaction, and well-being); and improved the social life of the participants (better awareness and importance of friends and family). Conclusions: Next steps are to study this program in a larger stroke population and examine long-term effects.<\/jats:p>","DOI":"10.1177\/15598276231221118","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T06:37:28Z","timestamp":1702363048000},"page":"820-825","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Paving the Path to Wellness for Stroke Survivors: A Lifestyle Medicine Group Intervention"],"prefix":"10.1177","volume":"18","author":[{"given":"Sussan","family":"Askari","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Queen\u2019s University, Kingston, ON, Canada (SA)"},{"name":"Providence Care Centre, Kingston, ON, Canada (CPP)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0957-7941","authenticated-orcid":false,"given":"Chetan P.","family":"Phadke","sequence":"additional","affiliation":[{"name":"Providence Care Centre, Kingston, ON, Canada (CPP)"},{"name":"School of Rehabilitation Therapy, Queen\u2019s University, Kingston, ON, Canada (CPP, JAF)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Antonio","family":"Fernandez","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Therapy, Queen\u2019s University, Kingston, ON, Canada (CPP, JAF)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth P.","family":"Frates","sequence":"additional","affiliation":[{"name":"Spaulding Rehabilitation Hospital, Lifestyle Medicine Specialist Health & Wellness Coach, Wellness Synergy, LLC, Harvard Medical School, Boston, MA, USA (EPF)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,12]]},"reference":[{"key":"bibr1-15598276231221118","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000950"},{"key":"bibr2-15598276231221118","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000558"},{"key":"bibr3-15598276231221118","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.105935"},{"key":"bibr4-15598276231221118","unstructured":"Association AS. 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