Many of the planning tools and resources found in the Stroke Recovery in Motion Planner are available here for download. These files are editable and designed to help you achieve each step in the planning process.
SRiM Tools & Resources
To accompany the Stroke Recovery in Motion Planner
Stroke Recovery in Motion Planner
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Stroke Recovery in Motion Planner (PDF)
The complete step-by-step toolkit designed to help anyone interested in developing and providing community-based physical activity programs for people with stroke.
Step 1 Tools
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Tool 1.1: Engaging Stroke/Caregiver Partners on Your Planning Team
Invitation template and preference questionnaire for potential stroke/caregiver planning partners
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Tool 1.1a: Budget Worksheet – Planning Team Expenses (Word Version)
Budget Table of potential planning team expenses
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Tool 1.1a: Budget Worksheet – Planning Team Expenses (Excel Version)
Budget Table of potential planning team expenses
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Tool 1.1b: Project Charter Template
Indicates purpose, committee membership, terms of reference, and project details for team members
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Tool 1.1b: Disclosures
Disclosure Questionnaire for potential conflicts of interest
Step 2 Tools
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Tool 2.1: Scan – Inventory Programs and Services
Table for current community programs and program characteristics in local environment
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Tool 2.2: Scan - Community Readiness Questions
Readiness questionnaire for organization, planning team, health partners and practitioners, and participants/families
Step 3 Tools
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Tool 3.0: Exercise Program Comparison Template
Table to compare existing exercise programs to determine best fit for target community needs
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Tool 3.1: Feasibility, Applicability, Acceptability, Equity and Affordability (FAAEA) Checklist
Questionnaire to measure the feasibility, applicability, acceptability, equity and affordability of the program of interest
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Tool 3.1: Program Budget Worksheet – Exercise Program Expenses (Word Version)
Budget table for exercise program start-up and maintenance costs
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Tool 3.1: Program Budget Worksheet – Exercise Program Expenses (Excel Version)
Budget table for exercise program start-up and maintenance costs
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Tool 3.3: Business Case Template & Sample
Template to develop business case for funding and resources
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Tool 3.4: Implementation Workplan Template
Implementation process checklist for Phases 1, 2, and 3
Step 4 Tools
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Tool 4.1: Identifying Barrier & Drivers: Programs
Checklist of barriers and drivers to implementing the exercise program
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Tool 4.1: Identifying Barrier & Drivers: Program Users
Checklist of known barriers and drivers for program users
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Tool 4.1: Identifying Barrier & Drivers: Program Setting
Checklist of barriers and drivers in organizational setting and systems
Step 5 Tools
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Tool 5.1/5.2: Solution Building Sample & Worksheet
Worksheet to tailor solutions for program, program user, and program setting challenges
Step 6 Tools
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Tool 6.0: Evaluation Planning Matrix Template
Tool to evaluate the implementation and program use, outcomes, and sustainability
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Tool 6.1a: Program Fidelity Checklist – Fit for Function Sample
Example of a checklist to monitor consistency across program characteristics offered by Fit for Function program
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Tool 6.1b: SPPB Fame Sample
Example of a participant sample offered for the FAME exercise program
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Tool 6.2: Program Sustainability Assessment
Tool to assess the capacity to maintain the program based on organizational and community factors
Step 7 Tools
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Tool 7.1: Readiness Checklist – Time™ Sample
Example checklist for the launch and delivery of an exercise program in community setting
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Tool 7.1: Participant Screening Fit For Function & Time™ Samples
Examples of participant medical screening forms
We hope the roadmap outlined in the Stroke Recovery in Motion Planner will help you successfully implement and maintain your community-based exercise program for people with stroke ... The implementation process described in the Planner is intended to be used by teams as they see fit, according to their program goals, their individual experience as planners, access to resources, and the unique circumstances of their planning environment. In some cases, this will mean following each Phase, Step, and Activity closely, while for others, it may be to select which elements most support their needs. However you choose to use the guide and tools, remember that, as with most travels, how you get to your destination can be as important and rewarding an experience as the actual destination.