Stroke patients' motivation for home-based upper extremity rehabilitation with eHealth tools.

Autor:	Langerak AJ; Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam, the Netherlands., D'Olivo P; Industrial Design Engineering, Delft University of Technology, Delft, the Netherlands., Thijm OSA; Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam, the Netherlands.; Rehabilitation Medicine, Leiden University Medical Center, Leiden, the Netherlands., Regterschot GRH; Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam, the Netherlands., Meskers CGM; Department of Rehabilitation Medicine, Amsterdam Neuroscience and Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands., Rozendaal MC; Industrial Design Engineering, Delft University of Technology, Delft, the Netherlands., Visch VT; Industrial Design Engineering, Delft University of Technology, Delft, the Netherlands., Bussmann JBJ; Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 Nov; Vol. 46 (22), pp. 5323-5333. Date of Electronic Publication: 2024 Feb 09.
DOI:	10.1080/09638288.2024.2304091
Abstrakt:	Purpose: eHealth-based exercise therapies were developed to increase stroke patients' adherence to home-based motor rehabilitation. However, these eHealth tools face a rapid decrease in use after a couple of weeks. This study investigates stroke patients' motivation for home-based upper extremity rehabilitation with eHealth tools and their relation with Basic Psychological Needs. Materials and Methods: This is a qualitative study using thematic analysis. We conducted semi-structured interviews with stroke patients with upper extremity motor impairments, who were discharged home from a rehabilitation centre, after they interacted with a novel eHealth coach demonstrator in their homes for five consecutive days. Results: We included ten stroke patients. Thematic analysis resulted in eight themes for home-based rehabilitation motivation: Curiosity, Rationale, Choice, Optimal challenge, Reference, Encouragement, Social Support and Trustworthiness. Those themes are embedded into three Basic Psychological Needs: "Autonomy", "Competence", and "Relatedness". Conclusion: Eight motivational themes related to the three Basic Psychological Needs describe stroke patients' motivation for home-based upper extremity rehabilitation. We recommend considering those themes when developing a home-based eHealth intervention for stroke patients to increase the alignment of eHealth tools to the patient's needs and reduce motivational decreases in home-based rehabilitation.
Databáze:	MEDLINE
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