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

Autor:	Langerak, A.J., D'Olivo, P., Thijm, O.S.A., Regterschot, G.R.H., Meskers, C.G.M., Rozendaal, M.C., Visch, V.T., Bussmann, J.B.J
Předmět:	MOTOR ability SELF-evaluation ARM RESEARCH funding QUALITATIVE research AUTONOMY (Psychology) INTERVIEWING STATISTICAL sampling HOME environment MOTIVATION (Psychology) TELEMEDICINE THEMATIC analysis SOUND recordings STROKE rehabilitation RESEARCH methodology TRUST STROKE patients DELPHI method SOCIAL support PSYCHOSOCIAL factors
Zdroj:	Disability & Rehabilitation; Nov2024, Vol. 46 Issue 22, p5323-5333, 11p
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. IMPLICATIONS FOR REHABILITATION: Stroke patients show motivational decreases and decreased use of eHealth tools in home-based rehabilitation after a couple of weeks. Eight motivational themes describe home-based rehabilitation motivation in stroke patients: Curiosity, Rationale, Choice, Optimal challenge, Reference, Encouragement, Social Support and Trustworthiness. Those themes are embedded into three Basic Psychological Needs: "Autonomy", "Competence", and "Relatedness". Those themes should be considered 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. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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