Capability, opportunity, motivation, and social participation after stroke

Gingrich, Nicole; Bosancich, Jacob; Schmidt, Julia; Sakakibara, Brodie M.

doi:10.1080/10749357.2022.2070358

Cited by 3 publications

(2 citation statements)

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“…This may be because patients with low motivation cannot accurately describe their state. Previous studies mostly used a single scale (self-assessment scale) to evaluate patients’ motivation ( 10 , 18 , 23 , 30 ), which might miss some stroke populations with low motivation, hindering screening and timely intervention. As shown by the results of this study, combining self-assessment and observer-assessment scales is beneficial for identifying patients with low motivation.…”

Section: Discussionmentioning

confidence: 99%

“…In the context of rehabilitation training, motivation primarily manifests as the patient’s initiative to participate in rehabilitation tasks, the extent of their involvement during rehabilitation, and their willingness to dedicate time to rehabilitation training ( 9 ). Rehabilitation motivation is influenced by a variety of factors, including internal and external environmental aspects, with contributing factors to its decline possibly related to individual characteristics (such as cognition and emotion) and external support factors ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

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The relationship between rehabilitation motivation and upper limb motor function in stroke patients

Li,

Zhu,

et al. 2024

Front. Neurol.

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ObjectiveInsufficient motivation among post-stroke survivors may be an important factor affecting their motor function recovery. This study seeks to investigate the relationship between motivation and functional recovery in stroke patients undergoing rehabilitation training.Materials and methods103 stroke patients with upper limb impairments were studied during their hospital stays. Assessments were done before and after rehabilitation training to measure motivation, emotional state, motor function, and independence in daily activities. Data analysis was conducted to examine the distribution of these factors among the participants. Pearson and Spearman correlation analyses were used to study the relationships between motivation, emotional state, and motor function. Patients were divided into high and low motivation groups based on the Rehabilitation Motivation Scale (RMS), and chi-square and rank-sum tests were used to compare functional differences before and after treatment among patients with varying levels of motivation.Results66 participants were found to have low motivation in the initial assessment of the RMS (64.08%). Consistency in motivation levels was observed among patients with high motivation (r = 0.648, P<0.001). Apathy was identified as the main factor affecting motivation in patients with low motivation (p = 0.027), while depression and anxiety were not significantly correlated. Motivation was strongly linked to improvements in upper limb motor function, daily living activities, and self-exercise duration (p < 0.001) for stroke patients undergoing rehabilitation. Post-training, there was a notable increase in motivation, motor function, and independence in daily activities (p < 0.001). Increased rehabilitation motivation was linked to better upper limb motor function and daily independence in patients, particularly those with low motivation. This correlation was significant for both the FMA-UE and FIM scores.DiscussionOld patients with poor upper limb motor function often have low motivation, which hinders their recovery. Using strategies to boost motivation in stroke patients with impaired upper limb function could greatly improve their rehabilitation and motor skills. It is crucial to prioritize these intervention strategies.ConclusionEnhancing rehabilitation motivation in stroke patients with low motivation and upper limb motor impairments can foster the restoration of their functional capabilities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The relationship between rehabilitation motivation and upper limb motor function in stroke patients

Li,

Zhu,

et al. 2024

Front. Neurol.

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Understanding barriers and facilitators to long-term participation needs in children and young people following acquired brain injuries: a qualitative multi-stakeholder study

Keetley,

Manning,

Williams

et al. 2024

Brain I.

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Background This study focused on exploring the longer-term participation needs of children and young people with acquired brain injury (CYP-ABI) and their families in one region of the UK and identifying the barriers and facilitators of their participation and well-being to inform the development of a behavioural change intervention for clinical implementation. Methods Qualitative interviews were conducted with CYP-ABI and parents. Focus groups were created with health, education, care and charity stakeholders. The International Classification of Functioning, Disability and Health (ICF) and the Behaviour Change Wheel (BCW) were used to map needs, barriers and facilitators. Results A total of 10 CYP/parent dyads (n = 20) and 17 health, education, care and charity stakeholders were included in this study. Unmet participation needs were mapped to the ICF and barriers/facilitators to the BCW. Significant unmet needs impacting CYP-ABI participation and family well-being were found. Barriers spanned ‘Capability’, ‘Opportunity’ and ‘Motivation’, the greatest being knowledge, skills, social influences, environmental context and resources, social identity and emotion. Facilitators included increasing awareness and understanding, supporting parents, long-term access to specialist assessment and rehabilitation, peer support and integrated collaborative pathways. Conclusion The long-term impact of ABI on CYP and families’ participation and well-being were significant, with barriers spanning every sector and level of society. Implementation of collaborative, cross-sector (education, health and social care) accessible and family-centred care pathways is needed to meet the long-term needs of CYP-ABI and their families, ensuring equity of access. Multi-modal, family-centred, needs-led, theory-based interventions should be co-developed with CYP, families and stakeholders to improve the health and well-being outcomes and the lives of CYP-ABI and their families.

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Wild dog management: understanding rural landholders’ willingness to participate in coordinated control programs

McLeod

Hine

2023

Australasian Journal of Environmental Management

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Capability, opportunity, motivation, and social participation after stroke

Cited by 3 publications

References 62 publications

The relationship between rehabilitation motivation and upper limb motor function in stroke patients

The relationship between rehabilitation motivation and upper limb motor function in stroke patients

Understanding barriers and facilitators to long-term participation needs in children and young people following acquired brain injuries: a qualitative multi-stakeholder study

Wild dog management: understanding rural landholders’ willingness to participate in coordinated control programs

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