Post-stroke emotional adjustment: A modified social cognitive transition model

Taylor, G.; Todman, Jonathan; Broomfield, Niall M.

doi:10.1080/09602011.2011.598403

Cited by 44 publications

(34 citation statements)

References 43 publications

(68 reference statements)

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“…Lack of initial motivation could be particularly problematic for stroke victims, who often suffer from depression, anxiety and other personality changes [35]. Such subjects may be like our own impaired subjects 6 and 8.…”

Section: Discussionmentioning

confidence: 99%

Increasing motivation in robot-aided arm rehabilitation with competitive and cooperative gameplay

Novak

Nagle

Keller

et al. 2014

Journal of NeuroEngineering and Rehabilitation

169

136

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BackgroundSeveral strategies have been proposed to improve patient motivation and exercise intensity during robot-aided stroke rehabilitation. One relatively unexplored possibility is two-player gameplay, allowing subjects to compete or cooperate with each other to achieve a common goal. In order to explore the potential of such games, we designed a two-player game played using two ARMin arm rehabilitation robots.MethodsThe game was an air-hockey task displayed on a computer monitor and controlled using shoulder movements in the ARMin robot. Three game modes were tested: single-player (competing against computer), competitive (competing against human), and cooperative (cooperating with human against computer). All modes were played by 30 unimpaired subjects and 8 impaired chronic stroke subjects. The subjects filled out the Intrinsic Motivation Inventory questionnaire after each game mode, as well as a final questionnaire about game preferences and their personality.ResultsNearly all unimpaired subjects preferred playing the two-player game modes to the single-player one, as they enjoyed talking and interacting with another person. However, there were two distinct player groups: one liked the competitive mode but not the cooperative mode while the other liked the cooperative but not the competitive mode. Unimpaired subjects who liked the competitive mode also put significantly more effort into it than into the other modes. Results from impaired subjects were similar, with even impaired subjects over 60 years old enjoying competitive gameplay. The subjects’ personalities roughly predicted which mode they would prefer, which was especially evident in a poorly-matched impaired pair that preferred the single-player mode.ConclusionsResults indicate great potential for two-player rehabilitation games, in the form of greater enjoyment as well as potentially more intensive exercise compared to single-player games. However, the right game type needs to be chosen for each subject depending on skill and personality, along with selecting an appropriate co-player. Further studies with patients that are currently enrolled in rehabilitation programs are recommended, and the subjective measures used in our study should be augmented with objective measures such as electromyography.

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Section: Discussionmentioning

confidence: 99%

Increasing motivation in robot-aided arm rehabilitation with competitive and cooperative gameplay

Novak

Nagle

Keller

et al. 2014

Journal of NeuroEngineering and Rehabilitation

169

136

View full text Add to dashboard Cite

show abstract

“…Second, we added two components to create a community of stroke survivors, and to help break through this population’s known sense of isolation, nihilism and tendency to withdraw [51–54]. We adapted the concept of Appreciative Inquiry [55], addressing root causes of success, by asking participants to share something they have accomplished, so that they begin on a note of optimism and an acknowledgement of their self-efficacy.…”

Section: Methodsmentioning

confidence: 99%

Peer education for secondary stroke prevention in inner-city minorities: Design and methods of the prevent recurrence of all inner-city strokes through education randomized controlled trial

Goldfinger

Kronish

Fei

et al. 2012

Contemporary Clinical Trials

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Background The highest risk for stroke is among survivors of strokes or transient ischemic attacks (TIA). However, use of proven-effective cardiovascular medications to control stroke risk is suboptimal, particularly among the Black and Latino populations disproportionately impacted by stroke. Methods A partnership of Harlem and Bronx community representatives, stroke survivors, researchers, clinicians, outreach workers and patient educators used community-based participatory research to conceive and develop the Prevent Recurrence of All Inner-city Strokes through Education (PRAISE) trial. Using data from focus groups with stroke survivors, they tailored a peer-led, community-based chronic disease self-management program to address stroke risk factors. PRAISE will test, in a randomized controlled trial, whether this stroke education intervention improves blood pressure control and a composite outcome of blood pressure control, lipid control, and use of antithrombotic medications. Results Of the 582 survivors of stroke and TIA enrolled thus far, 81% are Black or Latino and 56% have an annual income less than $15,000. Many (33%) do not have blood pressures in the target range, and most (66%) do not have control of all three major stroke risk factors. Conclusions Rates of stroke recurrence risk factors remain suboptimal in the high risk, urban, predominantly minority communities studied. With a community-partnered approach, PRAISE has recruited a large number of stroke and TIA survivors to date, and may prove successful in engaging those at highest risk for stroke and reducing disparities in stroke outcomes in inner-city communities.

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“…However, there remains little evidence from the perspective of the stroke survivors regarding factors that may influence their ability to use time outside of therapy to drive their own recovery. Further, the changes to physical and psychological capabilities after stroke can limit the stroke survivor's confidence [11] and capacity [12] to take responsibility of their own recovery. As a result, their main carer and clinical staff (including nurses, physiotherapy, occupational therapy, and speech therapy) often play an integral role in their recovery during inpatient rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Ability of the Stroke Survivor to Drive Their Own Recovery outside of Therapy during Inpatient Stroke Rehabilitation

Eng

Brauer

Kuys

et al. 2014

Stroke Research and Treatment

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Aim. To explore factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient rehabilitation. Method. One-on-one, in-depth interviews with stroke survivors (n = 7) and their main carer (n = 6), along with two focus groups with clinical staff (n = 20). Data was thematically analysed according to group. Results. Stroke survivors perceived “dealing with loss,” whilst concurrently “building motivation and hope” for recovery affected their ability to drive their own recovery outside of therapy. In addition, they reported a “lack of opportunities” outside of therapy, with subsequent time described as “dead and wasted.” Main carers perceived stroke survivors felt “out of control … at everyone's mercy” and lacked knowledge of “what to do and why” outside of therapy. Clinical staff perceived the stroke survivor's ability to drive their own recovery was limited by the lack of “another place to go” and the “passive rehab culture and environment.” Discussion. To enable the stroke survivor to drive their own recovery outside of therapy, there is a need to increase opportunities for practice and promote active engagement. Suggested strategies include building the stroke survivor's motivation and knowledge, creating an enriched environment, and developing daily routines to provide structure outside of therapy time.

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Post-stroke emotional adjustment: A modified social cognitive transition model

Cited by 44 publications

References 43 publications

Increasing motivation in robot-aided arm rehabilitation with competitive and cooperative gameplay

Increasing motivation in robot-aided arm rehabilitation with competitive and cooperative gameplay

Peer education for secondary stroke prevention in inner-city minorities: Design and methods of the prevent recurrence of all inner-city strokes through education randomized controlled trial

Factors Affecting the Ability of the Stroke Survivor to Drive Their Own Recovery outside of Therapy during Inpatient Stroke Rehabilitation

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