ArticleJournal of neurologic physical therapy : JNPT2019
Belief, Confidence, and Motivation to Use the Paretic Upper Limb in Daily Life Over the First 24 Weeks After Stroke.
Article in Journal of neurologic physical therapy : JNPT, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Korean Version of the Confidence of Arm and Hand Movement Scale and Its Psychometric Properties.Annals of rehabilitation medicine · 2025Article
- ICF classification of therapeutic goals for outpatient episodes of neurorehabilitation in post-stroke and Parkinson disease.Disability and rehabilitation · 2024Article
- Predicting later categories of upper limb activity from earlier clinical assessments following stroke: an exploratory analysis.Journal of neuroengineering and rehabilitation · 2023Article
- Article
- Perceived Facilitators and Barriers for Actual Arm Use during Everyday Activities in Community Dwelling Individuals with Chronic Stroke.International journal of environmental research and public health · 2022Article
- Sensor-based categorization of upper limb performance in daily life of persons with and without neurological upper limb deficits.Frontiers in rehabilitation sciences · 2021Article
- Relationship Between Body-Specific Attention to a Paretic Limb and Real-World Arm Use in Stroke Patients: A Longitudinal Study.Frontiers in systems neuroscience · 2021Article
- Upper Limb Performance in Daily Life Improves Over the First 12 Weeks Poststroke.Neurorehabilitation and neural repair · 2019Article
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Authors and funding
5 authors.
Funding
Abstract
background and purposeThe recovery patterns of upper limb (UL) impairment after stroke are established. Psychosocial factors such as belief that paretic UL recovery is possible, confidence, and motivation to use the paretic UL in everyday tasks are unexplored early after stroke. The purpose of this exploratory study was to characterize belief, confidence, and motivation to use the paretic UL in daily life, and self-perceived barriers to UL recovery over the first 24 weeks after stroke.
methodsThis was a longitudinal cohort study (N = 30) with 8 assessment sessions over the first 24 weeks after stroke. Belief, confidence, and motivation to use the paretic UL and self-perceived barriers were quantified via survey and analyzed using descriptive statistics. Change in the number of self-perceived barriers between weeks 2 and 24 was tested using a paired-samples t test. The relationship between UL capacity, depressive symptomatology, cognition, and each psychosocial factor was examined using Spearman rank-order correlation analyses.
resultsTwenty-two participants completed all study assessments. Belief, confidence, and motivation were high across the 24 weeks, with little variation. There was no difference between the average number of barriers from weeks 2 to 24. There was no relationship between the clinical measures and psychosocial factors at week 2, 12, or 24. DISCUSSION AND
conclusionsHigh levels of belief, confidence, and motivation appear consistent over the first 6 months after stroke. The lack of correlations between psychosocial factors and clinical measures suggests belief, confidence, and motivation may not be vulnerable to functional status early after stroke.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1 available at: http://links.lww.com/JNPT/A283).
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