ArticleBMC health services research2025
Influencing factors of self-advocacy in stroke patients from multiple perspectives: a qualitative study.
Article in BMC health services research, 2025. 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.
- Bladder, bowel, and sexual dysfunction are overlooked in the management of neurological conditions: a qualitative interview study.BMC neurology · 2026Article
- Preferences for advance care planning services among patients with recurrent stroke: a discrete choice experiment.BMC health services research · 2026Article
- Exploring the multifactorial reasons for treatment-seeking delays among young and middle-aged stroke patients: a qualitative study.BMJ open · 2026Article
- Multilevel barriers and facilitators of shared decision-making in chronic illness management: a social ecological model approach.BMC health services research · 2026Article
- Investigating the ME/CFS experience through qualitative analysis of memorial entries.PloS one · 2026Article
- Hear My Voice! The Experience of Self-Advocacy Among Patients with Enterostomy: A Qualitative Study.Nursing reports (Pavia, Italy) · 2025Article
- Experiences of Young and Middle-Aged Stroke Patients with Hemiplegia Who Actively Participate in Rehabilitation Exercises and Their Perceptions of Well-Being: A Descriptive Qualitative Study.Risk management and healthcare policy · 2025Article
- This is a personal journey: a qualitative study on the influencing factors of home-based exercise rehabilitation behavior among stroke survivors.Frontiers in neurologyArticle
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8 authors.
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Abstract
backgroundSelf-advocacy can help stroke patients actively participate in disease management and maximize health benefits, which is a central issue in chronic disease management. The aim of the study was to explore the influencing factors of self-advocacy in stroke patients from multiple perspectives.
methodsA descriptive qualitative interview study was performed. Semi-structured in-depth interviews were conducted with 19 stroke patients, 6 caregivers, and 8 medical staff from two hospitals in Henan province between October 2023 to February 2024. This study analyzed interview data using a Social Ecological Model (SEM) and content analysis strategies.
resultsFactors associated with stroke patients' self-advocacy were categorized using the social ecological model: (1) individual factors: influence of individual cognitive and psychological factors (weak sense of autonomy, insufficient disease cognition, severity of the disease, self-perceived burden, concerns about deteriorating doctor-patient relationship). (2) interpersonal factors: influence of family, peers and medical staff (insufficient family support, lack of peer support, authority of medical staff dominates). (3) community factors: influence of socio-environmental factors (shortage of medical staff, incomplete rehabilitation equipment, limited channels for information). (4) policy-economic factors: influence of existing policy (insufficient support from medical insurance, long-term financial burden).
conclusionThis study's application of a social ecological model helped to illuminate the complex and multilevel factors that may influence self-advocacy in stroke patients. Stroke patients' self-advocacy was influenced by the patients themselves, interpersonal relationships, community factors, and policy-economic factors. These findings can be used to guide the development of a multi-pronged intervention strategy to increase the level of self-advocacy for stroke patients in the self-management process.
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