ArticleFrontiers in public health2026
Breaking the adherence barrier: an information-motivation-behavioral skills model analysis of self-efficacy in stroke survivors' home-based exercise.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Cross-Cultural Adaptation and Validation of the Chinese Version of the Exercise Adherence Rating Scale (EARS) in Older Patients with Urinary Incontinence After Prostate Cancer Surgery.Journal of multidisciplinary healthcare · 2026Article
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Abstract
Background: Adherence to home-based exercise is essential for functional recovery after stroke, yet non-adherence is common and poorly explained. The Information-Motivation-Behavioral Skills (IMB) model has been widely applied in health behavior research but rarely tested in stroke rehabilitation. This study examined behavioral determinants of exercise adherence and tested the mediating role of self-efficacy based on the IMB framework. Methods: A cross-sectional survey was conducted among 549 ischemic stroke survivors with limb dysfunction recruited from rehabilitation clinics in Harbin, China. Participants completed validated measures of exercise adherence, stroke-related knowledge, motivation for exercise, perceived social support, and self-efficacy. Structural equation modeling (SEM) was used to test hypothesized IMB pathways while controlling for demographic and clinical covariates. Results: The final model demonstrated good fit ( Conclusion: Self-efficacy is a central behavioral mechanism underlying home exercise adherence after stroke. The IMB framework offers a useful foundation for designing adherence-enhancing interventions that build confidence, reinforce progressive mastery, and integrate social support in rehabilitation planning.
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