ArticleFrontiers in neurology
An analysis of factors and pathways related to rehabilitation motivation in stroke patients based on self-determination theory.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: Based on self-determination theory, this study investigates the current state of rehabilitation motivation among stroke patients and its psychosocial correlates, providing evidence for developing a motivation-enhancing intervention model. Methods: Using convenience sampling, 430 stroke patients were recruited from the inpatient wards of the neurology, neurosurgery, and rehabilitation medicine departments at two Grade A Level 3 hospitals in Lanzhou. Data collection employed a demographic questionnaire, Stroke Rehabilitation Motivation Scale, Social Support Rating Scale, General Self-Efficacy Scale, Hospital Anxiety and Depression Scale, and Craig Hospital Inventory of Environmental Factors. Descriptive analysis, correlation analysis, and multiple linear regression analysis were performed using SPSS 26.0, while structural equation modeling was constructed with AMOS 28.0. Results: The mean rehabilitation motivation score for stroke patients was (105.73 ± 22.03) points, indicating a moderately high level. Multivariate linear regression analysis revealed that monthly household income, family relationships, employment status, rehabilitation duration, self-efficacy, social support, anxiety-depression, and environmental factors were significant predictors of rehabilitation motivation ( Conclusion: Rehabilitation motivation in stroke patients is influenced by multifaceted factors. It is recommended to implement family-centered, psychosocially integrated motivational intervention strategies, incorporating digital technology to enhance the rehabilitation experience and optimize the rehabilitation support system.
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