ArticleFrontiers in public health2026
Financial toxicity and exercise adherence in stroke patients: a parallel mediation model of perceived social support and self-efficacy.
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. Not yet cited in PubMed.
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Abstract
Objective: To analyze the relationship between financial toxicity and exercise adherence among stroke patients and to test the parallel mediating effects of perceived social support and self-efficacy. Methods: Using convenience sampling, 362 stroke patients were surveyed from September 2024 to July 2025. The survey instruments included Basic Information Questionnaire, Comprehensive Scores for Financial Toxicity Based on the Patient-Reported Outcome Measures, Stroke Self-Efficacy Questionnaire, Perceived Social Support Scale, and Questionnaire of Exercise Adherence. Pearson correlation analysis, structural equation modeling, and Bootstrap methods were applied to examine the connections among stroke patients' financial toxicity, self-efficacy, perceived social support, and exercise adherence. Results: The correlations between financial toxicity, self-efficacy, perceived social support, and exercise adherence were statistically significant ( Conclusion: Financial toxicity is significantly associated with exercise adherence among stroke patients. An indirect association was also observed between financial toxicity and exercise adherence via self-efficacy and perceived social support. This suggests that in clinical practice, in addition to addressing financial toxicity, it is also important to enhance patients' self-efficacy and strengthen social support to promote exercise adherence.
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