Perseverance with home-based upper limb practice after stroke: perspectives of stroke survivors and their significant others

Neibling, Bridee, Hayward, Kathryn S., Smith, Moira, Chapman, Paul, and Barker, Ruth N. (2023) Perseverance with home-based upper limb practice after stroke: perspectives of stroke survivors and their significant others. Disability and Rehabilitation. (In Press)

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Abstract

Purpose: The aim of this study was to explore factors that influence stroke survivors’ ability to persevere with home-based upper limb practice.

Methods: A qualitative descriptive study embedded within a theoretical framework was conducted. Data were collected through semi-structured focus group, dyadic, and individual interviews. The Theoretical Domains Framework and Capability, Opportunity, Motivation – Behaviour (COM-B) model guided data collection and directed content analysis.

Findings: Participants were 31 adult stroke survivors with upper limb impairment, with 13 significant other/s, who were living at home in Queensland, Australia. Three central tenants aligned with the COM-B and six themes were identified. Stroke survivors’ capability to persevere was influenced by being physically able to practice and being able to understand, monitor and modify practice, their opportunity to persevere was influenced by accessing therapy and equipment required for practice and fitting practice into everyday life, and their motivation to persevere was influenced by having goals and experiencing meaningful outcomes and having support and being accountable.

Conclusion: Persevering with practice is multifaceted for stroke survivors. All facets need to be addressed in the design of strategies to enhance stroke survivors’ ability to persevere and in turn, enhance their potential for continued upper limb recovery.

Item ID: 78826
Item Type: Article (Research - C1)
ISSN: 1464-5165
Keywords: perseverance, stroke, upper limb, rehabilitation
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Copyright Information: © 2023 the Author(s). Published by Informa UK limited, trading as Taylor & Francis Group. This is an open access article distributed under the terms of the Creative Commons attribution license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. the terms on which this article has been published allow the posting of the accepted Manuscript in a repository by the author(s) or with their consent.
Funders: National Health and Medical Research Council (NHMRC)
Projects and Grants: NHMRC Fellowship APP1088449
Date Deposited: 31 May 2023 05:09
FoR Codes: 42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420109 Rehabilitation @ 50%
42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420106 Physiotherapy @ 50%
SEO Codes: 20 HEALTH > 2003 Provision of health and support services > 200301 Allied health therapies (excl. mental health services) @ 100%
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