Factors Influencing Rehabilitation Behavior in Stroke Patients

Abstract

Background: Stroke has high incidence and disability rates; rehabilitation is key to reducing disability and improving quality of life. This study identifies factors influencing rehabilitation behavior, supporting the development of personalized plans. Methods: This study identified stroke rehabilitation factors using the CFIR and created a questionnaire for follow-up analysis. Results: Qualitative interviews identified multiple barriers and facilitators across CFIR domains: patients (13 each, 5 domains), caregivers (14 barriers, 15 facilitators, 5 domains), and healthcare workers (14 barriers, 12 facilitators, 4–5 domains).Factor analyses of the questionnaires revealed levels of pain or discomfort (P=0.017), annoyance with daily activities (P=0.007), annoyance with social interaction (P=0.015), understanding of healthcare staff's explanations of the condition (P=0.046), accurate understanding of post-stroke rehabilitation (P=0.024), and the individual's sense of identification with the organization (P=0.003). (P=0.003) were associated with rehabilitation behavior. The difference was statistically significant (P<0.05). Conclusions: This study used interviews and questionnaires to identify key factors influencing stroke patients’ and caregivers’ rehabilitation behaviors, highlighting links between behavior, context, and individual traits to support personalized rehabilitation.