You wouldn't need motivational strategies if you had EXACT STROKE PROTOCOLS LEADING TO 100% RECOVERY. That would be enough to motivate all stroke survivors even if you asked them to do 1 million reps. You are solving a secondary problem. Damn it all, work on the primary problem, 100% recovery.
From Their Perspective: A Qualitative Analysis of Stroke Survivor’s Motivation to Participate in Rehabilitation
Description/Abstract
Introduction: It is common practice for healthcare professionals to make judgments about a patient's motivation based on their demeanor and compliance with therapy. Motivation is one of the predictors used to determine a stroke survivor's rehabilitation potential. There are several theories and constructs for motivation; however, there is limited research applying these concepts in stroke rehabilitation. Rehabilitation clinicians primarily rely on their clinical judgment and consult the evidence from related fields to identify the motivational needs of a stroke survivor. The objective of this study was to understand specific barriers to participation and identify motivational needs to sustain engagement in rehabilitation from the stroke survivor's rehabilitation experiences.Method: This is a qualitative study involving six stroke survivors interviewed in two separate focus groups. The interview questions obtained information across seven themes: autonomy, competence, self-determination, self-efficacy, confidence, the external focus of attention, and relatedness. The interviews were videotaped, transcribed verbatim, then analyzed using a thematic approach.
Results: Preliminary analysis identified similar experiences for themes of relatedness, autonomy, confidence, self-determination, and competence. The analysis of the positive and negative experiences aligns to identify specific barriers and motivators for participation.
Discussion: The outcomes of this study identify barriers to participation and confirms the constructs of motivation important for participation in rehabilitation from a stroke survivor's perspective.
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