Barriers and facilitators to engagement in rehabilitation for people with stroke: a review of the literature

I'm impressed with this as an undergraduate project.
http://physiotherapy.org.nz/assets/Professional-dev/Journal/2013-November/ML-Roberts-LR.pdf

Grace A MacDonald

BHSc (Physiotherapy), NZRP

Physiotherapist (Shore Physiotherapy)

Nicola M Kayes

BS

c

,

MSc(Hons), PhD

Senior Lecturer, Person Centred Research Centre, Health and Rehabilitation Research Institute, AUT University

Felicity Bright

BSLT (Hons), MHSc (Hons), MNZSTA

Speech Language Therapist, School of Rehabilitation and Occupation Studies

PhD Candidate, Person Centred Research Centre, Health and Rehabilitation Research Institute, AUT University

 

ABSTRACT

While there is a growing acknowledgement of the significant role that engagement plays in rehabilitation, there is limited knowledge

of the factors that may help or hinder engagement in stroke rehabilitation. This review drew on systematic principles and aimed

to explore what is currently known about the perceived barriers and facilitators to engagement in stroke rehabilitation. EBSCO,

SCOPUS and Google Scholar databases and reference lists were searched for papers that provided insight into the process of

engagement or disengagement in stroke rehabilitation.

Data were extracted and synthesised thematically from 17 papers. Themes

included goal setting, therapeutic connection, personalised rehabilitation, paternalism versus independence, patient centered practice,

knowledge is power, and feedback and achievement. None of the papers identified however, explicitly sought to investigate the

complexities of engagement in rehabilitation specifically within the stroke population. Future research is needed to explore this topic

in more depth from the perspective of all the key stakeholders. A more comprehensive understanding of engagement in stroke

rehabilitation may inform the development of interventions to better equip rehabilitation providers with the clinical skills to facilitate

engagement and effectively deliver rehabilitation modalities.

MacDonald GA, Kayes NM, Bright F (2013) Barriers and facilitators to engagement in rehabilitation for people with

stroke: a review of the literature New Zealand Journal of Physiotherapy 41(3): 112-121

Full 10 page paper at the link.