This
exploratory sub-study aimed to develop a framework to conceptualize
boredom in stroke survivors during inpatient rehabilitation, establish
the effect of an activity promotion intervention on boredom, and to
investigate factors that are associated with boredom. A framework was
developed and explored within a cluster non-randomised controlled trial.
Self-reported boredom was measured in 160 stroke survivors 13 (±5) days
after rehabilitation admission; 91 participants received usual-care
(control) and 69 had access to a patient-driven model of activity
promotion (intervention). Individuals with pre-existing dementia or
unable to participate in standard rehabilitation were excluded.
Hierarchical logistic regression analysis was used to identify
demographic, health and activity measures associated with boredom.
Results indicated 39% of participants were highly bored. There was no
statistically significant difference in boredom levels between treatment
groups (difference −11%, 95% CI −26% to 4%). The presence of depression
(OR 6.17, 95% CI 2.57–14.79) and lower levels of socialization (OR
0.96, 95% CI 0.92–0.99) predicted high boredom levels. This
comprehensive framework provides a foundation for understanding the many
interacting factors associated with boredom. Results suggest managing
depression and improving opportunities for socialization may support
meaningful engagement in rehabilitation to optimize recovery following
stroke.(You're totally missing the solution!)
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