Applying a Motivational Instructional Design Model to Stroke Rehabilitation: A Feasibility Study on Occupational and Swallowing Therapies

 You don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION, DO YOU? You create 100% recovery protocols and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE! 

The problem is stroke researchers are not motivated to solve stroke. What the fuck is your solution to that failure? We still don't know how to motivate stroke medical 'professionals' to solve stroke to 100% recovery!

 Applying a Motivational Instructional Design Model to Stroke Rehabilitation: A Feasibility Study on Occupational and Swallowing Therapies

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https://doi.org/10.1016/j.arrct.2024.100344Get rights and content

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Abstract

Objective

To investigate the feasibility of post-stroke interventions using a motivational instructional design model with occupational and swallowing therapies and the model's potential physical and mental health effects.

Design

An open-label, single-arm, feasibility study on the Attention, Relevance, Confidence, and Satisfaction (ARCS) model.

Setting

Two convalescent rehabilitation wards.

Participants

Twenty-five patients with stroke (19 males; mean age 62.4 ± 11.9 years; 61.9 ± 36.8 days from the first stroke) were recruited.

Interventions

Twelve participants received a motivational approach based on the ARCS model during occupational therapy (OT group), and 13 received it during swallowing therapy (ST group). The intervention lasted 40–60 min daily, 5 days weekly, for 4 weeks.

Main Outcome Measures

The primary outcomes included the drop-out rate, an adverse event, and the participants’ acceptability of the intervention. Paretic arm function was assessed in the OT group, swallowing ability in the ST group, and activities of daily living, depressive symptoms, and apathy in both groups.

Results

No participants dropped out of the intervention or experienced an adverse event. Twenty-one participants (84%) were satisfied with the intervention, and 19 (76%) hoped to continue receiving it. The OT group showed statistically significant improvements in paretic arm function and activities of daily living for the OT group (Cohen's r = 0.68–0.77), whereas the ST group improved in swallowing ability, activities of daily living, and depressive symptoms (Cohen's r = 0.62–0.85).

Conclusions

The interventions using the motivational instructional model with occupational and swallowing therapies were feasible and could improve post-stroke paretic arm function, swallowing ability, and activities of daily living after stroke.