Application of the Information-Motivation-Behavioral Skill Model in Rehabilitation Training for Stroke Patients

 

You're that fucking clueless that you UNDERSTAND NOTHING ABOUT SURVIVOR MOTIVATION! My god, I'd have you all fired for stupidity!

My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION/DEMORALIZATION, DO YOU? You create EXACT 100% recovery protocols, and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. I'd fire all of you for absurd incompetence! GET THERE!

Here's my email: oc1dean@gmail.com Tell me EXACTLY where I'm wrong! Difficulty in getting to those protocols will not be tolerated as an excuse. You've known of this problem of 100% recovery since your education, so you've had years if not decades to work on it! Comeuppance is going to be a bitch when you are the 1 in 4 per WHO that has a stroke? Then you just might want 100% recovery. Or you can be like me where half my life will be disabled!

Application of the Information-Motivation-Behavioral Skill Model in Rehabilitation Training for Stroke Patients

Y

Yingying Peng

R

Rue Zheng

W

Wenjie Gan

L

Limian Feng



Yanzhen Zhai

• Fifth Affiliated Hospital, Southern Medical University, Guangzhou, China

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Abstract

Objective: 

This study aimed to evaluate a multidisciplinary rehabilitation program aligned with Information-Motivation-Behavioral Skills (IMB) model principles and its association with self-efficacy, functional recovery, quality of life, and caregiver burden among stroke survivors. 

Methods: 

A quasi-experimental, non-randomized controlled trial was conducted with 112 stroke patients. the IMB group received a 3-month IMB-based program integrating neurologists, rehabilitation therapists, psychologists, and caregivers, focusing on information delivery, motivational interviewing, and personalized behavioral training. The usual-care group received standard care. Outcomes included self-efficacy (SSEQ), motor function (Fugl-Meyer Assessment, FMA), daily living ability (Barthel Index, BI), quality of life (SS-QOL), psychological status (HAMD, HAMA), and caregiver burden (ZBI), assessed at baseline and post-intervention. 

Results: 

The IMB group had higher scores than usual-care group: self-efficacy (+82.5% from baseline; SSEQ: 82.5 ± 7.3 vs. 57.8 ± 8.1; P<0.001), motor function (+79.4%; FMA: 68.9 ± 10.2 vs. 50.3 ± 9.5; P<0.001), and quality of life (+71%; SS-QOL: 89.4 ± 11.6 vs. 65.2 ± 10.9; P<0.001). Anxiety (HAMA: 7.5 ± 2.8 vs. 13.6 ± 3.5) and depression (HAMD: 9.2 ± 3.1 vs. 14.8 ± 4.2) scores were lower in the IMB group and fell within the subclinical range (P<0.001), as was caregiver burden (−31%; ZBI: 28.4 ± 6.3 vs. 41.2 ± 7.1; P<0.001). 

Conclusion: 

The IMB-based multidisciplinary intervention was associated with stroke recovery outcomes and reduced caregiver stress. This model suggests a potentially scalable approach that warrants further investigation. Its integration of behavioral strategies with neurorehabilitation principles bridges a critical gap in holistic stroke care, emphasizing the importance of self-efficacy and multidisciplinary collaboration.