ArticleFrontiers in psychiatry2023
Influencing factors of home exercise adherence in elderly patients with stroke: A multiperspective qualitative study.
Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Predicting Home Exercise Adherence after Ischemic Stroke: Development and Validation of a Web-Based Nomogram.Brain and behavior · 2026Article
- Effectiveness and improving program adherence among the older adults through competitive health promotion activities.BMC research notes · 2026Article
- Meta-synthesis of qualitative studies on home-based exercise rehabilitation experiences among stroke patients: a continuity of care perspective.Frontiers in rehabilitation sciences · 2026Review
- This is a personal journey: a qualitative study on the influencing factors of home-based exercise rehabilitation behavior among stroke survivors.Frontiers in neurology · 2026Article
- Breaking the adherence barrier: an information-motivation-behavioral skills model analysis of self-efficacy in stroke survivors' home-based exercise.Frontiers in public health · 2026Article
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- Identification of Facilitators and Barriers to Functional Ability in Elderly Stroke Patients: A Descriptive Qualitative Study.Journal of multidisciplinary healthcare · 2025Article
- Endoscopic Endonasal Approach for Clival Chordomas in Elderly Patients: Clinical Characteristics, Patient Outcome, and Recurrence Rate.Journal of neurological surgery. Part B, Skull base · 2024Article
- Stroke survivor and caregiver experiences of virtual reality gaming to promote social participation: A qualitative study.PloS one · 2024Article
- Caregiver perceptions of usual care home programs for persons with acquired brain injury: a qualitative descriptive study.Frontiers in rehabilitation sciences · 2024Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Evidence has shown that stroke exercise rehabilitation is the most effective way to improve disease prognosis, but home exercise adherence in elderly patients with stroke is low due to they are more likely to have movement disorders, cognitive disorders, mental disorders, etc. Currently, most studies on exercise adherence in elderly patients with stroke are quantitative, and there is a lack of qualitative studies from the perspective of patients, caregivers, and medical staff. Considering the importance of home exercise adherence in elderly patients with stroke, the present study aimed to explore the influencing factors of home exercise adherence in them and summarize the potential ways to improve it. Methods: From October to December 2022, 9 medical staff, 12 elderly patients with stroke and 7 caregivers from a level A tertiary hospital and community health service center in Nanjing, Jiangsu Province were selected by the purposive sampling and were interviewed in a face-to-face semi-structured way. The data were analyzed and summarized by the phenomenological analysis of Colaizzi's method. Results: The influencing factors of home exercise adherence in elderly patients with stroke can be summarized into 3 themes and 8 subthemes. These were individual factors (physical impairment, exercise self-efficacy, and depression), family factors (caregiving ability and emotional support); and stroke rehabilitation environment (exercise prescription, monitoring and feedback, and organizational policy). Conclusion: Home exercise adherence in elderly patients with stroke was influenced by many factors. Medical staff should assess the patient's physical function and depression, establish a multi-support system, formulate personalized exercise prescription, pay attention to the monitoring and feedback of home-based exercise rehabilitation, and improve the home-based rehabilitation model for stroke, so as to improve the home exercise adherence in elderly patients with stroke and promote the best rehabilitation effect.
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