Understanding the facilitators and barriers of stroke survivors’ adherence to recovery-oriented self-practice: a thematic synthesis
Open accessAbstract
Purpose Stroke survivors receive considerable rehabilitation efforts as inpatients, but one-on-one therapy decreases after discharge. The gap between the amount of required therapy and the lack of its availability in this phase of care may be partly overcome by self-practice. However, patient's adherence to prescribed programs is often low. While single studies have examined factors affecting adherence in this specific case, they have not been reviewed and synthesised previously. Methods A thematic synthesis of qualitative studies explored factors affecting stroke survivors' adherence to prescribed, recovery-oriented self-practice. Five databases were systematically searched for references: Medline, Psycinfo, CINAHL, Embase, and ASSIA. Quality assessment was undertaken using the CASP tool. Results From 1308 references, 68 potential papers were read in full, and 12 were included in the review. An overarching theme was identified as: "Tailoring and personalization rather than standardization." It was informed by the following three analytical themes: "The meaning of 'self' in self-practice," "Identifying self-practice as a team effort," and "Self-practice that is grounded in one's reality." Conclusion To have a positive effect on adherence to self-practice, clinicians are advised to spend time learning about each individual's life circumstances, so they can tailor proposed exercise programs to patients' personal situations, preferences, and needs.IMPLICATIONS FOR REHABILITATION…
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Effective communication between healthcare providers and patients is crucial for promoting patients' adherence to rehabilitation programs.
“Effective communication between healthcare providers and patients is crucial for promoting patients' adherence to rehabilitation programs.”
From A Data Visualization Tool for Patients and Healthcare Providers to Communicate during Inpatient Stroke Rehabilitation (2024) · cites this paper as [14]
Adherence to rehabilitation programs is key to recovery for stroke patients.
“Adherence to these programs is the key to recovery [14].”
From A Data Visualization Tool for Patients and Healthcare Providers to Communicate during Inpatient Stroke Rehabilitation (2024) · cites this paper as [14]
Cites
Methods for the thematic synthesis of qualitative research in systematic reviews
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Ramesh, S. H., Ouskine, A., Khorasani, E., Ebrahimipour, M., Finestone, H., Chan, A. D. C., & Rajabiyazdi, F. (2024) · Graphics Interface · doi:10.1145/3670947.3670978 · Cited by 7 · see citing works
- Authors
- Vadas, D., Prest, K., Turk, A., & Tierney, S.
- Affiliations
- University of Oxford (GB)
- Corresponding author
- Vadas, Dor
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2021-08-30
- Volume
- 44
- Issue
- 22
- Pages
- 6608-6619
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W3197350405
- Cited by
- 18
- References
- 4
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 6 · 2023: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Disability and Rehabilitation (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- stroke rehabilitation, self-practice, exercise adherence, post-discharge rehabilitation, personalized rehabilitation, patient preferences, barriers to adherence, facilitators of adherence, COVID-19 pandemic, telerehabilitation
- MeSH terms
- Stroke Rehabilitation, COVID-19, Aftercare, Humans, Patient Discharge, Survivors, Stroke
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