Determining Predictors of Self-reported Adherence to Rehabilitation Home Programs for Persons with Acquired Brain Injury: A Prospective Observational Study.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI:10.1177/10538135241296736

Elena V Donoso Brown, Sarah E Wallace, Seth E Tichenor, Rebecca Blemler, Brooke Foundas

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引用次数: 0

Abstract

BackgroundPersons with acquired brain injury are often prescribed home programs to extend rehabilitation services and support recovery, however adherence to these recommendations is often low.ObjectiveThe purpose of this study was to determine factors that predict differing levels of self-reported adherence.MethodsThis was a prospective observational study that was completed from June 2022 to December 2023. We recruited persons with acquired brain injury who met specific inclusion and exclusion criteria. Before leaving the inpatient rehabilitation hospital, they completed a medical history form, home program description interview, and a modified version of the Self-Efficacy for Exercise Scale. Then, participants completed a weekly survey regarding self-reported home program adherence. At the end of six months, the participants did a closing interview.ResultsSeventy-seven participants completed the intake procedures and at least one weekly survey. Several models were developed to determine predictive factors. Higher self-efficacy, fewer reported barriers, and the perception of social support were all predictors of self-reported home program adherence.ConclusionThe predictors identified here can be leveraged by therapists to determine the need for additional support or intervention around home program adherence.

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获得性脑损伤患者自我报告的家庭康复计划依从性的预测因素：一项前瞻性观察研究。

背景：获得性脑损伤患者通常会被规定家庭方案来延长康复服务和支持恢复，然而这些建议的依从性通常很低。目的本研究的目的是确定预测不同程度的自我报告依从性的因素。方法本研究为前瞻性观察性研究，于2022年6月至2023年12月完成。我们招募了符合特定纳入和排除标准的获得性脑损伤患者。在离开康复医院之前，他们完成了一份病史表、家庭项目描述访谈和一份修改版的运动自我效能量表。然后，参与者完成了一项关于自我报告的家庭计划依从性的每周调查。六个月后，参与者进行了最后的面试。结果77名参与者完成了纳入程序和至少每周一次的调查。开发了几个模型来确定预测因素。较高的自我效能、较少的障碍报告和社会支持的感知都是自我报告的家庭计划依从性的预测因子。结论：这里确定的预测因素可以被治疗师用来确定是否需要额外的支持或干预家庭项目的依从性。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.