Stroke patients’ motivation for home-based upper extremity rehabilitation with eHealth tools

Journal article (2024)

Authors

A.J. Langerak Erasmus Medical Centre
A. J. Langerak Erasmus Medical Centre
P. D’Olivo Design Aesthetics - IDE
P. D'Olivo Design Aesthetics - IDE
O. S.A. Thijm Erasmus Medical Centre, Leiden University Medical Center
G.R.H. Regterschot Erasmus Medical Centre
G. R.H. Regterschot Erasmus Medical Centre
C. G.M. Meskers Amsterdam UMC
Valentijn Visch Design Aesthetics - IDE
V.T. Visch Design Aesthetics - IDE
V. T. Visch Design Aesthetics - IDE
J. B.J. Bussmann Erasmus Medical Centre
J.B.J. Bussmann Erasmus Medical Centre
Johannes B.J. Bussmann Erasmus Medical Centre
Research Group
Design Aesthetics (IDE) (TU Delft)
Copyright: © 2024 A.J. Langerak, P. D'Olivo, O. S.A. Thijm, G.R.H. Regterschot, C. G.M. Meskers, M.C. Rozendaal, V.T. Visch, J.B.J. Bussmann
DOI: https://doi.org/10.1080/09638288.2024.2304091
More Info
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Published Date

2024

Language

English

Faculty

Industrial Design Engineering

Department

Human-Centered Design

Research Group

Design Aesthetics

Abstract

Purpose: eHealth-based exercise therapies were developed to increase stroke patients’ adherence to home-based motor rehabilitation. However, these eHealth tools face a rapid decrease in use after a couple of weeks. This study investigates stroke patients’ motivation for home-based upper extremity rehabilitation with eHealth tools and their relation with Basic Psychological Needs. Materials and methods: This is a qualitative study using thematic analysis. We conducted semi-structured interviews with stroke patients with upper extremity motor impairments, who were discharged home from a rehabilitation centre, after they interacted with a novel eHealth coach demonstrator in their homes for five consecutive days. Results: We included ten stroke patients. Thematic analysis resulted in eight themes for home-based rehabilitation motivation: Curiosity, Rationale, Choice, Optimal challenge, Reference, Encouragement, Social Support and Trustworthiness. Those themes are embedded into three Basic Psychological Needs: “Autonomy”, “Competence”, and “Relatedness”. Conclusion: Eight motivational themes related to the three Basic Psychological Needs describe stroke patients’ motivation for home-based upper extremity rehabilitation. We recommend considering those themes when developing a home-based eHealth intervention for stroke patients to increase the alignment of eHealth tools to the patient’s needs and reduce motivational decreases in home-based rehabilitation.