Kazuaki Oyake1, Makoto Suzuki2, Yohei Otaka3, Kimito Momose1, Satoshi Tanaka4. 1. Department of Physical Therapy, School of Health Sciences, Shinshu University, Nagano. 2. Faculty of Health Sciences, Tokyo Kasei University, Saitama. 3. Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Aichi. 4. Laboratory of Psychology, Hamamatsu University School of Medicine, Shizuoka, Japan. Electronic address: tanakas@hama-med.ac.jp.
Abstract
OBJECTIVES: The primary objective was to provide a list of effective motivational strategies based on consensus among rehabilitation experts, generated using the Delphi technique. The secondary objective was to identify the types of information that are important when selecting motivational strategies. DESIGN: Delphi study. SETTING: On-site survey at academic conferences and web-based survey. PARTICIPANTS: Rehabilitation experts (N=198) including physicians, physical therapists, occupational therapists, and speech-language-hearing therapists who had worked in stroke rehabilitation for at least 5 years. INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Panelists were asked to rate the effectiveness of motivational strategies and to rate the importance of different types of information using a 5-point Likert scale. Consensus was defined as having been reached for items with an interquartile range of 1 or less. RESULTS: A total of 116 experts (58.6%) completed the third round of the Delphi survey. Consensus was reached on all of the 26 presented strategies. Seven strategies, such as control of task difficulty and goal setting, were considered to be very effective in increasing patient motivation. In addition, all 11 of the presented types of information regarding patient health status, environmental factors, and personal factors were deemed very important or important in determining which motivational strategies to use. CONCLUSIONS: We generated a list of effective motivational strategies for stroke rehabilitation based on expert consensus. Our results suggest that experts consider a comprehensive range of patient information when choosing motivational strategies. These findings represent a group of consensus-based recommendations for increasing patient adherence to stroke rehabilitation programs, which may be beneficial to many medical professionals working in stroke rehabilitation.
OBJECTIVES: The primary objective was to provide a list of effective motivational strategies based on consensus among rehabilitation experts, generated using the Delphi technique. The secondary objective was to identify the types of information that are important when selecting motivational strategies. DESIGN: Delphi study. SETTING: On-site survey at academic conferences and web-based survey. PARTICIPANTS: Rehabilitation experts (N=198) including physicians, physical therapists, occupational therapists, and speech-language-hearing therapists who had worked in stroke rehabilitation for at least 5 years. INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Panelists were asked to rate the effectiveness of motivational strategies and to rate the importance of different types of information using a 5-point Likert scale. Consensus was defined as having been reached for items with an interquartile range of 1 or less. RESULTS: A total of 116 experts (58.6%) completed the third round of the Delphi survey. Consensus was reached on all of the 26 presented strategies. Seven strategies, such as control of task difficulty and goal setting, were considered to be very effective in increasing patient motivation. In addition, all 11 of the presented types of information regarding patient health status, environmental factors, and personal factors were deemed very important or important in determining which motivational strategies to use. CONCLUSIONS: We generated a list of effective motivational strategies for stroke rehabilitation based on expert consensus. Our results suggest that experts consider a comprehensive range of patient information when choosing motivational strategies. These findings represent a group of consensus-based recommendations for increasing patient adherence to stroke rehabilitation programs, which may be beneficial to many medical professionals working in stroke rehabilitation.
Authors: Daniela Montoya; Patricio Barria; Carlos A Cifuentes; Luis F Aycardi; André Morís; Rolando Aguilar; José M Azorín; Marcela Múnera Journal: Sensors (Basel) Date: 2022-03-31 Impact factor: 3.576
Authors: Jenna Tosto-Mancuso; Laura Tabacof; Joseph E Herrera; Erica Breyman; Sophie Dewil; Mar Cortes; Loreene Correa-Esnard; Christopher P Kellner; Neha Dangayach; David Putrino Journal: Curr Neurol Neurosci Rep Date: 2022-03-12 Impact factor: 6.030