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Stroke patients' knowledge, attitudes, and practices regarding home-based exercise and psychological rehabilitation
Tianjiao Dai1,2, Ying Zou2, Hongbo Li3
1School of Sport Science, Beijing Sport University, Beijing, China.
Frontiers in Medicine
|July 11, 2025
Summary
Stroke patients show good attitudes and practices for rehabilitation but lack knowledge. Improving patient education on home exercise and psychological support is key to better recovery outcomes.
Area of Science:
- Rehabilitation Medicine
- Neuroscience
- Public Health
Background:
- Stroke rehabilitation is vital for recovery, encompassing physical and psychological aspects.
- Home-based exercise and psychological programs are crucial for patient well-being and reducing depressive symptoms post-stroke.
Purpose of the Study:
- To assess the knowledge, attitudes, and practices (KAP) of stroke patients regarding home-based exercise and psychological rehabilitation.
- To identify factors influencing patient practices in stroke rehabilitation.
Main Methods:
- A cross-sectional survey was conducted with 499 stroke patients across 37 institutions.
- Structured questionnaires assessed demographic data and KAP related to stroke rehabilitation.
- Multivariate logistic regression and structural equation modeling (SEM) were used for analysis.
Main Results:
- Patients demonstrated positive attitudes and practices but had a median knowledge score of 9.03 (out of 20).
- Higher knowledge and attitude scores, employment, and retirement status were associated with better practice.
- SEM confirmed that knowledge directly impacts attitude and practice, with attitude mediating the knowledge-practice relationship.
Conclusions:
- Stroke survivors generally have favorable attitudes and practices towards rehabilitation but require enhanced knowledge.
- Educational interventions focusing on improving patient knowledge are essential for optimizing rehabilitation adherence and outcomes.
- Targeted educational strategies can improve the effectiveness of home-based exercise and psychological rehabilitation programs.
Keywords:
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