The Risks and Benefits of Humour Use With Individuals After Stroke

Background. Previous research addressing the use of humour in rehabilitation has demonstrated positive benefits that have potential to contribute to collaborative relationship-focused practice. Some research points toward the multidimensional functions of humour in stroke practice, although little is known about the use of humour within occupational therapy specifically. Purpose. This study aims to uncover Canadian occupational therapists' perspectives on the risks and benefits of humour use with people who have sustained a stroke. Method. Through a Delphi study consisting of three rounds of surveys, occupational therapists identified and ranked risks and benefits of using humour. Findings. Consensus was reached on a total of 32 benefits, highlighting the role of humour in building rapport, enhancing communication, promoting emotional well-being, and increasing client motivation and engagement in therapy. These findings underscore the potential of humour to build relational capital and thereby potentially facilitate positive rehabilitation outcomes in ways consistent with collaborative relationship-focused practice. Two risks associated with humour use also gained consensus, focusing on comprehension/interpretation challenges and differences in humour preferences between clients and therapists. Conclusion. This study contributes evidence-informed insights to guide clinical practice and education, advancing our understanding of humour use as a relational practice of use in promoting collaborative relationship-focused practice for individuals post-stroke.