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Factors Influencing Adherence to Home-Based Exercise Rehabilitation in Stroke Patients from a Temporal Perspective:
Jianing Shao1,2, Sunling Cong3, Yuxin Han1,2
1Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, People's Republic of China.
Patient Preference and Adherence
|February 20, 2026
Summary
Temporal perspective significantly improves stroke patient adherence to home exercise rehabilitation. Developing interventions to bridge the gap between intention and behavior is crucial for long-term recovery success.
Area of Science:
- Neurorehabilitation
- Behavioral Science
- Health Psychology
Background:
- Stroke patients often struggle with adherence to home-based exercise rehabilitation.
- Understanding the psychological factors influencing adherence is critical for improving patient outcomes.
Purpose of the Study:
- To investigate factors affecting stroke patient adherence to home-based exercise rehabilitation.
- To explore the role of temporal perspective in driving rehabilitation adherence.
Main Methods:
- Mixed-methods design combining quantitative (questionnaire survey, n=289) and qualitative (semi-structured interviews, n=16) approaches.
- Sequential explanatory design to integrate findings from both phases.
- Convenience and purposive sampling strategies were employed.
Main Results:
- A significant positive correlation was found between temporal perspective and rehabilitation adherence.
- Rehabilitation intention partially mediated the relationship between temporal perspective and adherence.
- Behavioral advantage negatively moderated the intention-adherence pathway; self-regulation ability did not show significant moderation.
Conclusions:
- Temporal perspective is a key factor influencing stroke patients' adherence to home rehabilitation.
- Rehabilitation habits can shift from intention-driven to automatic, potentially weakening intention's direct effect.
- Targeted interventions are needed to address executive dysfunction and improve the transition from intention to behavior in stroke survivors.
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