Related Experiment Video
Updated: Aug 5, 2026
Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
Development of a conceptual model of intertemporal decision-making ability for young and middle-aged stroke patients
Xingru Li1,2, Chao Zhang2, Yidan Liu1,2
1School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Background:
Intertemporal decision-making ability is critical for behavior change and maintenance. While a conceptual model of this ability exists for chronic patients, how it manifests in the physical activity (PA) context among young and middle-aged stroke patients is unclear. Therefore, this study aimed to contextually validate and extend the generic conceptual model, and to explore its applicability to PA among young and middle-aged stroke patients.
Methods:
This qualitative study employed semi-structured interviews with 16 stroke patients, who were purposively sampled from a hospital in Nanchang. Data were analyzed using directed content analysis.
Results:
The conceptual model comprises four dimensions: (1) impulse control (including impulse awareness and inhibition of immediate impulses); (2) emotional self-regulation (including emotional awareness and application of emotion regulation strategies); (3) future health valuation (including perceived long-term benefits of PA and the value attributed to family roles and social responsibilities); (4) future-oriented thinking and planning (including future scenario imagination, construction of causal chains, and shortening of temporal distance).
Conclusion:
The intertemporal decision-making ability of young and middle-aged stroke patients during PA exhibits multidimensional characteristics, including impulse control, emotional self-regulation, future health valuation, and future-oriented thinking and planning. Family and social responsibilities, along with warning imagery, endow these dimensions with unique connotations that extend beyond the general model. Future research should develop specific measurement tools based on the dimensional structure of this ability and design personalized intervention programs.
