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Published on: July 2, 2013
Knowledge, Attitudes, and Practices Toward Speech and Language Rehabilitation Among Family Members of Patients with
Yaqiong Qi1, Liying Wang1, Jingying Meng2
1Rehabilitation Medicine Department, Inner Mongolia Medical University Affiliated Hospital, Hohhot, 010050, People's Republic of China.
Background:
This study aimed to investigate the knowledge, attitudes, and practices (KAP) regarding speech and language rehabilitation among family members of patients with post-stroke aphasia in Inner Mongolia.
Methods:
A cross-sectional survey was conducted at the Affiliated Hospital of Inner Mongolia Medical University from October 20, 2025 to November 16, 2025. Family members of patients with post-stroke aphasia were surveyed using a structured, self-administered questionnaire developed through expert consultation and pilot testing. The questionnaire collected demographic characteristics and assessed three dimensions: knowledge, attitudes, and practices related to speech and language rehabilitation.
Results:
A total of 489 participants were included. Most participants were female, with a mean age of 46.05 years, and were predominantly spouses or adult children of patients. The mean knowledge score was 10.38 ± 5.91 (possible range: 0-18), the mean attitude score was 43.54 ± 4.80 (possible range: 9-60), and the mean practice score was 35.29 ± 6.34 (possible range: 9-45). Spearman correlation analysis showed positive associations between knowledge and attitudes (r = 0.231, P < 0.001), knowledge and practices (r = 0.375, P < 0.001), and attitudes and practices (r = 0.400, P < 0.001). Structural equation modeling indicated direct path associations from knowledge to attitudes (β = 0.277, P = 0.008) and practices (β = 0.231, P = 0.012), while attitudes were directly associated with practices (β = 0.401, P = 0.005). An indirect path association from knowledge to practices through attitudes was also observed (β = 0.111, P = 0.006).
Conclusion:
Participants demonstrated insufficient knowledge, but generally positive attitudes and practices toward speech and language rehabilitation. Overall, attitudes played a central mediating role between knowledge and rehabilitation practices. Strengthening family-oriented education programs and improving access to professional guidance may enhance effective home-based speech and language rehabilitation for patients with post-stroke aphasia.