成年人对约束诱导运动治疗计划的经验:使用理论领域框架和能力,机会,动机 - 行为系统的定性研究
Lauren J Christie1,2,3,4,5, Reem Rendell2,3,6, Annie McCluskey1,7
1Discipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
概括
约束诱导运动疗法 (CIMT) 的参与通过教育和社会支持得到加强,但受到疲劳和重复性炼的阻碍. 了解这些因素可以提高对中风和脑损伤幸存者的CIMT计划的坚持.
科学领域:
- 神经康复疗法 神经康复疗法
- 行为科学 行为科学
- 物理疗法物理治疗
背景情况:
- 约束诱导运动疗法 (CIMT) 是一种康复策略,旨在改善神经损伤后的运动功能.
- 了解参与者的经验,包括障碍和促进因素,对于优化CIMT计划的有效性至关重要.
研究的目的:
- 探索完成CIMT课程的成年人的生活经历.
- 确定影响参与和坚持CIMT的障碍和推动因素.
主要方法:
- 定性研究采用半结构化采访,对CIMT后45名中风和脑损伤幸存者进行了定性研究.
- 采访采用诱导编码进行分析,并根据能力,机会,动机 - 行为 (COM-B) 模型进行演映射.
主要成果:
- 启用因素包括计划教育,观察到的功能改善,承诺和社会支持.
- 障碍物包括身体/精神疲劳,早期丧和炼单调.
- 由于CIMT的结构性,它起到了激励作用,特别是在住院患者的环境中.
结论:
- 从治疗师对参与者和家庭的教育支持对于CIMT吸收至关重要.
- 建议积极的反,指导和社会支持 (例如,小组计划) 来增强坚持.
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