Print Email Facebook Twitter Stroke patients’ motivation for home-based upper extremity rehabilitation with eHealth tools Title Stroke patients’ motivation for home-based upper extremity rehabilitation with eHealth tools Author Langerak, A.J. (Erasmus MC) D'Olivo, P. (TU Delft Design Aesthetics) Thijm, O. S.A. (Erasmus MC; Leiden University Medical Center) Regterschot, G.R.H. (Erasmus MC) Meskers, C. G.M. (Amsterdam UMC) Rozendaal, M.C. (TU Delft Human Information Communication Design) Visch, V.T. (TU Delft Design Aesthetics) Bussmann, J.B.J. (Erasmus MC) Date 2024 Abstract Purpose: eHealth-based exercise therapies were developed to increase stroke patients’ adherence to home-based motor rehabilitation. However, these eHealth tools face a rapid decrease in use after a couple of weeks. This study investigates stroke patients’ motivation for home-based upper extremity rehabilitation with eHealth tools and their relation with Basic Psychological Needs. Materials and methods: This is a qualitative study using thematic analysis. We conducted semi-structured interviews with stroke patients with upper extremity motor impairments, who were discharged home from a rehabilitation centre, after they interacted with a novel eHealth coach demonstrator in their homes for five consecutive days. Results: We included ten stroke patients. Thematic analysis resulted in eight themes for home-based rehabilitation motivation: Curiosity, Rationale, Choice, Optimal challenge, Reference, Encouragement, Social Support and Trustworthiness. Those themes are embedded into three Basic Psychological Needs: “Autonomy”, “Competence”, and “Relatedness”. Conclusion: Eight motivational themes related to the three Basic Psychological Needs describe stroke patients’ motivation for home-based upper extremity rehabilitation. We recommend considering those themes when developing a home-based eHealth intervention for stroke patients to increase the alignment of eHealth tools to the patient’s needs and reduce motivational decreases in home-based rehabilitation. Subject adherenceeHealthmotivationrehabilitationStrokeupper extremity To reference this document use: http://resolver.tudelft.nl/uuid:dbe6227b-ce75-4c53-a415-cdc313d10d66 DOI https://doi.org/10.1080/09638288.2024.2304091 ISSN 0963-8288 Source Disability and Rehabilitation Part of collection Institutional Repository Document type journal article Rights © 2024 A.J. Langerak, P. D'Olivo, O. S.A. Thijm, G.R.H. Regterschot, C. G.M. Meskers, M.C. Rozendaal, V.T. Visch, J.B.J. Bussmann Files PDF Stroke_patients_motivatio ... ols_1_.pdf 2.65 MB Close viewer /islandora/object/uuid:dbe6227b-ce75-4c53-a415-cdc313d10d66/datastream/OBJ/view