Exploring Motivational Influences and Pathways for Rehabilitation in Stroke Survivors Through the Lens of Self-Determination Theory - Summary - MDSpire

Exploring Motivational Influences and Pathways for Rehabilitation in Stroke Survivors Through the Lens of Self-Determination Theory

  • By

  • Xuan Wang

  • Yanfei Hu

  • Rui Wang

  • Xiaolu Wei

  • Qian Shao

  • Qian Su

  • April 21, 2026

  • 0 min

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Objective:

To investigate the current state of rehabilitation motivation among stroke patients and its psychosocial correlates based on self-determination theory, providing evidence for developing a motivation-enhancing intervention model.

Approach:
    Key Findings:
    • Mean rehabilitation motivation score was 105.73 ± 22.03, indicating a moderately high level.
    • Significant predictors of rehabilitation motivation included monthly household income, family relationships, employment status, rehabilitation duration, self-efficacy, social support, anxiety-depression, and environmental factors, explaining 70.4% of total variance.
    • Social support and self-efficacy positively associated with rehabilitation motivation, while anxiety, depression, and environmental factors negatively impacted it.
    Interpretation:

    Rehabilitation motivation in stroke patients is influenced by multiple psychosocial factors, highlighting the need for integrated motivational interventions based on these findings.

    Limitations:
    • Convenience sampling may limit generalizability and introduce bias.
    • Cross-sectional design restricts causal inferences.
    Conclusion:

    Implementing family-centered, psychosocially integrated motivational strategies, including digital technology, is recommended to enhance rehabilitation experiences.

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