Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea
Abstract
:1. Introduction
2. Methods and Analysis
2.1. Stage 1. Identifying the Research Question
2.2. Stage 2. Identifying Relevant Studies (Information Sources)
Search
2.3. Stage 3. Study Selection
2.4. Stage 4. Data Charting Process
2.5. Synthesis of Scoping Review Results
2.6. Meta-Analysis
2.6.1. Data Coding and Categorization Criteria
2.6.2. Data Analysis and Effect Size Estimation
2.7. Ethics and Dissementation
3. Results
3.1. Synthesizing the Scoping Review’s Results
3.1.1. Year
3.1.2. Academic Paper and Thesis
3.1.3. Field
3.1.4. Study Design and Program
3.1.5. Factors Related to Rehabilitation Motivation
3.2. Meta-Analysis Result
3.2.1. Publication Bias
3.2.2. Overall Effect Size of the Variables Related to Rehabilitation Motivation
3.2.3. Effect Size of Each Factor Related to Rehabilitation Motivation (Internal, Psychological, Physical, Environmental, Risk or Protective Factor)
3.2.4. Analysis of the Internal and External Factors’ Sub-Factors
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Author (Year) | Article (Thesis) | Field | Study Design (Intervention Methods) | Factors Related to Rehabilitation Motivation |
---|---|---|---|---|
1. Bae et al. (2012) [8] | Article | Occupational Therapy | Survey | Pain catastrophizing, activities of daily living |
2. Kim et al. (2013) [15] | Article | Occupational Therapy | Survey | Activities of daily living: ADL self-esteem |
3. Lee et al. (2014) [16] | Article | Occupational Therapy | Survey | (Heart type A)/stress |
4. Kim et al. (2017) [9] | Article | Occupational Therapy | Survey | Psychosocial factors (depression, stress, self-efficacy), therapeutic flow |
5. Seo et al. (2020) [17] | Article | Nursing | Survey | self-efficacy, social support (family support, friends support, healthcare providers support), depression |
6. Son et al. (2014) [18] | Article | Nursing/Rehabilitation | Survey | Interpersonal caring behavior, motivation of rehabilitation, QOL, horticultural therapy |
7. An et al. (2019) [19] | Article | Nursing | Survey | Self-Esteem, Stroke Specific Quality of Life |
8. Moon et al. (2011) [20] | Article | Nursing | Survey | Multidimensional Scale Perceived Social Support |
9. Lee et al. (2014) [21] | Article | Nursing | Survey | Self-esteem, rehabilitation motivation/self-efficacy, activities of daily living (ADL) |
10. Choi et al. (2016) [22] | Article | Nursing | Survey | Depression, rehabilitation motivation, resilience |
11. Park et al. (2016) [23] | Article | Nursing | Survey | Depression, rehabilitation motivation, family support, rehabilitation adherence |
12. Kang et al. (2016) [24] | Article | Nursing | Survey | Empowerment, rehabilitation motivation/self-efficacy, perceived stress |
13. Choi (2019) [25] | Article | Occupational Therapy | Observational Study (Program effectiveness) | General self-efficacy/rehabilitation motivation |
14. Park and Ko (2017) [26] | Article | Nursing | Survey | Rehabilitation adherence, rehabilitation motivation/self-efficacy |
15. Kang (2013) [27] | Article | Physical Therapy | Observational Study (Program effectiveness | Rehabilitation motivation/self-efficacy |
16. Lee et al. (2020) [28] | Article | Nursing | Survey | Depression, rehabilitation motivation/self-efficacy |
17. Kang et al. (2017) [29] | Article | Occupational Therapy | Survey | Sleep quality, stress, rehabilitation motivation |
18.Oh et al. (2017) [7] | Article | Nursing | Survey | Depression, rehabilitation motivation/self-efficacy, resilience |
19. Go et al. (2016) [30] | Article | Nursing | Survey | Rehabilitation motivation, depression, self-efficacy |
20. Jeong et al. (2017) [11] | Article | Nursing | Survey | Social support, uncertainty, rehabilitation motivation/self-efficacy |
21. Chung et al. (2012) [31] | Article | Physical Therapy | Survey | Rehabilitation motivation/self-efficacy, gait ability test, stroke specific quality of life |
22. Park et al. (2020) [32] | Article | Physical Therapy | Survey | Physical function, balance, cognition, rehabilitation motivation/self-efficacy |
23. Song et al. (2012) [33] | Article | Occupational Therapy | Observational Study (Program experiment) | Self-esteem, self-efficacy, family support, rehabilitation motivation, motor function |
24. Moon et al. (2018) [34] | Article | Occupational Therapy | Observational Study (Conventional program) | Hand function, modified Barthel index, depression scale, motivation questionnaire |
25. Park and Song (2015) [35] | Article | Occupational Therapy | Observational Study (Time-use intervention) | Depression, rehabilitation motivation/self-efficacy |
26. Song et al. (2015) [36] | Article | Occupational Therapy | Observational Study (Conventional program, Task-oriented activity) | Rehabilitation motivation, self-efficacy |
27. Kwon and Lee (2017) [37] | Article | Nursing | Observational Study (Movie-based nursing intervention) | Rehabilitation motivation/self-efficacy, depression |
28. Ca et al. (2020) [38] | Article | Occupational Therapy | Observational Study (Self-check program) | Rehabilitation motivation/self-efficacy, functional recovery |
29. Jung (2015) [39] | Article | Occupational Therapy | Observational Study (Discussion of lyrics) | Depression, rehabilitation motivation/self-efficacy |
30. Song et al. (2014) [40] | Article | Occupational Therapy | Observational Study (Game program) | Depression, self-efficacy, rehabilitation motivation |
31. Park (2017) [41] | Article | Occupational Therapy | Observational Study (Stepwise social readjustment program) | Upper limb function, shoulder pain, functional independence, rehabilitation motivation/self-efficacy, social readjustment, |
32. Park et al. (2012) [42] | Article | Occupational Therapy | Observational Study (Tai-chi exercise program) | Upper limb function, functional independence, rehabilitation motivation/self-efficacy |
33. Ham (2020) [43] | Article | Occupational Therapy | Observational Study (Cognitive rehabilitation program) | Depression |
34. Jeon (2013) [44] | Thesis (Master’s) | Nursing | Observational Study (Rehabilitation motivation enhancing nursing intervention) | Shoulder pain, depression, rehabilitation motivation/self-efficacy, social readjustment |
35. Park (2018) [45] | Thesis (Master’s) | Physical Therapy | Observational Study (Robot-assisted virtual reality program) | Rehabilitation motivation/self-efficacy, balance ability |
36. Choi (2016) [46] | Thesis (Master’s) | Public health | Observational Study (Traditional occupational therapy vs. virtual reality-based rehabilitation training) | Self-efficacy, rehabilitation motivation |
37. Park (2013) [44] | Thesis (Doctoral) | Rehabilitation | Observational Study (Image training based on mindfulness) | Cognition Scale for Older Adults |
38. Jung (2019) [47] | Thesis (Master’s) | Physical Therapy | Observational Study (Pelvic exercise using visual feedback) | Balance, gait, activities of daily living, rehabilitation motivation/self-efficacy, quality of life |
39. Hyun (2012) [48] | Thesis (Master’s) | Psychological and Counseling | Observational Study (Group art therapy) | Psychological rehabilitation (depression, self-esteem, rehabilitation motivation/self-efficacy) |
40. Cho (2016) [49] | Thesis (Master’s) | Physical Therapy | Observational Study (Robot-assisted gait training) | Balance test, gait ability test, self-efficacy and rehabilitation motivation tests |
41. GIL (2019) [50] | Thesis (Master’s) | Physical therapy | Survey | Rehabilitation motivation, self-efficacy, functional performance |
42. Lee (2020) [51] | Thesis (Master’s) | Nursing | Survey | Depression, social support, self-efficacy, rehabilitation motivation/self-efficacy |
43. Moon (2017) [52] | Thesis (Master’s) | Nursing | Survey | Marital intimacy, depression, rehabilitation motivation /self-efficacy |
44. Kim (2016) [53] | Thesis (Master’s) | Nursing | Survey | Rehabilitation motivation/self-efficacy, depression, disability acceptance, social support |
45. Son (2017) [54] | Thesis (Master’s) | Nursing | Survey | Quality of life, resilience, rehabilitation motivation |
46. Oh (2017) [55] | Thesis (Doctoral) | Nursing | Survey | Rehabilitation motivation, activities of daily living, social support (family support, healthcare providers support), depression, self-efficacy |
47. Ryu (2015) [56] | Thesis (Master’s) | Occupational Therapy | Observational Study (Program virtual reality) | Depression, rehabilitation motivation/self-efficacy, work participation |
48. Lee (2012) [57] | Thesis (Master’s) | Social welfare | Survey | Disability acceptance, social support, rehabilitation motivation/self-efficacy |
49. Jeong (2021) [58] | Thesis (Master’s) | Nursing | Survey | Rehabilitation motivation/self-efficacy, healthcare providers support, self-nursing |
50. Park (2018) [59] | Thesis (Master’s) | Nursing | Survey | Rehabilitation motivation, risk factor (stroke-related family history, medical history |
51.Heo(2018) [60] | Thesis (Master’s) | Psychology | Observational Study (Program effectiveness) | Depression, disability acceptance, rehabilitation motivation/self-efficacy |
Studies Trimmed | ESZr | 95% CI | Q | ||
---|---|---|---|---|---|
Lower | Upper | ||||
Observed | 0 | 0.42 | 0.35 | 0.49 | 1805.72 |
Adjusted | 0 | 0.42 | 0.35 | 0.49 | 1805.72 |
Random Effect Model | Heterogeneity | |||||||
---|---|---|---|---|---|---|---|---|
Division | K | n | ESZr | 95% CI | Q (df) | p | I2 | |
Lower | Upper | |||||||
Overall | 42 | 362 | 0.33 | 0.30 | 0.36 | 2716.47 (361) | 0.00 | 86.71 |
Structural Factors | N | ESZr | 95% CI | SE | p | Q(d) | |
---|---|---|---|---|---|---|---|
Lower | Upper | ||||||
Internal factor | 94 | 0.36 | 0.30 | 0.41 | 0.02 | 0.00 | |
External factor | 264 | 0.32 | 0.28 | 0.35 | 0.01 | 0.00 | 1.73(1) |
Physical factor | 100 | 0.31 | 0.27 | 0.35 | 0.02 | 0.00 | p = 0.189 |
Psychological factor | 94 | 0.36 | 0.31 | 0.41 | 0.02 | 0.00 | 1.96(2) |
Environmental factor | 164 | 0.32 | 0.28 | 0.36 | 0.02 | 0.00 | p = 0.375 |
Risk factor | 251 | 0.34 | 0.30 | 0.37 | 0.02 | 0.00 | 6.41(1) * |
Protective factor | 79 | 0.27 | 0.21 | 0.31 | 0.02 | 0.00 | p = 0.01 |
Sub-Factor | N | ESZr | 95% CI | SE | p | Qb | |
---|---|---|---|---|---|---|---|
Lower | Upper | ||||||
Social support (family support, healthcare providers support, peer support) | 32 | 0.52 | 0.42 | 0.61 | 0.05 | 0.00 | 54.79 (5) ** |
Self-efficacy | 16 | 0.41 | 0.30 | 0.52 | 0.06 | 0.00 | |
Volition | 42 | 0.34 | 0.28 | 0.40 | 0.03 | 0.00 | |
Depression | 49 | 0.32 | 0.26 | 0.38 | 0.03 | 0.00 | |
Quality of life | 96 | 0.27 | 0.22 | 0.32 | 0.03 | 0.00 | |
Activities of daily living | 21 | 0.12 | 0.05 | 0.20 | 0.04 | 0.00 | |
Overall | 286 | 0.32 | 0.30 | 0.35 | 0.01 | 0.00 |
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Cheong, M.J.; Kang, Y.; Kang, H.W. Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea. Healthcare 2021, 9, 1211. https://doi.org/10.3390/healthcare9091211
Cheong MJ, Kang Y, Kang HW. Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea. Healthcare. 2021; 9(9):1211. https://doi.org/10.3390/healthcare9091211
Chicago/Turabian StyleCheong, Moon Joo, Yeonseok Kang, and Hyung Won Kang. 2021. "Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea" Healthcare 9, no. 9: 1211. https://doi.org/10.3390/healthcare9091211