Document Type
Journal Article
Publication Title
Disability and Rehabilitation
Publisher
Taylor & Francis
School
School of Medical and Health Sciences
RAS ID
71459
Funders
Spinnaker Health Research Foundation
Abstract
Purpose: To investigate the acceptability of modified constraint-induced movement therapy (mCIMT) among stroke survivors and carers within an early-supported discharge (ESD) service, and to inform further adaptations of the program to enhance acceptability. Methods: Qualitative study within a mixed methods process evaluation of mCIMT implementation. Semi-structured interviews were analysed using reflexive thematic analysis and mapped to the Capability, Opportunity, Motivation- Behaviour (COM-B) model. Results: Fifteen stroke survivors and ten carers participated. Five themes were generated and mapped to the COM-B. Participants attributed functional improvements to the program whilst also encountering several challenges with returning home after stroke (Capability- physical); the importance of education (Capability- psychological); the benefits afforded by the structured nature of the program (Opportunity- physical); the challenges for carers to support mCIMT programs whilst navigating new relationship roles (Opportunity- social); the desire to improve (Motivation- automatic); and the influence each of the mCIMT program’s components had in facilitating long term upper limb use (Motivation- reflective). Conclusion: mCIMT was an acceptable intervention for stroke survivors and carers within the ESD service, offering considerable benefits compared to other therapies. The findings suggest that multifaceted education strategies could increase stroke survivor preparedness. Extending the mCIMT program duration may maximise functional improvements.
DOI
10.1080/09638288.2024.2361808
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Comments
Weerakkody, A., Godecke, E., & Singer, B. (2024). Investigating the acceptability of modified constraint-induced movement therapy among stroke survivors and carers: a qualitative study. Disability and Rehabilitation, 1-9. https://doi.org/10.1080/09638288.2024.2361808