Department of Physical Therapy, School of Health Sciences, Shinshu University, Nagano.
Faculty of Health Sciences, Tokyo Kasei University, Saitama.
Arch Phys Med Rehabil. 2020 Nov;101(11):1929-1936. doi: 10.1016/j.apmr.2020.06.007. Epub 2020 Aug 1.
The primary objective was to provide a list of effective motivational strategies based on consensus among rehabilitation experts, generated using the Delphi technique. The secondary objective was to identify the types of information that are important when selecting motivational strategies.
Delphi study.
On-site survey at academic conferences and web-based survey.
Rehabilitation experts (N=198) including physicians, physical therapists, occupational therapists, and speech-language-hearing therapists who had worked in stroke rehabilitation for at least 5 years.
Not applicable.
Panelists were asked to rate the effectiveness of motivational strategies and to rate the importance of different types of information using a 5-point Likert scale. Consensus was defined as having been reached for items with an interquartile range of 1 or less.
A total of 116 experts (58.6%) completed the third round of the Delphi survey. Consensus was reached on all of the 26 presented strategies. Seven strategies, such as control of task difficulty and goal setting, were considered to be very effective in increasing patient motivation. In addition, all 11 of the presented types of information regarding patient health status, environmental factors, and personal factors were deemed very important or important in determining which motivational strategies to use.
We generated a list of effective motivational strategies for stroke rehabilitation based on expert consensus. Our results suggest that experts consider a comprehensive range of patient information when choosing motivational strategies. These findings represent a group of consensus-based recommendations for increasing patient adherence to stroke rehabilitation programs, which may be beneficial to many medical professionals working in stroke rehabilitation.
主要目的是提供一份基于康复专家共识的有效激励策略清单，使用德尔菲技术生成。次要目的是确定选择激励策略时重要的信息类型。
德尔菲研究。
学术会议现场调查和网络调查。
康复专家（N=198），包括从事卒中康复工作至少 5 年的医生、物理治疗师、职业治疗师和言语治疗师。
不适用。
要求小组成员使用 5 分李克特量表对激励策略的有效性进行评分，并对不同类型信息的重要性进行评分。一致性定义为具有 1 个或更少四分位距的项目已达成一致。
共有 116 名专家（58.6%）完成了德尔菲调查的第三轮。26 项提出的策略均达成共识。七种策略，如控制任务难度和设定目标，被认为可以非常有效地提高患者的积极性。此外，提出的 11 种与患者健康状况、环境因素和个人因素相关的信息类型都被认为在确定使用哪种激励策略时非常重要或重要。
我们根据专家共识生成了一份卒中康复有效的激励策略清单。我们的结果表明，专家在选择激励策略时会考虑患者的全面信息。这些发现代表了一组基于共识的建议，旨在增加患者对卒中康复计划的依从性，这可能对许多从事卒中康复的医疗专业人员有益。
