Lim Young-Myoung, Kim Hee
Department of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Republic of Korea.
Department of Occupational Therapy, Konyang University, Republic of Korea.
Hong Kong J Occup Ther. 2025 Jun 10:15691861251339211. doi: 10.1177/15691861251339211.
This study examined the associative relationships among age, cognition, anxiety, and participation in explaining the number of Assistive Technology Devices (ATDs) used by stroke survivors through path analysis. A cross-sectional study was conducted with 196 community-dwelling stroke survivors. Data on ATD usage, cognitive function (Montreal Cognitive Assessment), anxiety (Beck Anxiety Inventory), and participation (Utrecht Scale for Evaluation of Rehabilitation-Participation) were analyzed using SPSS 22.0 and Amos 24.0. The modified path model demonstrated a good fit to the data. Age, anxiety, and participation had direct effects on the number of ATDs used, while cognition did not show a statistically significant effect. Anxiety also had an indirect effect through participation, indicating a dual role of participation in either increasing or reducing ATD reliance. Age influenced anxiety and participation both directly and indirectly. This study identified the pathways through which age, anxiety, and participation influence ATD usage among stroke survivors. Given the complexity of interplay of psychological and functional factors, ATD prescriptions should adopt a user-centered approach, considering participation levels, psychological responses, and environmental factors to optimize effectiveness and long-term use.
本研究通过路径分析，考察了年龄、认知、焦虑和参与度之间的关联关系，以解释中风幸存者使用辅助技术设备（ATD）的数量。对196名社区居住的中风幸存者进行了横断面研究。使用SPSS 22.0和Amos 24.0分析了ATD使用情况、认知功能（蒙特利尔认知评估）、焦虑（贝克焦虑量表）和参与度（乌得勒支康复参与评估量表）的数据。修正后的路径模型与数据拟合良好。年龄、焦虑和参与度对ATD的使用数量有直接影响，而认知则未显示出统计学上的显著影响。焦虑还通过参与度产生间接影响，表明参与度在增加或减少对ATD的依赖方面具有双重作用。年龄对焦虑和参与度既有直接影响，也有间接影响。本研究确定了年龄、焦虑和参与度影响中风幸存者ATD使用的途径。鉴于心理和功能因素相互作用的复杂性，ATD处方应采用以用户为中心的方法，考虑参与水平、心理反应和环境因素，以优化效果和长期使用。
