Abstract
Stroke patient motivation can fluctuate during rehabilitation due to a range of factors. This study reports on qualitative research, consisting of observations of stroke patients undergoing rehabilitation and interviews with patients about the changes in motivation they identified during their time completing rehabilitation in the hospital. We found a range of positive and negative factors which affect motivation. Positive factors include improvements in patient movement and support from other patients and family members. Negative factors include pain and psychological issues such as changes in mood. From this fieldwork, a set of design guidelines has been developed to act as a platform for researchers and designers developing equipment for the rehabilitation of stroke patients.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Balaam, M., Rennick Egglestone, S., Fitzpatrick, G., Rodden, T., Hughes, A., Wilkinson, A., Nind, T., Axelrod, L., Harris, E., Ricketts, I., Mawson, S., Burridge, J.: Motivating mobility: designing for lived motivation in stroke rehabilitation. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2011), pp. 3073–3082. ACM, New York (2011)
Holmqvist, L.W., Koch, L.: Environmental factors in stroke rehabilitation: being in hospital itself demotivates patients. Br. Med. J. 322, 1501 (2001)
Maclean, N., Pound, P., Wolfe, C., Rudd, A.: The concept of patient motivation: a qualitative analysis of stroke professionals’ attitudes. Stroke 33, 444–448 (2002)
Rosewilliam, S., Roskell, C., Pandyan, A.D.: A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centered goal setting in stroke rehabilitation. Clin. Rehabil. 25, 501–514 (2011)
Hellstom, K., Lindmark, B., Wahlberg, B., Fugl-Meyer, A.R.: Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke: a prospective investigation. J. Rehabil. Med. 35, 202–207 (2003)
Wunsch, M., Stibe, A., Millonig, A., Seer, S., Dai, C., Schechtner, K., Chin, R.C.C.: What makes you bike? Exploring persuasive strategies to encourage low-energy mobility. In: MacTavish, T., Basapur, S. (eds.) PERSUASIVE 2015. LNCS, vol. 9072, pp. 53–64. Springer, Heidelberg (2015)
Toscos, T., Faber, A., An, S., Gandhi, M.P.: Chick clique: persuasive technology to motivate teenage girls to exercise. In: CHI 2006 Extended Abstracts on Human Factors in Computing Systems (CHI EA 2006), pp. 1873–1878. ACM, New York (2006)
Pickrell, M., Bongers, B., van den Hoven, E.: Understanding persuasion and motivation in interactive stroke rehabilitation. In: MacTavish, T., Basapur, S. (eds.) PERSUASIVE 2015. LNCS, vol. 9072, pp. 15–26. Springer, Heidelberg (2015)
Consolvo, S., Klasnja, P., McDonald, D.W., Landay, J.A.: Goal-setting considerations for persuasive technologies that encourage physical activity. In: Proceedings of the 4th International Conference on Persuasive Technology, pp. 1–8, ACM, New York (2009)
Fogg, B.J.: Creating persuasive technologies: an eight-step design process. In: Proceedings of the 4th International Conference on Persuasive Technology, pp. 1–6. ACM, California (2009)
van den Berg, M., Sherrington, C., Hassett, L., Killington, M., Smith, S.T., Bongers, A.J., Hassett, L., Crotty, M.: Video and computer-based interactive exercises in geriatric and neurological rehabilitation wards. J. Physiotherapy (2016, accepted for publication)
Fogg, B.J.: Persuasive Technology: Using Computers to Change What We Think and Do. Morgan Kaufmann, San Francisco (2003)
IJsselsteijn, W.A., de Kort, Y.A.W., Midden, C., Eggen, B., van den Hoven, E.: Persuasive technology for human well-being: setting the scene. In: IJsselsteijn, W.A., de Kort, Y.A.W., Midden, C., Eggen, B., van den Hoven, E. (eds.) PERSUASIVE 2006. LNCS, vol. 3962, pp. 1–5. Springer, Heidelberg (2006)
Smith, S.T., Schoene, D.: The use of exercise-based videogames for training and rehabilitation of physical function in older adults: current practice and guidelines for future research. Aging Health. 8, 243–252 (2013)
Caplan, L.: Stroke. Demost Medical Publishing, New York (2006)
Lincoln, N.B., Kneebone, I.I., Macniven, C.M.: Psychological Management of Stroke, pp. 3–28. Wiley, Malden (2012)
Fasoli, S., Krebs, H., Hogan, N.: Robotic technology and stroke rehabilitation: translating research into practice. Top. Stroke Rehabil. 11, 11–19 (2004)
Maclean, N., Pound, P., Wolfe, C., Rudd, A.: Qualitative analysis of stroke patients’ in rehabilitation. Br. Med. J. 321, 1051–1054 (2000)
Shaughnessy, M., Resnick, B.M., Macko, R.F.: Testing a model of post-stroke exercise behavior. J. Rehabil. Nurs. 31, 2048–7940 (2006)
Bongers, A.J., Smith, S.T.: Interactivating Rehabilitation through Active Multimodal Feedback and Guidance. In: Rocker, C., Ziefle, M. (eds.) Smart Healthcare Applications and Services: Developments and Practices, pp. 236–260. IGI-Global, Pennsylvania (2010)
Hilland, T., Murphy, R., Stratton, G.: The Feasibility and Appropriateness of Utilising the Nintendo Wii during Stroke Rehabilitation to Promote Physical Activity, A report by the Liverpool John Moores University (2011)
Orji, R., Vassileva, J., Mandryk, R.: LunchTime: a slow-casual game for long-term dietary behaviour change. Pers. Ubiquit. Comput. 17, 1211–1221 (2013)
Froehlich, J., Findlater, L., Landay, J.: The design of eco-feedback technology. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2010), pp. 1999–2008. ACM, New York (2010)
Bongers, A.J., Smith, S.T., Donker, V., Pickrell, M., Hall, R.: Interactive infrastructures – physical rehabilitation modules for pervasive healthcare technology. In: Holzinger, A., Ziefle, M., Röcker, C. (eds.) Pervasive Health – State of the Art and Beyond, pp. 229–254. Springer, London (2014)
Cockrell, J., Folstein, M.F.: Mini-mental state examination. In: Copeland, J.R.M., Abou-Saleh, M.T., Blazer, B.G. (eds.) Principles and Practice of Geriatric Psychiatry, 2nd edn, pp. 140–141. Wiley, Chichester (2002)
House, A.: Mood disorders after stroke a review of the evidence. Int. J. Geriatr. Psychiatry 2, 211–221 (1987)
Acknowledgements
We would like to thank all the patients and physiotherapists who contributed to this study. The study is completed under ethics approval (HREC/12/CRGH/185) and (SSA/13/LPOOL/80). This research was supported by STW VIDI grant number 016.128.303 of The Netherlands Organization for Scientific Research (NWO), awarded to Elise van den Hoven.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this paper
Cite this paper
Pickrell, M., Bongers, B., van den Hoven, E. (2016). Understanding Changes in the Motivation of Stroke Patients Undergoing Rehabilitation in Hospital. In: Meschtscherjakov, A., De Ruyter, B., Fuchsberger, V., Murer, M., Tscheligi, M. (eds) Persuasive Technology. PERSUASIVE 2016. Lecture Notes in Computer Science(), vol 9638. Springer, Cham. https://doi.org/10.1007/978-3-319-31510-2_22
Download citation
DOI: https://doi.org/10.1007/978-3-319-31510-2_22
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-31509-6
Online ISBN: 978-3-319-31510-2
eBook Packages: Computer ScienceComputer Science (R0)