Document Type

Presentation

Publication Date

2025

Faculty Mentor

Na Jin Seo

Abstract

Improving Home Exercise Program Adherence in Stroke Survivors: Examining Influencing Factors and Developing Educational Resources for a Behavioral Intervention

Nearly 800,000 individuals experience a stroke annually in the United States and stroke often results in upper extremity functional limitation which can impact the individual’s ability to perform their activities of daily living. Because of this, home exercise programs are prescribed to facilitate rehabilitation; however, adherence is inadequate which ultimately impacts overall functional recovery. The purpose of this capstone is to enhance understanding of factors that influence home exercise program adherence and to improve upper extremity functional recovery post stroke through targeted educational modules and resources at a stroke recovery research center. The project goals were to investigate the effects of demographic and psychosocial factors on home exercise program adherence in stroke survivors through a research manuscript and to develop educational resources for a behavioral intervention to improve adherence. Factors associated with improved adherence to home exercise programs in stroke survivors included higher levels of digital health literacy, greater exercise self-efficacy, increased social support, veteran status, reduced anxiety, enhanced psychosocial functioning, effective communication after stroke, and a positive mood. These findings serve as the basis for the behavioral intervention modules that aim improve adherence, improve upper extremity functional outcomes, and facilitate long term behavioral changes in stroke survivors.

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