title: Patient and Family Member Factors Influencing Outcomes of Poststroke Inpatient Rehabilitation.
abstract: To investigate how family members' attitudes toward functional regain, and patients' knowledge and intention of independence influence poststroke rehabilitation.
  
  
  
  Cross-sectional study.
  
  
  
  Three rehabilitation inpatient settings.
  
  
  
  Younger (n=79) and older (n=84) poststroke patients, along with their family members (spouses, n=104; children, n=59).
  
  
  
  Not applicable.
  
  
  
  Custom-designed questionnaires were used to tap into the patients' knowledge about rehabilitation (Patient's Rehabilitation Questionnaire-Knowledge About Rehabilitation) and intention of independence (Patient's Rehabilitation Questionnaire-Intention of Independence), and family members' attitudes toward patients in performing basic activities of daily living (BADL) (Family Member Attitudes Questionnaire-BADL) and instrumental activities of daily living (Family Member Attitudes Questionnaire-instrumental activities of daily living). The rehabilitation outcomes included gains in motor, cognitive, and emotional functions, and self-care independence, measured with common clinical instruments.
  
  
  
  The Family Member Attitudes Questionnaire-BADL predicted cognitive outcome and the Patient's Rehabilitation Questionnaire-Intention of Independence predicted motor outcome for both groups. Differential age-related effects were revealed for the Patient's Rehabilitation Questionnaire-Intention of Independence in predicting emotional outcome only for the younger group, and self-care independence only for the older group.
  
  
  
  Patients' intention of independence positively affected motor recovery, while family members' positive attitudes promoted cognitive regain. The findings suggested plausible age-related differences in how patients' intentions affect emotion versus self-care independence outcomes. Future studies should explore strategies for promoting positive attitudes toward independence among patients and family members during poststroke rehabilitation.
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China; Fujian Key Laboratory of Exercise Rehabilitation, Fujian Provincial Rehabilitation Industrial Institution, Fuzhou, China.
authors.forename: Yunhua
authors.initials: Y
authors.lastname: Fang
authors.affiliation: Department of Psychology, School of Medicine, Jinan University, Guangzhou, China; Applied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Tao
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China; Fujian Key Laboratory of Exercise Rehabilitation, Fujian Provincial Rehabilitation Industrial Institution, Fuzhou, China.
authors.forename: Xiaoxuan
authors.initials: X
authors.lastname: Zhou
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China; Fujian Key Laboratory of Exercise Rehabilitation, Fujian Provincial Rehabilitation Industrial Institution, Fuzhou, China.
authors.forename: Shanjia
authors.initials: S
authors.lastname: Chen
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China; Fujian Key Laboratory of Exercise Rehabilitation, Fujian Provincial Rehabilitation Industrial Institution, Fuzhou, China.
authors.forename: Jia
authors.initials: J
authors.lastname: Huang
authors.affiliation: Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine, Urumqi Municipality, China.
authors.forename: Yingping
authors.initials: Y
authors.lastname: Jiang
authors.affiliation: The Affiliated Huashan Hospital of Fudan University, Shanghai, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Wu
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China; Fujian Key Laboratory of Exercise Rehabilitation, Fujian Provincial Rehabilitation Industrial Institution, Fuzhou, China; Affiliated Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou, China. Electronic address: cld@fjtcm.edu.cn.
authors.forename: Lidian
authors.initials: L
authors.lastname: Chen
authors.affiliation: College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China; Fujian Key Laboratory of Exercise Rehabilitation, Fujian Provincial Rehabilitation Industrial Institution, Fuzhou, China; Affiliated Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Tao
authors.affiliation: Applied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
authors.forename: Chetwyn C
authors.initials: CC
authors.lastname: Chan
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000367:Age Factors; D000368:Aged; D003071:Cognition; D003430:Cross-Sectional Studies; D004644:Emotions; D005190:Family / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D033182:Intention; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D012047:Rehabilitation Centers / Q000706:statistics & numerical data; D012648:Self Care; D012720:Severity of Illness Index; D000071939:Stroke Rehabilitation / Q000523:psychology*; D016896:Treatment Outcome
keywords: Attitude; Family; Intention; Rehabilitation; Stroke