Relationship between exercise motivation and social support in a support facility for persons with disabilities in Japan

Inui, Yasuhiro; Tanaka, Yoichi; Ogawa, Tatsuya; Hayashida, Kazuki; Morioka, Shu

doi:10.1080/07853890.2022.2049860

Cited by 4 publications

(3 citation statements)

References 42 publications

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“… 45 In addition, we found that social support could indirectly affect kinesiophobia through exercise self‐efficacy, which accounted for the highest proportion (40.9%) in the total indirect effect of social support on kinesiophobia. Different aspects of social support can enhance patients' exercise motivation, 46 and caregivers' participation in exercise can also improve their exercise self‐efficacy. 44 These benefits from social support may offer the possibility of improving kinesiophobia.…”

Section: Discussionmentioning

confidence: 99%

Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model

Qin

Xiong

Chen

et al. 2023

Clinical Cardiology

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Background Our recent study has demonstrated that kinesiophobia is common in Chinese inpatients with chronic heart failure (CHF). Symptoms of heart failure (HF), coping mode, self‐efficacy for exercise (SEE), and social support have been reported to be associated with kinesiophobia. However, little is known about the relationships between these four variables and kinesiophobia in older patients with CHF. Objective To test a model of influencing factors of kinesiophobia in older CHF patients. Methods A cross‐sectional design was conducted from January 2021 to October 2021. The general information questionnaire, the Chinese version of the Tampa Scale for Kinesiophobia Heart (TSK‐SV Heart‐C), Symptom Status Questionnaire‐Heart Failure, SEE, the Medical Coping Modes Questionnaire, and Social Support Rating Scale were used. Spearman correlation analysis and structural equation model (SEM) were performed for data analysis. Results A total of 270 older patients with CHF were recruited. Symptom status of HF (r = 0.455, p < .01), avoidance coping mode (r = 0.393, p <.01), and yielding coping mode (r = 0.439, p < .01) were positively correlated with kinesiophobia, while SEE (r = −0.530, p < .01), facing coping mode (r = −0.479, p < .01), and social support (r = −0.464, p < .01) were negatively correlated with kinesiophobia. SEM analysis showed that social support could affect kinesiophobia through the mediating variables of symptom status of HF, avoidance coping mode, and exercise self‐efficacy. Conclusions Symptoms of HF, coping mode, SEE, and social support may play role in kinesiophobia in older CHF patients. We should pay more attention to the synergies among these four variables in the improvement of kinesiophobia.

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Section: Discussionmentioning

confidence: 99%

Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model

Qin

Xiong

Chen

et al. 2023

Clinical Cardiology

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“…There is evidence that information improves patient and caregiver knowledge about stroke and reduces patient depression scores [ 23 ]. Additionally, feeling strongly supported by family members has been reported to improve motivation to exercise [ 24 ]. It is possible that communicating the patient’s family’s recovery expectations to the patient through the IRIS program may have improved the patient’s motivation for rehabilitation and promoted ADL improvement.…”

Section: Discussionmentioning

confidence: 99%

Internet-Based Information Sharing With Families of Patients With Stroke in a Rehabilitation Hospital During the COVID-19 Pandemic: Case-Control Study

Murakami

Higuchi

Ueda

et al. 2022

JMIR Rehabil Assist Technol

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Background The spread of COVID-19 has affected stroke rehabilitation. Given that inpatient visits are restricted in most institutions, alternative ways of providing information to family members are imperative. Informing families about patients’ rehabilitation progress via the web may help involve families in the rehabilitation process, enhance patients’ motivation to continue rehabilitation, and contribute overall to patients’ improvement in activities of daily living (ADL). Objective We aimed to investigate the feasibility of the Internet-Based Rehabilitation Information Sharing (IRIS) intervention for families of patients with stroke at a rehabilitation hospital and examine the effect of IRIS on patients’ ADL improvement. Methods In this case-control study, participants were inpatients at a rehabilitation hospital between March 2020 and April 2021. The intervention group (information and communication technology [ICT] group) included patients and families who requested IRIS, which consisted of a progress report on patients’ rehabilitation using text, photos, and videos. Those who did not receive internet-based information were included in the non-ICT group. The control group, matched with the ICT group based on a 1:1 propensity score, was selected from the non-ICT group. The covariates for calculating the propensity score were patients’ age, sex, and motor and cognitive scores on the Functional Independence Measure at admission. The main outcome was the degree of ADL improvement during hospitalization. Multiple regression analysis (forced entry method) was performed to confirm the impact of ICT use on ADL improvement. The independent variables were the presence of intervention, length of hospital stay, and number of days from onset to hospitalization. Results In total, 16 groups of patients and families participated in the IRIS. The mean age of patients was 78.6 (SD 7.2) and 78.6 (SD 8.2) years in the ICT and control groups, respectively. The median total Functional Independence Measure difference was 28.5 (IQR 20.3-53.0) and 11.0 (IQR 2.8-30.0) in the ICT and control groups, respectively, and the ICT group showed significant improvement in ADL function (P=.02). In the multiple regression analysis of the ICT and control groups, the unstandardized regression coefficient was 11.97 (95% CI 0.09-23.84) for ICT use. These results indicate that ICT use was independently and significantly associated with improvement in ADL. Conclusions This study examined the effect of IRIS on family members to improve ADL in patients with stroke who are hospitalized. The results showed that IRIS promotes the improvement of patients’ ADL regardless of age, sex, motor and cognitive functions at admission, and the length of hospital stay.

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“…The rationale is that these patients tend to rely more on their families and friends during their hospitalization. A robust social support system can help alleviate kinesiophobia [22]. Primary caregivers play a crucial role in enhancing the clinical outcomes of heart surgery patients through their companionship and efforts.…”

Section: Correlation Analysis Of Social Support In Older Cabg Patient...mentioning

confidence: 99%

Study of Factors Influencing Early Kinesiophobia in Older Patients after Coronary Artery Bypass Grafting in China

Liu,

Ye,

Liu

et al. 2024

HSF

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Background: Kinesiophobia is highly prevalent among postoperative cardiac patients. Early identification of kinesiophobia in patients who have undergone coronary artery bypass grafting (CABG) can improve their ability to participate in physical activities. However, there is limited research on the factors influencing kinesiophobia in older patients during the early stages after CABG. To investigate the factors influencing early kinesiophobia in older patients after coronary artery bypass grafting and to examine the correlation between these factors and social support and rehabilitation exercise self-efficacy. Methods: Using convenience sampling, 117 older patients who underwent coronary artery bypass grafting in the cardiac surgery ward of a tertiary grade A hospital in Bengbu City from October 2022 to September 2023 were analyzed. The survey was conducted on-site using a general information questionnaire, the Chinese version of the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), the Cardiac Exercise Self-Efficacy Instrument (CESEI), the Social Support Rating Scale (SSRS), and the pain assessment scale. Single-factor analysis, multifactor regression analysis, and Spearman's correlation analysis were employed. Results: Among the 117 older patients in the early postoperative phase following coronary artery bypass grafting, the incidence of kinesiophobia was 73.5%. Single-factor analysis revealed that education level, medical expense coverage, place of residence, and pain scores were significantly associated with kinesiophobia (p < 0.05). Multifactor regression analysis identified age and monthly income as factors influencing cardiac exercise self-efficacy (p < 0.05). Age, education level, medical expense coverage, and monthly income affected patient social support (p < 0.05). Spearman's correlation analysis revealed significant negative correlations among cardiac exercise self-efficacy, social support, and kinesiophobia level (p < 0.001). Conclusion: The incidence of early kinesiophobia is relatively high among older patients after coronary artery bypass grafting. Educational level, medical expense coverage, place of residence, and postoperative pain were influential factors. Both cardiac exercise self-efficacy and social support have a significant impact on kinesiophobia in patients. Therefore, clinical healthcare professionals should prioritize older patients undergoing postcoronary artery bypass grafting with lower educational levels and monthly incomes. Effective and evidence-based clinical interventions can be tailored based on these influencing factors and their correlations to promote active participation in rehabilitation exercises and improve patient outcomes in the early postoperative phase.

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Relationship between exercise motivation and social support in a support facility for persons with disabilities in Japan

Cited by 4 publications

References 42 publications

Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model

Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model

Internet-Based Information Sharing With Families of Patients With Stroke in a Rehabilitation Hospital During the COVID-19 Pandemic: Case-Control Study

Study of Factors Influencing Early Kinesiophobia in Older Patients after Coronary Artery Bypass Grafting in China

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