Authors
Mingyue Wang, Shan Wang, Nan Feng, Libing Liang, Yehua Xue, Kunpeng Li, Caiqin Wu
Published in
Disability and rehabilitation. Pages 1-18. Jul 19, 2026. Epub Jul 19, 2026.
Abstract
To explore facilitators and barriers to post-stroke health behaviors related to secondary prevention from the perspectives of stroke survivors, family caregivers, and healthcare professionals, using the Adaptive Leadership Framework, which distinguishes adaptive challenges (requiring changes in beliefs, roles, emotions, and routines), technical challenges (addressed mainly through professional expertise), and mixed challenges (involving both).
A qualitative study was conducted in three rehabilitation hospitals in Shanghai, China. Semi-structured interviews were undertaken with 17 stroke survivors, 10 family caregivers, and 11 healthcare professionals. Data were analyzed thematically, and the findings were subsequently interpreted using the Adaptive Leadership Framework.
Post-stroke health behavior change was shaped by interacting technical, adaptive, and mixed challenges. Adaptive challenges involved rebuilding confidence, sustaining motivation, managing emotional distress, renegotiating family roles, and forming new daily routines. Technical challenges included inadequate individualized guidance on medication, diet, rehabilitation exercise, and caregiving skills. Mixed challenges arose when professional advice was difficult to translate into feasible self-management in everyday life.
Improving post-stroke secondary prevention requires more than providing health information. Interventions should combine clear professional guidance with support for the adaptive work undertaken by stroke survivors and families to achieve sustainable health behavior change.
PMID:
42472447
Bibliographic data and abstract were imported from PubMed on 20 Jul 2026.
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