Effects of Self-Determination, SoA, and Self-Efficacy on Degree of Independence in Activities of Daily Living in Stroke Survivors

Abstract

This study examined whether stroke survivors’ self-determination, sense of agency (SoA), and self-efficacy affect their motivation to recover and their degree of independence in activities of daily living. A cross-sectional questionnaire-based study was conducted among patients undergoing rehabilitation at a hospital. The FIM and Brunnstrom Stage (Br-S) scores in the second month of rehabilitation were analyzed to determine the degree of motor function recovery. As a result, significant associations were observed between “self-determination” and “motivation,” “SoA” and “self-efficacy,” “self-efficacy” and “motivation,” and “motivation” and “FIM scores.” These results indicated that self-determination and self-efficacy may affect patients’ motivation to undergo rehabilitation, respectively. Among these, SoA was found to be a factor specifically influencing self-efficacy. These findings also suggest that motivation influences FIM scores, one of the rehabilitation outcomes. Taken together, this work provides insights into potential interventions through which healthcare providers may be able to improve patient motivation.