2026-10-11T13:29:39Z https://api.figshare.com/v2/oai

oai:figshare.com:article/34008438 2026-09-28T04:30:18Z category_363 portal_316 item_type_3 month_year_09_2026

Supplementary file 1_Barriers and facilitators to telerehabilitation adherence in young and middle-aged stroke survivors: a qualitative COM-B analysis.docx Yiling Huang (110575) Meilan Su (505538) Yingying Chen (500738) Sufang Hu (7316609) Neurology and Neuromuscular Diseases adherence barriers COM-B model facilitators qualitative research stroke telerehabilitation young and middle-aged Objective<p>To explore the barriers and facilitators to telerehabilitation adherence among young and middle-aged stroke survivors using the Capability, Opportunity, Motivation–Behavior (COM-B) model.</p>Methods<p>A qualitative descriptive study was conducted with 15 stroke survivors aged 18–60 years recruited from a tertiary hospital in China. Data were collected via one-on-one semi-structured interviews and analyzed using directed content analysis, with iterative mapping of codes to COM-B sub-domains.</p>Results<p>Fourteen themes were identified across the six COM-B dimensions, comprising eight barriers and six facilitators. Capability barriers included post-stroke physical exhaustion and low digital confidence, while facilitators were perceived functional recovery and movement self-correction. Opportunity barriers encompassed physical space limitations, unstable internet connectivity, and social isolation; facilitators were family support and therapist supervision. Motivational barriers included efficacy skepticism, digital fatigue, and re-injury anxiety; facilitators were return-to-work aspiration and routine integration. Adherence was shaped by dynamic interactions among these factors rather than isolated determinants.</p>Conclusion<p>Telerehabilitation adherence in young and middle-aged stroke survivors is influenced by a complex interplay of physical, cognitive, environmental, social, and motivational factors. Multi-component interventions that simultaneously target capability, opportunity, and motivation—such as fatigue management, digital skills training, home environment optimisation, family involvement, vocational goal-setting, serious games, and peer support—are warranted to enhance engagement and improve long-term outcomes. The COM-B model provides a useful framework for designing such tailored strategies.</p> 2026-09-28T04:30:18Z Dataset Dataset 10.3389/fneur.2026.1885751.s001 https://figshare.com/articles/dataset/Supplementary_file_1_Barriers_and_facilitators_to_telerehabilitation_adherence_in_young_and_middle-aged_stroke_survivors_a_qualitative_COM-B_analysis_docx/34008438 CC BY 4.0