Factors influencing post-stroke rehabilitation participation after discharge from hospital

Wei Koh, Christopher Barr, Stacey George

    Research output: Contribution to journalArticlepeer-review

    7 Citations (Scopus)


    Aim: To explore what the obstacles are that deter patients from continuing stroke rehabilitation after discharge from hospital in Singapore. Methods: In this qualitative study, Individual semi-structured telephone interviews were undertaken and analysed using inductive thematic analysis. Thirty one stroke patients, Who had been discharged from the hospital after inpatient rehabilitation (mean age=66.46 years, Mean duration post-discharge=95.82 days), were interviewed. Results: Five themes were identified as obstacles to post-discharge stroke rehabilitation including: the means to access rehabilitative services; lapse in discharge coordination; family members' views and actions; discrepancies in expectation; and the perception that rehabilitation is simple. Participants indicated a need for timely and appropriate information, delivered according to their individualised needs. Conclusion: Study findings revealed that the absence of a smooth transition through the continuum of stroke care and not having a common understanding of rehabilitation accounts for the lack of adherence to therapy recommendations. The results suggest that clinicians need to be more aware of their role in providing well-coordinated information about therapy. The study also highlighted the need to review the goal-setting processes that guide the course of rehabilitation. Goals should be more patient-centred to reduce the discrepancies in expectations of rehabilitation. There needs to be a greater involvement of carers in discharge planning to minimise the dissatisfaction in care arrangements and information delivery.

    Original languageEnglish
    Pages (from-to)260-267
    Number of pages8
    JournalInternational Journal of Therapy and Rehabilitation
    Issue number6
    Publication statusPublished - Jun 2014


    • Discharge
    • Participation
    • Rehabilitation
    • Singapore


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