OBJECTIVES The primary objective was to provide a list of effective motivational strategies based on consensus among rehabilitation experts, generated using the Delphi technique. The secondary objective was to identify the types of information that are important when selecting motivational strategies. DESIGN Delphi study. SETTING On-site survey at academic conferences and web-based survey. PARTICIPANTS Rehabilitation experts (N=198) including physicians, physical therapists, occupational therapists, and speech-language-hearing therapists who had worked in stroke rehabilitation for at least 5 years. INTERVENTION Not applicable. MAIN OUTCOME MEASURES Panelists were asked to rate the effectiveness of motivational strategies and to rate the importance of different types of information using a 5-point Likert scale. Consensus was defined as having been reached for items with an interquartile range of 1 or less. RESULTS A total of 116 experts (58.6%) completed the third round of the Delphi survey. Consensus was reached on all of the 26 presented strategies. Seven strategies, such as control of task difficulty and goal setting, were considered to be very effective in increasing patient motivation. In addition, all 11 of the presented types of information regarding patient health status, environmental factors, and personal factors were deemed very important or important in determining which motivational strategies to use. CONCLUSIONS We generated a list of effective motivational strategies for stroke rehabilitation based on expert consensus. Our results suggest that experts consider a comprehensive range of patient information when choosing motivational strategies. These findings represent a group of consensus-based recommendations for increasing patient adherence to stroke rehabilitation programs, which may be beneficial to many medical professionals working in stroke rehabilitation.

中文翻译：

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中风康复的激励策略：德尔福研究

目标 主要目标是提供基于康复专家共识的有效激励策略列表，使用德尔菲技术生成。次要目标是确定在选择激励策略时重要的信息类型。设计 Delphi 研究。设置学术会议现场调查和网络调查。参与者 康复专家（N=198），包括在中风康复领域工作至少 5 年的医生、物理治疗师、职业治疗师和语言听力治疗师。干预 不适用。主要结果测量 小组成员被要求评估激励策略的有效性，并使用李克特 5 点量表评估不同类型信息的重要性。共识被定义为四分位距为 1 或更小的项目已经达成。结果 共有 116 位专家（58.6%）完成了德尔福第三轮调查。对所有 26 种提出的策略达成了共识。七种策略，如控制任务难度和目标设定，被认为在增加患者积极性方面非常有效。此外，所有 11 种有关患者健康状况、环境因素和个人因素的信息类型在决定使用哪种激励策略时都被认为非常重要或重要。结论 我们根据专家共识生成了一系列有效的中风康复激励策略。我们的结果表明，专家在选择激励策略时会考虑全面的患者信息。这些发现代表了一组基于共识的建议，以提高患者对中风康复计划的依从性，这可能对许多从事中风康复工作的医疗专业人员有益。