ORIGINAL RESEARCH article
Front. Psychol.
Sec. Health Psychology
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1656514
Self-efficacy and Implementation Intention in Home Rehabilitation of Stroke Patients: The Parallel Mediating Role of Recurrence Risk Perception and Outcome Expectations
Provisionally accepted
- Harbin Medical University - Daqing Campus, Daqing, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
【Abstract】Background Self-efficacy can improve the implementation intentions level of rehabilitation exercise in stroke patients. Yet, the underlying mechanism of benefits remains unclear especially in the home-based environment. Objective This study aims to assess the level of implementation intentions in home-based rehabilitation exercises among stroke patients, clarify the relationship between self-efficacy and implementation intention, and determine whether recurrence risk perception and outcome expectations mediate this relationship. Methods We conducted a quantitative cross-sectional study, recruiting 216 stroke patients who met the inclusion and exclusion criteria from three communities in Daqing City between June 2024 and April 2025. The mediating effects of recurrence risk perception and outcome expectations were assessed using Model 4 (parallel mediation) of the SPSS PROCESS macro with the bootstrap method. Results The results showed that the score of home rehabilitation exercise implementation intentions of stroke patients was 60.62±6.87, which still needs to be improved. Mediation analysis showed that self-efficacy played a significant direct role in executive intention, and recurrence risk perception and outcome expectations mediated the relationship between self-efficacy and the implementation intentions. Conclusion There is considerable room for improvement in the implementation intentions of home rehabilitation exercise in stroke patients. This can be enhanced by intervening in rehabilitation self-efficacy, which in turn can influence recurrence risk perception and outcome expectations to improve the level of implementation intentions. Impact This study aims to draw the attention of healthcare providers and family members to patients' self-efficacy, recurrence risk perception, and outcome expectations, and advocate that the above variables can be used as the focus of future intervention in patients ' home rehabilitation exercise implementation intentions.
Keywords: Stroke, Home-based rehabilitation, Implementation Intentions, self-efficacy, Recurrence Risk Perception, Outcome expectations
Received: 30 Jun 2025; Accepted: 14 Aug 2025.
Copyright: © 2025 Jiang, Sun, Tang, Liu, Chen and Lv. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yumei Lv, Harbin Medical University - Daqing Campus, Daqing, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.