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Stakeholder perspectives on needs and priorities in home-based stroke rehabilitation: A concept mapping study
Dalarna University, School of Health and Welfare, Caring Science/Nursing.ORCID iD: 0000-0001-7044-8896
Dalarna University, School of Health and Welfare.ORCID iD: 0009-0001-2441-107X
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2026 (English)In: Wellbeing, Space and Society, E-ISSN 2666-5581, Vol. 10, article id 100335Article in journal (Refereed) Published
Sustainable development
SDG 3: Good health and well-being, SDG 16: Peace, justice and strong institutions
Abstract [en]

Despite growing emphasis on home-based rehabilitation following stroke, there remains limited understanding of how to effectively tailor services to individual needs. This study employed concept mapping to explore diverse stakeholder perspectives on adapting home-based rehabilitation to better support the recovery process after stroke. Through this mixed-methods participatory approach, we engaged 89 stakeholders, including stroke survivors, significant others, healthcare professionals, managers, and architects. Participants generated, sorted, and rated statements about what matters most in home-based stroke rehabilitation. A hierarchical cluster analysis was conducted to organize the data into concepts. Five clusters were identified: 1) social support at home and beyond; 2) professional competence; 3) supportive home environment; 4) teamwork and resources; and 5) patient involvement. Patient involvement was rated highest for importance and feasibility, followed by professional competence. Specifically, stakeholders emphasized that rehabilitation should feel meaningful and be tailored to the patient's needs. No generated ideas from the cluster “supportive home environment” were found in the go-zone, and adapting rehabilitation to diverse home environments was recognized as crucial but hard to implement. The findings underscore the need for individualized, context-sensitive approaches and suggest that strengthening professional competence, particularly in navigating diverse environments and engaging support networks, will be essential to translating person-centered principles into everyday rehabilitation practice.

Place, publisher, year, edition, pages
Elsevier B.V. , 2026. Vol. 10, article id 100335
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Nursing
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URN: urn:nbn:se:du-52281DOI: 10.1016/j.wss.2025.100335ISI: 001642406000001Scopus ID: 2-s2.0-105024917681OAI: oai:DiVA.org:du-52281DiVA, id: diva2:2029051
Available from: 2026-01-16 Created: 2026-01-16 Last updated: 2026-08-17Bibliographically approved

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Elf, Mariede Vries, LailaKylén, Maya

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
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