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Title: Depression and a lack of socialization are associated with high levels of boredom during stroke rehabilitation: An exploratory study using a new conceptual framework.
Austin Authors: Kenah, Katrina;Bernhardt, Julie;Spratt, Neil J;Oldmeadow, Christopher;Janssen, Heidi
Affiliation: The Florey Institute of Neuroscience and Mental Health..
Hunter Stroke Service, Hunter New England Local Health District, Newcastle, Australia..
Hunter Medical Research Institute, Newcastle, Australia..
Department Neurology, John Hunter Hospital, Newcastle, Australia..
Hunter Medical Research Institute, NHMRC Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, The University of Newcastle, Newcastle, Australia..
NHMRC Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Hedielberg, Australia..
Monash Health, Cheltenham, Australia..
School of Health Sciences, The University of Newcastle, Newcastle, Australia..
Issue Date: 10-Feb-2022
Date: 2022
Publication information: Neuropsychological Rehabilitation 2023; 33(3)
Abstract: This exploratory sub-study aimed to develop a framework to conceptualize boredom in stroke survivors during inpatient rehabilitation, establish the effect of an activity promotion intervention on boredom, and to investigate factors that are associated with boredom. A framework was developed and explored within a cluster non-randomised controlled trial. Self-reported boredom was measured in 160 stroke survivors 13 (±5) days after rehabilitation admission; 91 participants received usual-care (control) and 69 had access to a patient-driven model of activity promotion (intervention). Individuals with pre-existing dementia or unable to participate in standard rehabilitation were excluded. Hierarchical logistic regression analysis was used to identify demographic, health and activity measures associated with boredom. Results indicated 39% of participants were highly bored. There was no statistically significant difference in boredom levels between treatment groups (difference -11%, 95% CI -26% to 4%). The presence of depression (OR 6.17, 95% CI 2.57-14.79) and lower levels of socialization (OR 0.96, 95% CI 0.92-0.99) predicted high boredom levels. This comprehensive framework provides a foundation for understanding the many interacting factors associated with boredom. Results suggest managing depression and improving opportunities for socialization may support meaningful engagement in rehabilitation to optimize recovery following stroke.
DOI: 10.1080/09602011.2022.2030761
ORCID: 0000-0003-2643-1186
Journal: Neuropsychological rehabilitation
PubMed URL: 35142257
PubMed URL:
Type: Journal Article
Subjects: Boredom
Healthcare environments
Appears in Collections:Journal articles

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