A Cross-sectional Study on Patient Participation in Stroke Rehabilitation: Exploring the Influence of Client-centred Care on Patient Satisfaction and Clinic-based Adherence
Published: June 1, 2026 | DOI: https://doi.org/10.7860/JCDR/2026/81716.23647
Jignasha Navinbhai Gohil, Mansi Soni
1. Assistant Professor, Department of Physiotherapy, Vidhyadeep Institute of Physiotherapy, Vidhyadeep University, Olpad, Gujarat, India.
2. Assistant Professor, Department of Physiotherapy, Ashok & Rita Patel Institute of Physiotherapy, CHARUSAT, Anand, Gujarat, India.
Correspondence
Jignasha Navinbhai Gohil,
22, J B Row House, Kim Char Rasta, Olpad-394110, Gujarat, India.
E-mail: jignashagohil13@gmail.com
Introduction: Stroke rehabilitation, based on individual limitations and needs, necessitates significant knowledge. To obtain all of this, individuals’ continued involvement in therapeutic interventions is vital. Yet previous studies show inconsistent levels of patient involvement and limited understanding of its influence on satisfaction and adherence.
Aim: To determine patient participation in rehabilitation and its association with satisfaction and clinic adherence in stroke rehabilitation in individuals with stroke.
Materials and Methods: A cross-sectional study was conducted, with 82 stroke patients, under the affiliation of the Ashok & Rita Patel Institute of Physiotherapy, Anand, Gujarat, India, getting physiotherapy services from January 2022 to June 2022. To evaluate patient participation in rehabilitation, the Client-Centred Rehabilitation Questionnaire (CCRQ) has been used. Patient satisfaction and clinic-based adherence were assessed using the MedRisk Instrument for Measuring Patient Satisfaction with Physical Therapy Care (MRPS) and the Index of Adherence, respectively. The data were analysed using descriptive statistics. Demographic differences were tested using the Mann-Whitney U and Kruskal-Wallis tests, while Spearman’s correlation used to check association between patient involvement, satisfaction, and adherence. The statistical significance level was considered to be p-value <0.05.
Results: The study recruited 82 participants, out of whom 65 (79.3%) were males and 17 (20.7%) were females. The subjects varied in age from 27 to 75-year-old ( 54.52±11.98). The CCRQ comprised seven domains, among which physical comfort demonstrated the highest mean score (1.39±0.36), while client-centred education was the lowest rated (2.63±0.96). Spearman’s correlation analysis showed that all CCRQ domains were significantly associated with patient satisfaction, whereas only emotional support (p=0.015) and client-centred education (p=0.014) demonstrated low to moderate but statistically significant correlation with adherence, highlighting their key role in sustaining patient involvement.
Conclusion: The findings revealed that stroke patients’ responses to participation in their rehabilitation have substantial variation. All CCRQ domains were strongly linked to patient satisfaction, but only emotional support and client-centred education were associated with clinic adherence. Future studies can be carried out to check patient participation in different healthcare settings with the same objective involving different populations.
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