{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:36:47Z","timestamp":1786534607978,"version":"build-2736575974"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Most measures of rehabilitation participation rely on self-report, excluding patients with cognitive impairment or aphasia. The observational Pittsburgh Rehabilitation Participation Scale (PRPS) allows their inclusion; however, whether rehabilitation participation assessed using the PRPS modifies improvement in activities of daily living (ADL) remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether rehabilitation participation assessed using the PRPS modifies the association between baseline ADL and subsequent improvement after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 137 stroke survivors in a subacute rehabilitation ward. Admission rehabilitation participation was assessed by the PRPS. ADL improvement was evaluated using the Functional Independence Measure (FIM) motor effectiveness score. Hierarchical multiple regression analysis included age, days from onset to hospital admission, admission FIM motor and cognitive scores, and admission PRPS score in Step 1, followed by the PRPS \u00d7 admission FIM motor interaction term in Step 2. Prediction plots were generated for each PRPS score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median admission PRPS and FIM motor effectiveness scores were 5 (interquartile range [IQR], 4\u20136) and 0.70 (IQR, 0.33\u20130.88), respectively. Adding the PRPS\u2009\u00d7\u2009FIM motor interaction term in Step 2 significantly improved the model fit (\u0394R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.057, \u0394F(1,130)\u2009=\u200916.28,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001), resulting in a final model (R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.545,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Prediction plots showed steeper slopes with higher PRPS scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Admission rehabilitation participation assessed by the PRPS modified the association between baseline ADL and ADL improvement. Observable participation should be interpreted in relation to baseline motor ADL rather than in isolation. Lower participation may indicate a need for additional clinical support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261453491","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T03:44:08Z","timestamp":1779421448000},"page":"108-118","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Participation in Rehabilitation and Activities of Daily Living at Hospital Admission as Predictors of Post-Stroke Improvement in ADL: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2953-8554","authenticated-orcid":false,"given":"Kenji","family":"Kawakami","sequence":"first","affiliation":[{"name":"Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan"},{"name":"Department of Rehabilitation, Kyoto Rehabilitation Hospital, Kyoto-shi, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeo","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Omatsu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kyoto Rehabilitation Hospital, Kyoto-shi, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiki","family":"Kinoshita","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kyoto Rehabilitation Hospital, Kyoto-shi, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Kitabatake","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kyoto Rehabilitation Hospital, Kyoto-shi, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8742-070X","authenticated-orcid":false,"given":"Hiroo","family":"Koshisaki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nanto Municipal Hospital, Nanto-shi, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3657-4308","authenticated-orcid":false,"given":"Kenta","family":"Fujimura","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshikiyo","family":"Kanada","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1665-8248","authenticated-orcid":false,"given":"Hiroaki","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake-shi, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"issue":"2","key":"e_1_3_3_2_1","first-page":"119","article-title":"Stroke impairment assessment set (SIAS). A new evaluation instrument for stroke patients","volume":"31","author":"Chino N.","year":"1994","unstructured":"Chino N., Sonoda S., Domen K., Saitoh E., Kimura A. (1994). Stroke impairment assessment set (SIAS). A new evaluation instrument for stroke patients. Japanese Journal of Rehabilitation Medicine, 31(2), 119\u2013125. https:\/\/doi.org\/10.2490\/jjrm1963.31.119","journal-title":"Japanese Journal of Rehabilitation Medicine"},{"key":"e_1_3_3_3_1","volume-title":"Guide for use of the uniform data set for medical rehabilitation (Version.3.0)","author":"Data Management Service of the Uniform Data System for Medical Rehabilitation and the Center for Functional Assessment Research","year":"1990","unstructured":"Data Management Service of the Uniform Data System for Medical Rehabilitation and the Center for Functional Assessment Research. (1990). Guide for use of the uniform data set for medical rehabilitation (Version.3.0). State University of New York at Buffalo."},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930241308142"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-210293"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.11336\/jjcrs.5.19"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-240182"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003483"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617718000085"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1116"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.03.027"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.06.001"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.98"},{"issue":"4","key":"e_1_3_3_15_1","first-page":"495","article-title":"A critical review of the concept of patient motivation in the literature on physical rehabilitation","volume":"50","author":"Maclean N.","year":"2000","unstructured":"Maclean N., Pound P. (2000). A critical review of the concept of patient motivation in the literature on physical rehabilitation. Social Science and Medicine, 50(4), 495\u2013506. https:\/\/doi.org\/10.1016\/s0277-9536(99)00334-2","journal-title":"Social Science and Medicine"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.23.07716-X"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1528303"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-016-0625-3"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0263013"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2011.00747.x"},{"issue":"10","key":"e_1_3_3_21_1","first-page":"629","article-title":"\u201cKaifukuki rehabilitation ward\u201d in Japan","volume":"51","author":"Okamoto T.","year":"2014","unstructured":"Okamoto T., Ando S., Sonoda S., Miyai I., Ishikawa M. (2014). \u201cKaifukuki rehabilitation ward\u201d in Japan. Japanese Journal of Rehabilitation Medicine, 51(10), 629\u2013633. https:\/\/doi.org\/10.2490\/jjrmc.51.629","journal-title":"Japanese Journal of Rehabilitation Medicine"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90184-7"},{"issue":"3","key":"e_1_3_3_23_1","first-page":"455","article-title":"Impact of participation on rehabilitation results: A multivariate study","volume":"48","author":"Paolucci S.","year":"2012","unstructured":"Paolucci S., Di Vita A., Massicci R., Traballesi M., Bureca I., Matano A., Iosa M., Guariglia C. (2012). Impact of participation on rehabilitation results: A multivariate study. European Journal of Physical and Rehabilitation Medicine, 48(3), 455\u2013466.","journal-title":"European Journal of Physical and Rehabilitation Medicine"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2015.4138"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.608148"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215517705181"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2009.10.026"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHM.0000107481.69424.E1"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2024.2304960"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.11336\/jjcrs.5.7"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2023.09.001"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2006.06.0068"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000098"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2013201"}],"container-title":["NeuroRehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261453491","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538135261453491","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261453491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:03:40Z","timestamp":1786532620000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538135261453491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,21]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/10538135261453491"],"URL":"https:\/\/doi.org\/10.1177\/10538135261453491","relation":{},"ISSN":["1053-8135","1878-6448"],"issn-type":[{"value":"1053-8135","type":"print"},{"value":"1878-6448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,21]]}}}