{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:29:58Z","timestamp":1786692598014,"version":"build-2736575974"},"reference-count":67,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"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":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    Current interventions are limited in improving use of the more-affected upper limb in real-world daily occupations and functional independence poststroke. A comprehensive understanding of the factors influencing real-world upper limb use is required to develop interventions to improve functional independence poststroke.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To systematically review the factors that influence real-world use of the more-affected upper limb poststroke.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Data Sources:<\/jats:bold>\n                    We searched MEDLINE, Embase, PsycINFO, and the Physiotherapy Evidence Database for English-language articles from 2012 to 2023.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Study Selection and Data Collection:<\/jats:bold>\n                    Of 774 studies, we included 33 studies that had participants at least age 18 yr who exhibited upper limb impairments poststroke, objectively measured real-world upper limb use using a movement sensor, and measured factors affecting upper limb use. Two reviewers independently screened the abstracts.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Findings:<\/jats:bold>\n                    The results were categorized by\n                    <jats:italic toggle=\"yes\">International Classification of Functioning, Disability and Health<\/jats:italic>\n                    domains. Prominent factors were upper limb impairment; motor ability; functional independence; task type; hand dominance; stroke-related factors, including time since stroke; and perception of use of the more-affected upper limb.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    Existing interventions primarily focus on upper limb impairments and motor ability. Our findings suggest that interventions should also incorporate other factors: task type (unilateral vs. bilateral), hand dominance, self-efficacy, and perception of more-affected limb use as active ingredients in improving real-world use of the more-affected upper limb poststroke. We also provide recommendations to use behavioral activation theory in designing an occupation-focused intervention to augment self-efficacy and confidence in use of the more-affected upper limb in daily occupations.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Plain-Language Summary:<\/jats:bold>\n                    In order to develop interventions to improve functional independence poststroke, occupational therapy practitioners must have a comprehensive understanding of the factors that influence real-world more-affected upper limb use. The study findings provide a set of distinct factors that practitioners can target separately or in combination to improve real-world use of the more-affected upper limb poststroke.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2024.050512","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T07:50:37Z","timestamp":1713426637000},"page":"452-462","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Factors Influencing Real-World Use of the More-Affected Upper Limb After Stroke: A Scoping Review"],"prefix":"10.1177","volume":"78","author":[{"given":"Anadil","family":"Bayazeed","sequence":"first","affiliation":[{"name":"Anadil Bayazeed, MSOT, is PhD Candidate, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, and Teaching Assistant, Occupational Therapy Department, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghaleb","family":"Almalki","sequence":"additional","affiliation":[{"name":"Ghaleb Almalki, MSOT, is PhD Candidate, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, and Teaching Assistant, Occupational Therapy Department, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amjad","family":"Alnuaim","sequence":"additional","affiliation":[{"name":"Amjad Alnuaim, MSc, is Teaching Assistant, Department of Occupational Therapy, King Saud University, Riyadh, Saudi Arabia. At the time of the study, Alnuaim was Master\u2019s Student, Occupational Therapy Department, University of Pittsburgh, Pittsburgh, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Klem","sequence":"additional","affiliation":[{"name":"Mary Klem, PhD, MLIS, is Assistant Director for Advanced Information Support, Health Sciences Library System, University of Pittsburgh, Pittsburgh, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Sethi","sequence":"additional","affiliation":[{"name":"Amit Sethi, PhD, OTR\/L, is Associate Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"426","article-title":"Comparison of accelerometer-based arm, leg and trunk activity at weekdays and weekends during subacute inpatient rehabilitation after stroke","volume":"51","author":"Alt Murphy M.","year":"2019","unstructured":"* Alt Murphy, M., Andersson, S., Danielsson, A., Wipenmyr, J., & Ohlsson, F. 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