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<p>Kinesiophobia may hinder post-stroke rehabilitation, but its links with source-specific perceived social support and digital health literacy remain unclear. We recruited adult stroke survivors between June 2025 and January 2026 and measured kinesiophobia, perceived social support, digital health literacy, and emotional distress using validated scales. Hierarchical multiple linear regression examined adjusted associations. Among 231 screened patients, 208 were analyzed. Mean age was 62.4 ± 10.9 years, 63.0% were men, and mean Tampa Scale for Kinesiophobia-17 (TSK-17) score was 39.1 ± 8.6. Emotional distress was the strongest positive correlate and family support the strongest source-specific inverse correlate; fall history, pain, and digital health literacy also remained associated, while friend support was weaker and should be interpreted cautiously. Because data were cross-sectional and self-reported, findings are hypothesis-generating and support considering screening for movement-related fear, support-source gaps, and digital health capability in stroke rehabilitation.</p>

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Relationships Between Kinesiophobia, Source-Specific Perceived Social Support, and Digital Health Literacy in Stroke Survivors: A Cross-Sectional Study

  • 期刊论文

  • 发表日期：

    2026年7月13日

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  • Hongjin Ge,
  • Xinyu Zhang,
  • Miaomiao Feng,
  • Wei Chen,
  • Junjie Liu,
  • Haiyue Li,
  • Peng Chen,
  • Yafei Wang,
  • Rufu Jia

摘要

Kinesiophobia may hinder post-stroke rehabilitation, but its links with source-specific perceived social support and digital health literacy remain unclear. We recruited adult stroke survivors between June 2025 and January 2026 and measured kinesiophobia, perceived social support, digital health literacy, and emotional distress using validated scales. Hierarchical multiple linear regression examined adjusted associations. Among 231 screened patients, 208 were analyzed. Mean age was 62.4 ± 10.9 years, 63.0% were men, and mean Tampa Scale for Kinesiophobia-17 (TSK-17) score was 39.1 ± 8.6. Emotional distress was the strongest positive correlate and family support the strongest source-specific inverse correlate; fall history, pain, and digital health literacy also remained associated, while friend support was weaker and should be interpreted cautiously. Because data were cross-sectional and self-reported, findings are hypothesis-generating and support considering screening for movement-related fear, support-source gaps, and digital health capability in stroke rehabilitation.