Explanatory Value Research Articles

Impact of COVID-19 Related Knowledge and Precautions on Emotional and Behavioral Problems Among Children During the Post-pandemic in China: The Explanatory Value of Emotional Problems Among Caregivers.

To investigate the prevalence of emotional and behavioral problems (EBPs) among children during the COVID-19 post-pandemic in China; examine associations between COVID-19-related knowledge and precautions and problems in children, and explore the potential explanatory value of the mental health status of caregivers on any associations observed. Based on a cross-sectional design, caregivers of 6,017 children from 12 primary schools in Shanghai and Taizhou, China, were invited to complete an online survey from June 26 to July 6, 2020. EBPs of the children were assessed using the Strengths and Difficulties Questionnaire (SDQ), while the emotional problems of caregivers were assessed using the Depression Anxiety Stress Scales-21 (DASS-21). Structural equation modeling was employed to estimate the direct and indirect associations (explained by the emotional problems of caregivers) between COVID-19-related knowledge and precautions and the EBPs among children. The overall prevalence of EBPs in the sample was 12.5%, and 5.3% of them had a high or very high SDQ total difficulties score during the COVID-19 post-pandemic. After adjustment for covariates, higher COVID-19-related knowledge (β = −0.83; P < 0.001) and precautions (β = −0.80; P < 0.001) were significantly associated with lower SDQ total difficulties score among children. There was an explanatory effect of emotional problems of caregivers on the aforementioned associations, which explained 31% and 41% of the total effect, respectively. Higher levels of knowledge and precautions of COVID-19 were associated with lower EBPs among children, and the relationship was partially explained by the emotional problems in caregivers. It may be beneficial to improve pandemic-related prevention education and adopt psychological interventions toward the emotional status of caregivers for the psychological health of children.

Health Care Price Transparency in Ophthalmology

Health care price transparency legislation is intended to reduce the ambiguity of hospital charges and the resultant financial stress faced by patients. To evaluate the availability, usability, and variability of standard reported prices for ophthalmologic procedures at academic hospitals. In this multicenter economic evaluation study, publicly available price transparency web pages from Association of American Medical Colleges affiliate hospitals were parsed for standard charges and usability metrics. Price transparency data were collected from hospital web pages that met the inclusion criteria. Geographic practice cost indices for work, practice expense, and malpractice were sourced from the Centers for Medicare & Medicaid Services. Data were sourced from February 1 to April 30, 2021. Multiple regression was used to study the geographic influence on standard charges and assess the correlation between standard charges. Availability and variability of standard prices for Current Procedural Terminology (CPT) codes 66984 (removal of cataract with insertion of lens) and 66821 (removal of recurring cataract in lens capsule using laser). Of 247 hospitals included, 191 (77.3%) provided consumer-friendly shoppable services, most commonly in the form of a price estimator or online tool. For CPT code 66984, 102 hospital (53.4%) provided discount cash pay estimates with a mean (SD) price of $7818.86 ($5407.91). For CPT code 66821, 71 hospital (37.2%) provided discount cash pay estimates with a mean (SD) price of $2041.72 ($2106.44). The top quartile of hospitals, prices wise, listed included prices higher than $10 400 for CPT code 66984 and $2324 for CPT code 66821. Usability issues were noted for 36 hospitals (18.8%), including requirements for personal information or web page navigability barriers. Multiple regression analysis found minimal explanatory value for geographic practice cost indices for cash discount prices for CPT codes 66984 (adjusted R2 = 0.54; 95% CI, 0.41-0.67; P < .001) and 66821 (adjusted R2 = 0.64; 95% CI, 0.51-0.77; P < .001). Despite recent legislature that codified price transparency requirements, some current standard charges remain ambiguous, with substantial interhospital variability not explained by geographic variability in costs. Given the potential for ambiguous pricing to burden vulnerable, uninsured patients, additional legislation might consider allowing hospitals to defer price estimates or rigorously define standards for actionable cash discount percentages with provisions for displaying relevant benchmark prices.

Why are geographical indications unevenly distributed over Europe?

PurposeThrough geographical indications, the European Union aims to stimulate economies, especially in lagging rural regions, and to help consumers recognise and locate quality products from specific regions. The highly uneven distribution of geographical indications, and with that the unequal benefits of this policy, have been identified and discussed in the scientific literature on food and rural development.Design/methodology/approachUsing a statistical analysis of the distribution of geographical indications, the paper tests the validity of several theoretical explanations that are offered in the literature for the uneven spatial distribution.FindingsFrom this assessment, the paper concludes, amongst others, that common single-cause explanations for the uneven distribution of labels in Europe have weak explanatory value. Rather, the uneven distribution is based on a complex set of causes, with different effects at national and regional level. Moreover, the findings highlight that in contrast to its aim, the policy does not seem to benefit especially lagging rural regions.Originality/valueThe analysis of the uneven distribution of labels in Europe offered here suggests that a distinction should be drawn between the mechanisms resulting in regional food products versus the mechanisms resulting in regional food labels, such as geographical indications.

Evolutionary drivers of the hump-shaped latitudinal gradient of benthic polychaete species richness along the Southeastern Pacific coast.

Latitudinal diversity gradients (LDG) and their explanatory factors are among the most challenging topics in macroecology and biogeography. Despite of its apparent generality, a growing body of evidence shows that ‘anomalous’ LDG (i.e., inverse or hump-shaped trends) are common among marine organisms along the Southeastern Pacific (SEP) coast. Here, we evaluate the shape of the LDG of marine benthic polychaetes and its underlying causes using a dataset of 643 species inhabiting the continental shelf (<200 m depth), using latitudinal bands with a spatial resolution of 0.5°, along the SEP (3–56° S). The explanatory value of six oceanographic (Sea Surface Temperature (SST), SST range, salinity, salinity range, primary productivity and shelf area), and one macroecological proxy (median latitudinal range of species) were assessed using a random forest model. The taxonomic structure was used to estimate the degree of niche conservatism of predictor variables and to estimate latitudinal trends in phylogenetic diversity, based on three indices (phylogenetic richness (PDSES), mean pairwise distance (MPDSES), and variation of pairwise distances (VPD)). The LDG exhibits a hump-shaped trend, with a maximum peak of species richness at ca. 42° S, declining towards northern and southern areas of SEP. The latitudinal pattern was also evident in local samples controlled by sampling effort. The random forest model had a high accuracy (pseudo-r2 = 0.95) and showed that the LDG could be explained by four variables (median latitudinal range, SST, salinity, and SST range), yet the functional relationship between species richness and these predictors was variable. A significant degree of phylogenetic conservatism was detected for the median latitudinal range and SST. PDSES increased toward the southern region, whereas VPD showed the opposite trend, both statistically significant. MPDSES has the same trend as PDSES, but it is not significant. Our results reinforce the idea that the south Chile fjord area, particularly the Chiloé region, was likely the evolutionary source of new species of marine polychaetes along SEP, creating a hotspot of diversity. Therefore, in the same way as the canonical LDG shows a decline in diversity while moving away from the tropics; on this case the decline occurs while moving away from Chiloé Island. These results, coupled with a strong phylogenetic signal of the main predictor variables suggest that processes operating mainly at evolutionary timescales govern the LDG.

Plant trait filtering is stronger in the herb layer than in the tree layer in Greek mountain forests

We studied the differentiation among plant communities of deciduous broadleaved and mountain coniferous forests in terms of functional diversity and identity at a regional scale (northern and central Greece). We asked if patterns of functional differentiation among communities are consistent between the overstorey and understorey layers and if they can be influenced by deep past environmental conditions. Functional Richness (FRic) and Functional Dispersion (FDis), as well as their standardized effect sizes, were employed to assess the multivariate functional diversity of the community types. In contrast, single-trait Community Weighted Means (CWMs) were used as surrogates of functional identity. The aforementioned indices were calculated for three datasets, namely all the vascular plant taxa found in individual vegetation plots (total community), all phanerophyte (tree and shrub) taxa (overstorey) and all non-phanerophyte vascular plant taxa (understorey). We found that community types and especially four broad forest types (beech, ravine, pine and oak forests) are well differentiated in terms of functional composition (identity), as indicated by Non-Metric Multidimensional Scaling (NMDS). After conducting an NMDS for the three datasets, functional identity based on the total floristic composition was found to be the best discriminator of the studied communities. However, contrasting patterns were found for some specific traits or their categories between overstorey and understorey layers. The patterns of functional diversity of the community types (based on multivariate indices), revealed by calculating the standardized effect sizes of FRic and FDis based on the richness null model, did not differ substantially from random expectations for most of the studied community types when the dataset of all the vascular plant taxa was analyzed. However, the patterns revealed for the overstorey layer differed from those for the understorey layer. For the latter layer, the clustered structure was revealed in many community types based on the ses.FDis metric. Indications of deep past influence on the functional composition were found for certain community types (i.e. ravine forests) based on single-trait metrics, but no indication of such influence was found based on multivariate indices. Our findings highlight the complementarity and the additive explanatory value of the simultaneous use of single- and multi-trait approaches and their application to different layers in forests.

AN EMPIRICAL ASSESSMENT OF ADOPTION AND INNOVATION OF THE PORTABLE BANKING TECHNOLOGY IN KENYA

The study investigated the appropriateness of innovation diffusion in understanding and explaining the adoption rate and acceptability of portable bank technology in Kenya through the assessment of the factors that influence the adoption of portable banking technology. The study employed a sample of 115 portable bank technology adopters based on a purposive sampling technique and tested the five attributes of innovations, namely relative advantage, compatibility, complexity, trialability, and observability. The study found that relative advantage, compatibility, Trialability, and observability positively impact adoption. Trialability and complexity were found to have a lesser significant effect on adoption. Complexity hurts adoption. More specifically, the regression model revealed that compatibility is the most significant determinant of adopting portable bank technology with t=4.21 and p ≤ 0.001. Trialability has a significant positive impact on adoption with t= 4.27 and p ≤ 0.001. Observability has a high explanatory value with t = 4.45 and p ≤ 0.001. Relative advantage has returned a positive explanatory coefficient at t=4.50 and p ≤ 0.001. Finally, Complexity had no significant impact on the adoption of portable banking technology. The study has uncovered useful trends in portable bank technology adoption in Kenya. The study recommended that future research should focus on broader variables and carry out comparative studies on both homogeneous and heterogeneous settings to gauge the net effect of technical attributes on technology adoption.

Making sense of health corruption in times of COVID-19

This paper provides readers with an analytical framework to better understand the rationality of corruption and its perpetuation in the health sector during the coronavirus pandemics. To pursue the foregoing task, it embarks on integrating insights from New Institutional Economics, Public Choice Theory, and the Austrian School of Economics to come up with an explanation of corrupt deals that uncover their causally relevant mechanisms. Its goal is to shed light on corruption risks that emerge from changes in legislation that weakened public procurement rules and therefore turned the Brazilian health system more vulnerable to corrupt acts. The article conjectures that increased uncertainty, asymmetric information, and decreased transparency channels have played major roles in triggering corrupt practices, such as bribery, kickback, embezzlement, influence peddling, and cronyism. More precisely, it argues that rent-seeking and predatory political entrepreneurship are two driving forces behind Brazilian corrupt exchanges and their risks in times of the COVID-19 pandemic. It offers some evidence that corruption scandals in Rio de Janeiro state make a very good case for showing the explanatory value of the proposed theoretical approach. It closes by wrapping up the overall argument, presenting some policy implications and questions for further research.

The Evolutionary Dynamics of Negative Existentials in Indo-European

Where in earlier work diachronic change is used to explain away exceptions to typologies, linguistic typologists have started to make use of explicit diachronic models as explanations for typological distributions. A topic that lends itself for this approach especially well is that of negation. In this article, we assess the explanatory value of a specific hypothesis, the Negative Existential Cycle (NEC), on the distribution of negative existential strategies (“types”) in 106 Indo-European languages. We use Bayesian phylogenetic comparative methods to infer posterior distributions of transition rates and parameters, thus applying rational methods to construct and evaluate a set of different models under which the attested typological distribution could have evolved. We find that the frequency of diachronic processes that affect negative existentials outside of the NEC cannot be ignored—the unidirectional NEC alone cannot explain the evolution of negative existential strategies in our sample. We show that non-unidirectional evolutionary models, especially those that allow for different and multiple transitions between strategies, provide better fit. In addition, the phylogenetic modeling is impacted by the expected skewed distribution of negative existential strategies in our sample, pointing out the need for densely sampled and family-based typological research.

Probabilistic Thinking: A Principle-Based Concept Analysis in the Context of Uncertainty in Chronic Illness.

The Reconceptualized Uncertainty in Illness Theory (RUIT) includes the concept of "probabilistic thinking" intending to explain the positive reappraisal of uncertainty in chronic illness. However, the description of the concept is vague, thereby limiting the understanding of the theory. Thus, the aim was to develop a theoretical definition of probabilistic thinking in order to increase the explanatory value of RUIT. We conducted a principle-based concept analysis by means of a conceptually driven literature search. Methods consisted of database, dictionary, lexicon, and free web searching as well as citation tracking. We analyzed the concept in terms of (a) epistemology, (b) pragmatics, (c) logic, and (d) linguistics. The final data set included 27 publications, 14 of them from nursing. (a) Probabilistic thinking is a coping strategy to handle uncertainty. It involves a focus on either possibilities (in nursing) or probabilities (in other disciplines). (b) There is a lack of operationalization in nursing, though three measurements focusing the handling of probabilities are offered in psychology. (c) Nursing authors interpreting probabilistic thinking as accepted uncertainty lacked logical appropriateness, since probability negotiates uncertainty. (d) Probabilistic thinking is used synonymously with positive thinking and probabilistic reasoning. Nurses working with chronically ill patients should consider the findings for the application of RUIT. They should recognize whether uncertainty is perceived as a danger and encourage probabilistic thinking. Efforts are necessary to achieve a common language between nursing and other disciplines in order to avoid misunderstandings in clinical practice and research.

Increasing social support for women with postpartum depression through attribution theory guided vignettes and video messages: The understudied role of effort

Guided by Weiner's attribution theory of help-giving, two experimental studies assessed whether emphasizing the temporary nature of postpartum depression (PPD; i.e., stability), the uncontrollable development of the ailment (i.e., onset controllability), and whether it appears someone is making an effort to overcome PPD—a form of offset controllability—would result in changes in anger, sympathy, and social support outcome expectations (SSOEs), and indirectly influence willingness to provide support. Participants were randomly assigned to one of eight conditions focused on the stability and controllability (onset and offset) of PPD, resulting in a 2 × 2 × 2 design. Study 1 used written vignettes and compared each attribution construct to its polar opposite (e.g., temporary vs. permanent). Many of the Study 1 hypotheses were supported, but the interactions offered minimal explanatory value. Study 2 used video messages that either did or did not explicitly mention each attribution construct. Study 2 results indicated that a message focused on the temporary nature of PPD increased SSOEs and was indirectly associated with willingness to provide support. A message focused on effort increased sympathy and by extension willingness to provide support. The onset controllability message had no significant effects in Study 2. The interaction of the different attribution constructs were not significant. Results indicate that offset controllability, operationalized as effort, the extent to which a situation is temporary, and the influence of SSOEs, might be underutilized in both theoretical and applied research.

The observant android: Limited social facilitation and inhibition from a copresent social robot.

Human–robot collaborations that operate in shared spaces are anticipated to become increasingly common in coming years. Decades of social psychological research have revealed that human observers positively influence people’s performance in dominant and negatively in nondominant tasks. While studies indicate moderate support for social facilitation/inhibition effects with robot observers, this evidence is hotly debated. Addressing known methodological criticism, this study investigates how a copresent robot-observer affects Stroop task performance and whether perceptions of that robot’s mental capacities have explanatory value. Results reveal limitations in transferring social facilitation/inhibition theory to robots. Since participants reported high task attention levels across conditions, emerging flow states may have helped them circumvent social facilitation/inhibition mechanisms. It may thus be recommended for future research to consider flow dynamics when investigating social performance effects.

Supplemental Material for The observant android: Limited social facilitation and inhibition from a copresent social robot.

Human–robot collaborations that operate in shared spaces are anticipated to become increasingly common in coming years. Decades of social psychological research have revealed that human observers positively influence people’s performance in dominant and negatively in nondominant tasks. While studies indicate moderate support for social facilitation/inhibition effects with robot observers, this evidence is hotly debated. Addressing known methodological criticism, this study investigates how a copresent robot-observer affects Stroop task performance and whether perceptions of that robot’s mental capacities have explanatory value. Results reveal limitations in transferring social facilitation/inhibition theory to robots. Since participants reported high task attention levels across conditions, emerging flow states may have helped them circumvent social facilitation/inhibition mechanisms. It may thus be recommended for future research to consider flow dynamics when investigating social performance effects.

An Examination of Elementary Classroom Dialogue: Implicit and Explicit Use of the NGSS Crosscutting Concepts in an Integrated STEM Unit

ABSTRACT Recent national reforms focus on learning disciplinary core ideas through engaging in science and engineering practices. These reforms also call for students and teachers to use crosscutting concepts (CCCs), or analytical lenses, that support scientific sensemaking and connections across disciplines. The Framework for K-12 Science Education (National Research Council, 2012) posits that CCCs must be made explicit to provide students with access to scientific sensemaking processes. This study analyzes class dialogue during the implementation of an NGSS-aligned curricular unit that integrates science, engineering, and computational modeling for fifth-grade students. The analysis focuses on the implicit and explicit use of CCCs to support student learning. Findings show that although the CCC of systems and system models was the focus of the unit and professional development, systems appeared in the class dialogue much less frequently than other CCCs, and teachers used all of the CCCs at some point during the unit. With the exception of patterns, all references to CCCs were implicit within the classroom dialogue. This study provides evidence that the CCCs play an important part in classroom conversation that focuses on integrating disciplinary core ideas with science and engineering practices. This work has implications to help teachers, teacher educators, and researchers identify the set(s) of CCCs that may have the most explanatory value for particular DCIs anad SEPs, as well as highlights the need for professional learning experiences to promote explicit use of CCCs by teachers and students within classrooms.

The effect of financial analysts on the economic implications of disclosed lease information – a note

PurposeThe purpose of this paper is to investigate whether financial analyst coverage affects the dissemination of disclosed operating lease information into cash flow predictions and stock prices.Design/methodology/approachThe difference in lease expense between capital/finance lease and operating lease reporting is estimated based on the approach in Hsieh and Su (2015). This difference is referred to as the earnings impact from operating lease capitalization and is only available from footnotes. The authors then include the level of financial analyst following in a cash flow model to study its impact on the cash flow predictive value of the earnings impact. Similarly, the level of financial analyst following is inserted in an earnings-return model to assess the effect of analyst coverage on the association between contemporaneous stock returns and earnings impact.FindingsThe authors find that the cash flow predictive value of the earnings impact shifts to the interaction between analyst coverage and the earnings impact, suggesting that the decision-usefulness of the earnings impact is conditioned on the level of analyst following. Nevertheless, the authors find that the earnings impact continues to have explanatory value for the contemporaneous stock returns, while the interaction between analyst coverage and the earnings impact does not. This finding suggests that the earnings impact is already fully reflected in stock prices regardless of analyst following.Research limitations/implicationsSince the estimation of the earnings impact from reporting operating leases as capital leases is based on the method developed by Imhoff et al. (1991), the results and inferences are thus constrained by the validity of the method.Practical implicationsThe authors find that financial analyst activities accelerate the incorporation of the earnings impact from operating lease capitalization in cash flow predictions, but it does not promote the impounding of the earnings impact into stock prices. This finding suggests that financial analysts' influence on the dissemination of the earnings impact hinges on the type of economic activity, and failing to consider the financial analyst following in studying the cash flow predictive value of the earnings impact would obscure the findings.Originality/valueThe authors extend the findings of prior research that financial analysts' activities promote the incorporation of firm-specific information into stock prices by investigating the impact of financial analysts on the dissemination of disclosed operating lease information.

Latin American public opinion vis-à-vis regional integration (1995-2018)

Literature on opposition to regional integration has concentrated on the European Union (EU). So far, very few systematic attempts have been pursued to explain opposition to regional integration in Latin America or to identify its main influential factors. Based on Latinobarometer surveys, two main findings emerge from this paper. First, it confirms that opposition to regional integration is not a generalised attitude among Latin Americans. Secondly, the way in which citizens across Latin America evaluate regional integration is strongly influenced by the same predictors as in the EU. Together, citizens’ assessments of economic performance (both at the individual and national level) enjoy a preponderance to account for their position regarding regionalism. Others variables, i.e. age, ideological position, and level of education have a more limited explanatory value while occupation is not significant. Thus, economic variables such as citizens’ perceptions of their national and individual economy have proven to be directly linked to support for/opposition to economic integration.

Grief’s impact on sensorimotor expectations: an account of non-veridical bereavement experiences

The philosophy of grief has directed little attention to bereavement’s impact on perceptual experience. However, misperceptions, hallucinations and other anomalous experiences are strikingly common following the death of a loved one. Such experiences range from misperceiving a stranger to be the deceased, to phantom sights, sounds and smells, to nebulous quasi-sensory experiences of the loved one’s presence. This paper draws upon the enactive sensorimotor theory of perception to offer a phenomenologically sensitive and empirically informed account of these experiences. It argues that they can be understood as deriving from disruption to both sensorimotor expectations and perceived opportunities for action, stemming from the upheaval of bereavement. Different facets of the enactive sensorimotor approach can help to explain different types of post-bereavement perceptual experience. Post-bereavement misperceptions can be accounted for through the way that alterations to sensorimotor expectations can result in atypical ‘amodal completion’, while bereavement hallucinations can be understood as ‘appearances’ that fail to form part of the usual patterns of sensorimotor contingency. Quasi-sensory experiences of the presence of the deceased can be understood as resulting from changes to perceived affordances. This paper aims to demonstrate the explanatory value of key aspects of the sensorimotor approach by highlighting how they can help to explain the phenomenology of post-bereavement experiences. However, it also illuminates certain areas in which the sensorimotor approach ought to be supplemented, especially if it is to account for tight connections between perception, affect, and intersubjectivity that are salient in grief.

Limitation Clauses and Constitutional Transformation: The Case of the New Arab Constitutions

AbstractFocusing on the constitutional changes undergone since 2005 in Iraq, Sudan, Morocco, Tunisia and Egypt, this article explains how the constitutional limitation clauses affected the respective material constitutional transformations. The explanatory value of the limitation clauses is tested, with possible causalities (as well as non-causal relations) explored through a case study. Generalizing research arguments are offered, theorizing about the material constitutional transformation processes in authoritarian and post-authoritarian scenarios. The research arguments shed light on the limitation clauses’ potential to reveal the policy intent underlying the constituent power, as well as their negative implications for a proper democratic consolidation, their effects in keeping dynamics of political immobilism, and their consequences in terms of favouring instances of authoritarian regression.

Routines, dynamic capabilities and predictability: A contingency approach to risk and uncertainty

Research on risk and uncertainty has been vital to understand how organizations should maneuver their environment. Recently, uncertainty has received increasing attention alongside risk, due to its explanatory value for contemporary business strategy. An important issue is that scholars have mainly focused on describing how organizations could operate in settings that are strictly either risky or uncertain. By researching both concepts in isolation, scholars have overlooked that risk and uncertainty may be two ends of a predictability spectrum. In fact, many settings can be characterized by both risk and uncertainty simultaneously, thereby comprising both predictability and unpredictability at the same time. In this study, we apply a contingency approach to risk and uncertainty, to explain how organizations can address settings of varying levels of predictability. For this, we draw from the routines and dynamic capabilities literatures. To present a stylistic organizational structure that may be able to withstand setting of varying levels of predictability, we take on a design perspective.

Relational Communication Spaces: Infrastructures and Discursive Practices

Digital communication technologies, social web platforms, and mobile communication have fundamentally altered the way we communicate publicly. They have also changed our perception of space, thus making a re-calibration of a spatial perspective on public communication necessary. We argue that such a new perspective must consider the relational logic of public communication, which stands in stark contrast to the plain territorial notion of space common in communication research. Conceptualising the spatiality of public communication, we draw on Löw’s (2016) sociology of space. Her relational concept of space encourages us to pay more attention to (a) the infrastructural basis of communication, (b) the operations of synthesising the relational communication space through discursive practices, and (c) power relations that determine the accessibility of public communication. Thus, focusing on infrastructures and discursive practices means highlighting crucial socio-material preconditions of public communication and considering the effects of the power relations which are inherent in their spatialisation upon the inclusivity of public communication&lt;em&gt;.&lt;/em&gt; This new approach serves a dual purpose: Firstly, it works as an analytical perspective to systematically account for the spatiality of public communication. Secondly, the differentiation between infrastructural spaces and spaces of discursive practices adds explanatory value to the perspective of relational communication spaces.

재활치료 중인 뇌졸중 환자의 재활동기, 의료인지지가 자가간호 수행에 미치는 영향

Purpose: The purpose of this study was to determine the effects of rehabilitation motivation and medical staff support on the self-care activities of stroke patients undergoing rehabilitation therapy. Methods: A total of 199 patients who were admitted at two rehabilitation hospitals located in B city participated in this study. A questionnaire was used to measure rehabilitation motivation, medical staff support, and self-care activities. Results: Self-care activities had a positive correlation with rehabilitation motivation (r=.44, p<.001) and medical staff support (r=.18, p=.009). This means that higher rehabilitation motivation and medical staff support are associated with higher self-care activities. The most influencing factors on self-care activities were rehabilitation motivation (β=.41, p=.001), main caregiver (β=.19, p=.002), marital status (β=.12, p=.041), dysphagia (β=.12, p=.042), and region of hemiplegia (β=-.12, p=.046) in order. The explanatory power value of regression model was 28.7% and it was statistically significant (F=10.95, p<.001). Conclusion: Rehabilitation motivation was identified as the major factors that affect self-care activities. The findings in this study suggest that an active intervention encouraging rehabilitation motivation is needed to improve the self-care activities of stroke patients undergoing rehabilitation therapy.