To explore the experiences of adults who completed a constraint-induced movement therapy (CIMT) programme, and the barriers and enablers to their participation.

Qualitative design using semi-structured interviews. Stroke and brain injury survivors (n = 45) who had completed CIMT as part of their usual rehabilitation were interviewed 1 month post-CIMT. Interviews were audio-recorded, transcribed and imported into Nvivo for analysis. Inductive coding was used to identify initial themes. Themes were then deductively mapped to the Capability, Opportunity, Motivation – Behaviour system, a behaviour change model, to identify barriers and enablers to CIMT programme adherence and engagement.

Enablers influencing participation included being provided with education about the programme (Capability – psychological), seeing improvements in arm function (Motivation – reflective), being committed to the programme (Motivation – reflective) and having strong social support from staff, family and allied health students (Opportunity – social). The structured programme was a motivator and offered a way to fill the time, particularly during inpatient rehabilitation (Opportunity – physical). Barriers to participation included experiencing physical and mental fatigue (Capability – physical) and frustration early in the CIMT programme (Motivation – automatic), and finding exercises boring and repetitive (Motivation – automatic).

Therapist provision of educational supports for CIMT participants and their families is important to maximise CIMT programme uptake. During CIMT delivery, we recommend the provision of positive feedback and coaching in alignment with CIMT principles, and the inclusion of social supports such as group-based programmes to enhance participant adherence.

探讨完成约束诱导运动治疗 (CIMT) 计划的成年人的经历，以及他们参与的障碍和推动因素。

使用半结构化访谈进行定性设计。作为日常康复的一部分，完成了 CIMT 的中风和脑损伤幸存者 ( n = 45) 在 CIMT 后 1 个月接受了采访。采访内容经过录音、转录并导入 Nvivo 进行分析。归纳编码用于识别初始主题。然后将主题演绎地映射到能力、机会、动机 – 行为系统、行为改变模型，以识别 CIMT 计划遵守和参与的障碍和推动因素。

影响参与的促成因素包括接受有关该计划的教育（能力 – 心理）、看到手臂功能的改善（动机 – 反思）、致力于该计划（动机 – 反思）以及获得工作人员、家人和专职医疗人员的强大社会支持学生（机会-社交）。结构化的计划是一种激励因素，并提供了一种打发时间的方法，特别是在住院康复期间（机会 - 身体）。参与障碍包括在 CIMT 项目早期经历身体和精神疲劳（能力 - 身体）和挫折（动机 - 自动），以及发现练习无聊和重复（动机 - 自动）。

治疗师为 CIMT 参与者及其家人提供教育支持对于最大限度地提高 CIMT 项目的吸收率非常重要。在 CIMT 交付期间，我们建议提供符合 CIMT 原则的积极反馈和辅导，并纳入社会支持，例如基于小组的计划，以提高参与者的依从性。