Perceived Community Participation and Associated Factors in People With Stroke

Shrivastav, Siddhi R; Ciol, Márcia A.; Lee, Danbi

doi:10.1016/j.arrct.2022.100210

Cited by 6 publications

(2 citation statements)

References 43 publications

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“…Furthermore, stroke-related person factors, such as falls, rehospitalizations, and mobility function played a crucial role in determining the level of social engagement among mild stroke survivors. This finding is consistent with prior research, indicating that more severe motor impairments may contribute to difficulties in navigating the social environment and consequently lead to decreased social participation (Desrosiers et al, 2006; Ezekiel et al, 2019; Shrivastav et al, 2022). Furthermore, the ability to walk without aids and self-perceived mobility have been identified as significant factors associated with survivors’ level of social participation (Singam et al, 2015).…”

Section: Discussionsupporting

confidence: 92%

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Bright,

Baum,

Roberts

2024

OTJR: Occupational Therapy Journal of Research

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Mild stroke survivors seldom receive occupational therapy services as their deficits are assumed to be minor enough to not affect their daily occupations. Yet many mild stroke survivors report deficits in self-care performance and social participation. This study investigates person and environment factors influencing self-care performance and social participation among mild stroke survivors, using the Person–Environment–Occupation–Performance (PEOP) model. A retrospective cohort analysis of 736 mild stroke survivors was conducted using electronic health records. Person factors included demographic characteristics and clinical characteristics, and environment factors included the Social Vulnerability Index. The analysis included logistic regression. Approximately, 10% of patients reported deficits in self-care or social participation. Disability level was the only person factor associated with self-care performance. Person factors affecting social participation included mobility and unemployment. Socioeconomic status was associated with both occupation measures. Occupational therapy practitioners must address the person and environment factors affecting mild stroke survivors’ self-care performance and social participation.

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Section: Discussionsupporting

confidence: 92%

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Bright,

Baum,

Roberts

2024

OTJR: Occupational Therapy Journal of Research

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“…In future studies, measures assessing general self-efficacy, resilience, or positive outlook may be considered. Measures of environmental support and barriers may also be included so participation outcomes can be adjusted based on external barriers that were reported to limit participants’ active engagement in the community and meaningful activities (Shrivastav et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Telehealth Self-Management Support in Early Stroke Rehabilitation: A Feasibility Randomized Controlled Trial

Lee

Fischer

Yang

et al. 2023

OTJR: Occupational Therapy Journal of Research

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Background: Skills to manage the chronic effect of stroke are often not sufficiently addressed in early stroke rehabilitation. Objectives: The study evaluated the feasibility of conducting a trial testing the efficacy of telehealth self-management support early in stroke recovery. Methodology: Process, resources, and scientific feasibility was assessed for a randomized controlled trial comparing the effect of motivational interviewing and a group-based self-management program to treatment-as-usual with first-time stroke patients. Data were analyzed using descriptive statistics, effect sizes, and thematic analysis. Results: Fifteen stroke patients were enrolled, and 10 completed the study (intervention n = 6). 100% attendance was achieved with technical support, reminders, and schedule flexibility. Participants were satisfied with the intervention and reported emotional benefits and gain of new insights. Perceived recovery showed moderate effect ( r = 0.54). Conclusion: The findings support the feasibility of an efficacy trial as well as the potential benefit of integrating telehealth self-management support early in stroke rehabilitation.

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Professional reintegration of stroke survivors and their mental health, quality of life and community integration

Matos,

Henriques,

Moura

et al. 2024

Qual Life Res

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Purpose To assess the association between professional reintegration and mental health, quality of life (QoL) and community reintegration of stroke survivors. Methods Using a cross-sectional study design, a structured questionnaire was administered to previously working stroke survivors, 18–24 months post-stroke. Data on sociodemographic characteristics, professional reintegration (prevalence of return to work (RTW), period of RTW, job placement, function at work, reintegration support, association of stroke with work and number of working hours), mental health (Hospital Anxiety and Depression Questionnaire), QoL (Stroke Specific Quality of Life Scale) and community integration (Community Integration Questionnaire) were reported by 553 stroke survivors. Results Twenty months after stroke, 313 (56.6%; 95%CI 52.4–60.8) stroke survivors had return to work. RTW was positively associated with both global and sub-domains scores of Community Integration Questionnaire (CIQ) (global CIQ β = 3.50; 95%CI 3.30–3.79) and with depressive symptomatology (β = 0.63; 95%CI 0.20–1.46) measured by the Hospital Anxiety and Depression Scale. No significant differences were found regarding QoL, according to RTW status. For those who RTW, no significant associations were found between any of the professional reintegration determinants assessed and mental health, QoL and community integration scores. Conclusions RTW seems to be associated to better community integration after stroke, but appears to be negatively associated to stroke survivor’s mental health, namely considering depression symptoms. Future studies should explore the barriers to stroke survivors’ RTW and the challenges and strategies used to overcome them, to allow the development of professional reintegration policies.

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Perceived Community Participation and Associated Factors in People With Stroke

Cited by 6 publications

References 43 publications

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke

Telehealth Self-Management Support in Early Stroke Rehabilitation: A Feasibility Randomized Controlled Trial

Professional reintegration of stroke survivors and their mental health, quality of life and community integration

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