Places visited for activities outside the home after stroke: Relationship with the severity of disability

Abstract

Introduction Knowledge about the places people visit or do not visit after stroke is lacking. The aim of this study was to describe and compare the places visited for activities outside the home of people with stroke of working age and to explore the influence of the severity of disability, fatigue, driving a car and sociodemographic characteristics on the total number of places visited for activities outside the home. Methods An exploratory cross-sectional study was conducted and 63 people with stroke were interviewed with instruments that covered places outside the home, severity of disability and fatigue. Data were analysed using non-parametric tests, analysis of variance and the general linear model. Results Significant difference in the total number of places visited for activities outside the home were found between all three groups of severity of disability. The good recovery group visited eight places to a significantly higher extent than those with severe/moderate disability. The severity of disability and driving a car were the only aspects that significantly influenced the total number of places visited. Conclusions Places for activities outside the home people with stroke visit and changes therein can add valuable knowledge about participation that can be used in the design of rehabilitation.

Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke

“…The severity of disability was as well significantly associated with the clusters of patterns of participation. This was maybe not surprising, as the severity of disability has been found to play an important role in the number and types of places visited after a stroke [5]. The place of residence (city centre/suburb/rural) was as well as transportation to/from the place was significantly associated with the patterns of participation.…”

“…The place of residence (city centre/suburb/rural) was as well as transportation to/from the place was significantly associated with the patterns of participation. Previous research [5,10,11,29] has emphasized the critical role of transportation for participation. Limited possibilities for transportation can decrease the right to experience enriching activities, thereby creating injustices.…”

“…After a stroke, it can be challenging to be engaged in activities in places outside the home [1][2][3][4]. Recent research has found that people with a severe or moderate disability after a stroke visit fewer places, compared to those with good recovery after stroke [5]. Differences between these groups in the types of places visited are mostly related to social, cultural and spiritual activities, as well as places for recreational and physical activities.…”

Optimising the development of sustainable internet-based occupational therapy interventions: Important key actions and perspectives to consider

“…From the synthesis of the present and new evidence (e.g. [25][26][27][28][43][44][45][46][47][48][49][50][51][52]), it became evident that SEE needs to build on a more complex understanding of activities in everyday life than are commonly applied in current rehabilitation c.f., [44,45,52]. Usually, activities are considered in isolation from each other or from an independence perspective.…”

Accessing public space in the digital society: relationship between the use of everyday technology and places visited outside the home after acquired brain injury

“…ET use has to a large extent become a prerequisite for activities outside the home, accessibility and participation in the digitalized society [5]. An active life in society commonly includes engagement in various daily activities, such as shopping, training, recreation, meeting friends at cafes and joining cultural events [6]. This engagement in daily activities is dependent on visiting a wide range of places outside the home, both in the neighborhood and in the wider society.…”