The relationship between social support and participation in stroke: A systematic review

Elloker, Toughieda; Rhoda, Anthea

doi:10.4102/ajod.v7i0.357

Cited by 78 publications

(65 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, wealth was not identified as a predictor of post-stroke motor function difficulty scores, which is different from previous studies. 41,42 High levels of physical and emotional support contribute to improvements in functional outcomes post-stroke, but mainly in severely impaired patients. 14 In the current analyses, the number of people living in the household did not increase the odds of experiencing post-stroke motor function difficul-ty.…”

Section: Discussionmentioning

confidence: 99%

“…Post-stroke disability is complex, multifaceted, and may result from an array of contributing sociodemographic and environmental factors. 42,43 However, there remains a paucity of literature examining the presence of disparities and potential factors associated with long-term functional outcomes, particularly among community-dwelling stroke survivors. [44][45][46] Future studies examining differences in common environmental (individual/community level) barriers in stroke recovery are needed.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Racial Disparities in Stroke Recovery Persistence in the Post-Acute Stroke Recovery Phase: Evidence from the Health and Retirement Study

et al. 2020

View full text Add to dashboard Cite

Background and Purpose: Blacks have a higher burden of post-stroke disability. Factors associated with racial differences in long-term post-stroke disability are not well-understood. Our aim was to assess the long-term racial differences in risk factors associated with stroke recovery.Methods: We examined Health and Retirement Study (HRS) longitudinal interview data collected from adults living with stroke who were aged >50 years during 2000- 2014. Analysis of 1,002 first-time, non- Hispanic, Black (210) or White (792) stroke survivors with data on activities of daily living (ADL), fine motor skills (FMS) and gross motor skills (GMS) was conducted. Ordinal regression analysis was used to assess the impact of sex, race, household residents, household income, comorbidities, and the time since having a stroke on functional outcomes.Results: Black stroke survivors were younger compared with Whites (69 ± 10.4 vs 75 ± 11.9). The majority (~65%) of Black stroke survivors were female compared with about 54% White female stroke survivors (P=.007). Black stroke survivors had more household residents (P<.001) and comorbidities (P<.001). Aging, being female, being Black and a longer time since stroke were associated with a higher odds of having increased difficulty in ADL, FMS and/or GMS. Comorbidities were associated with increased difficulty with GMS. Black race increased the impact of comorbidities on ADL and FMS in comparison with Whites.Conclusion: Our data suggest that the effects of aging, sex and unique factors associated with race should be taken into consideration for future studies of post-stroke recovery and therapy.Ethn Dis. 2020;30(2):339-348; doi:10.18865/ ed.30.2.339

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Racial Disparities in Stroke Recovery Persistence in the Post-Acute Stroke Recovery Phase: Evidence from the Health and Retirement Study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The social network seems to be an important determinant of eventual activity resumption after brain injury, so rehabilitation trajectories should not only focus on the improvement of braininjured patients' functions and skills, but should also address the patients' social context, as was also suggested by other authors [44,45]. During early rehabilitation, it seems important that rehabilitation professionals explore the characteristics of each patient's network, such as whether others are available to the patient, understand the consequences of the brain injury and acknowledge the skills the patient has left.…”

Section: Practical Implicationsmentioning

confidence: 93%

“…During clinical rehabilitation, they can start informing family members, friends and others on how to best support the patient, for example by showing them how to include the patient in their activities and how to encourage patients to develop new skills. In this respect, Elloker and Rhoda (2018) suggest that rehabilitation interventions should include group sessions with family members and others, where the focus should be on patients gaining independence [44].…”

Section: Practical Implicationsmentioning

confidence: 99%

Activity resumption after acquired brain injury: the influence of the social network as described by social workers

Jellema

Erp

Sanden

et al. 2019

Disability and Rehabilitation

View full text Add to dashboard Cite

Purpose: To understand how the social network of patients with acquired brain injury facilitates or hinders resumption of their activities, such as social and leisure activities, and how this affects patients' wellbeing and quality of life. Methods: Thematic analysis was applied to 70 narratives about family members, friends, neighbors and colleagues helping or hindering patients in resuming their activities. The narratives were derived from social workers with extensive experience with brain-injured patients and their social networks. Results: The narratives show that an available, understanding and well-informed network enhances activity resumption by being inclusive and encouraging patients to develop their skills. This is in line with earlier studies based on patients' experiences. Whereas the patient-based studies emphasize that being unsupportive or overprotective hinders patients from resuming their activities, this study also shows that preventing patients from meeting others or placing too-high demands results in activity loss, social isolation and reduced well-being and quality of life. Conclusions: Several social network factors play a role in activity resumption, well-being, and quality of life of after brain injury. Early after the brain injury, rehabilitation professionals should work with patients' family members, friends, and others and educate them about how to provide adequate support. ä IMPLICATIONS FOR REHABILITATION Since the patient's social network is an important determinant of activity resumption, rehabilitation professionals should analyze its features soon after brain injury, such as whether patients have an understanding network that encourages them and includes them in their activities. Since especially close network members tend to be protective of or place high demands on the patient, rehabilitation professionals should explain to them the importance of activity resumption for the patient's wellbeing and the adverse effects of being overprotective or over-demanding. Rehabilitation professionals should include other network members, such as friends or colleagues, in the rehabilitation process and educate them about how to support patients in resuming their activities.

show abstract

“…67 Taken together, these findings suggest that the integration of social elements within the rehabilitative experience for participants may improve physical recovery alongside improving social well-being and participation in societal and domestic roles. 71 These benefits could be highlighted to pique older people's interest to engage in falls prevention activities 72 and used to promote programme adherence. 73…”

Section: Changes In the Participants' Daily Lived Experiencementioning

confidence: 99%

<p>Evaluating a Novel Multifactorial Falls Prevention Activity Programme for Community-Dwelling Older People After Stroke: A Mixed-Method Feasibility Study</p>

Koh

Hill

Etherton‐Beer

et al. 2020

CIA

View full text Add to dashboard Cite

Purpose: The overall purpose of this study was to explore participants' and physiotherapists' experiences regarding the acceptability, implementation, and practicality of a novel group-based multifactorial falls prevention activity programme for community-dwelling older people after stroke. Specifically, the purpose was to explore if and how participating could impact on the participants' health-related quality of life (HRQoL) in terms of their daily lived experience regarding physical, mental, emotional and social well-being. A secondary purpose was to explore whether participating in the programme could positively influence participants' balance, strength, falls efficacy, mobility and motor impairment of the trunk. Materials and Methods: This was an exploratory mixed-method Phase I feasibility study. A convenience sample of five older community-dwelling people after stroke participated in a novel eight-week multifactorial activity programme which included falls education, a mix of individually tailored and group-based strength and balance exercises, exploring limits of stability and safe landing techniques and a social element. Qualitative data from post-intervention interview transcripts with the participants and the physiotherapists who delivered the programme were thematically analysed using both deductive and inductive approaches to explore the participants' and therapists' experiences with the programme. Quantitative outcomes included balance, strength, falls efficacy, mobility and motor impairment of the trunk. Results: The programme was deemed feasible in terms of acceptability, implementation and practicality by the participants as well as the physiotherapists delivering the programme. The overarching theme regarding HRQoL identified that participating in the programme was perceived to empower the participants living with stroke and positively influenced their daily physical, mental, emotional and social well-being. Participant outcomes showed a change in the direction of improvements in balance, strength, mobility, motor impairment of the trunk and reduced concerns about falling. Subjectively, participants only reported perceived improvements in balance and strength. Conclusion: Running a novel multifactorial falls prevention activity programme for older community-dwelling people after stroke was feasible. Participating in the programme helped participants to perceive improved balance, strength and empower them to make meaningful changes, improving their daily lived experiences. A future fully powered study could build on these results to investigate physical improvements, prevention of falls and improvements to domains of HRQoOL.

show abstract

The relationship between social support and participation in stroke: A systematic review

Cited by 78 publications

References 33 publications

Racial Disparities in Stroke Recovery Persistence in the Post-Acute Stroke Recovery Phase: Evidence from the Health and Retirement Study

Racial Disparities in Stroke Recovery Persistence in the Post-Acute Stroke Recovery Phase: Evidence from the Health and Retirement Study

Activity resumption after acquired brain injury: the influence of the social network as described by social workers

<p>Evaluating a Novel Multifactorial Falls Prevention Activity Programme for Community-Dwelling Older People After Stroke: A Mixed-Method Feasibility Study</p>

Contact Info

Product

Resources

About