An investigation of factors influencing the participation of stroke survivors in social and leisure activities

Ahn, Si-Nae

doi:10.14474/ptrs.2018.7.2.67

Cited by 9 publications

(4 citation statements)

References 22 publications

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“…Despite the variability in conceptualisation and measurement, participation outcomes have consistently been associated with body functions/impairments, activity limitations, health conditions, level of independence and sociodemographic factors in adults' post-stroke (Ahn & Hwang, 2018;Carey, Matyas, & Baum, 2018;Ezekiel et al, 2019). In addition to objective indices of functioning, the client's perceived recovery has been identified as a significant predictor of participation and an important clinical consideration when determining barriers to post-stroke participation (Baseman, Fisher, Ward, & Bhattacharya, 2010;Wolf & Koster, 2013).…”

Section: Participation Post-strokementioning

confidence: 99%

Associations between participation and personal factors in community-dwelling adults post-stroke

Hoyle,

Meredith,

Ownsworth

et al. 2023

Brain Impairment

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To examine associations between post-stroke participation and personal factors, including demographic characteristics, self-and threat appraisals, and personality variables. Methods: An exploratory cross-sectional study with purpose-designed survey was completed online or via mail. The survey was comprised of demographic and health-related questions and multiple questionnaires, including the Stroke Impact Scale Version 3.0 (SISv3) (participation/perceived recovery), Community Integration Questionnaire (CIQ) (participation), Head Injury Semantic Differential III (pre-vs post-stroke self-concept/self-discrepancy), Appraisal of Threat and Avoidance Questionnaire (threat appraisal), Life Orientation Test -Revised (optimism) and Relationships Questionnaire (adult attachment style) that measured variables of interest. Sixty-two participants, aged 24-96 years who had experienced a stroke (one or multiple events) and had returned to community living, completed the survey. Associations were examined using correlations, and univariate and multiple linear regression analyses. Results: Regression analysis showed that greater participation, measured using the CIQ, was associated with younger age, female gender, lower self-discrepancy and higher perceived recovery, explaining 69% of the variability in CIQ participation. Further, greater participation on the SISv3 was associated with lower self-discrepancy and higher perceived recovery, explaining 64% of the variability in SISv3 participation. Conclusions: Results indicate that personal factors, particularly self-appraisals like self-concept/selfdiscrepancy, in combination with perceived recovery may be important in explaining a large portion of variance in post-stroke participation. Specifically, findings highlight the interrelatedness of self-concept change, perceived recovery and post-stroke participation. Further longitudinal research is needed to clarify the directionality of these associations throughout the hospital-to-home transition.

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Section: Participation Post-strokementioning

confidence: 99%

Associations between participation and personal factors in community-dwelling adults post-stroke

Hoyle,

Meredith,

Ownsworth

et al. 2023

Brain Impairment

View full text Add to dashboard Cite

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“…In addition, a recent review of 81 studies comprising 11,815 stroke survivors found depressive symptoms, cognitive functioning, mobility, and activity limitations had the strongest correlations with participation [ 7 ]. Studies have also highlighted the detrimental impact of impaired balance function and independence level after stroke on the social participation of stroke survivors [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Association between participation self-efficacy and participation in stroke survivors

Chau

Lam

et al. 2022

BMC Neurol

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Background Most stroke survivors face restrictions in functional disability and social participation, which can impede their recovery and community reintegration. Participation self-efficacy refers to survivors’ confidence in using strategies to manage participation in areas including community living and work engagement. This study aimed to assess the association between participation self-efficacy and participation among stroke survivors. Methods This study adopted a cross-sectional correlational design with a convenience sample of 336 stroke survivors recruited from five hospitals in China. Participation self-efficacy was measured using the Chinese version of the Participation Strategies Self-Efficacy Scale (PS-SES-C) and participation measured using the Chinese version of the Reintegration to Normal Living Index (RNLI-C). The association between participation self-efficacy and participation was examined using multiple regression analysis with adjustment for potential confounders. Results Participants had a mean age of 69.9 ± 11.5 years, with most (81.6%) having an ischaemic stroke, and more than half (61.6%) a first-ever stroke. After adjustment for potential confounders, every 10-point increase in the PS-SES-C total score was significantly associated with an average 1.3-point increase in the RNLI-C total score (B = 1.313, SE = 0.196, p < 0.001). Conclusions This study demonstrates that participation self-efficacy is significantly associated with participation among Chinese community-dwelling survivors of a mild or moderate stroke. This suggests that rehabilitation programmes for stroke survivors may be more effective if they incorporate participation-focused strategies designed to enhance self-efficacy. (229 words).

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“…Despite the variability in conceptualisation and measurement, participation outcomes have consistently been associated with body functions/impairments, activity limitations, health conditions, level of independence and sociodemographic factors in adults’ post-stroke (Ahn & Hwang, 2018; Carey, Matyas, & Baum, 2018; Ezekiel et al, 2019). In addition to objective indices of functioning, the client’s perceived recovery has been identified as a significant predictor of participation and an important clinical consideration when determining barriers to post-stroke participation (Baseman, Fisher, Ward, & Bhattacharya, 2010; Wolf & Koster, 2013).…”

Section: Introductionmentioning

confidence: 99%

Associations between participation and personal factors in community-dwelling adults post-stroke

et al. 2022

View full text Add to dashboard Cite

Purpose: To examine associations between post-stroke participation and personal factors, including demographic characteristics, self- and threat appraisals, and personality variables. Methods: An exploratory cross-sectional study with purpose-designed survey was completed online or via mail. The survey was comprised of demographic and health-related questions and multiple questionnaires, including the Stroke Impact Scale Version 3.0 (SISv3) (participation/perceived recovery), Community Integration Questionnaire (CIQ) (participation), Head Injury Semantic Differential III (pre- vs post-stroke self-concept/self-discrepancy), Appraisal of Threat and Avoidance Questionnaire (threat appraisal), Life Orientation Test – Revised (optimism) and Relationships Questionnaire (adult attachment style) that measured variables of interest. Sixty-two participants, aged 24–96 years who had experienced a stroke (one or multiple events) and had returned to community living, completed the survey. Associations were examined using correlations, and univariate and multiple linear regression analyses. Results: Regression analysis showed that greater participation, measured using the CIQ, was associated with younger age, female gender, lower self-discrepancy and higher perceived recovery, explaining 69% of the variability in CIQ participation. Further, greater participation on the SISv3 was associated with lower self-discrepancy and higher perceived recovery, explaining 64% of the variability in SISv3 participation. Conclusions: Results indicate that personal factors, particularly self-appraisals like self-concept/self-discrepancy, in combination with perceived recovery may be important in explaining a large portion of variance in post-stroke participation. Specifically, findings highlight the interrelatedness of self-concept change, perceived recovery and post-stroke participation. Further longitudinal research is needed to clarify the directionality of these associations throughout the hospital-to-home transition.

show abstract

An investigation of factors influencing the participation of stroke survivors in social and leisure activities

Cited by 9 publications

References 22 publications

Associations between participation and personal factors in community-dwelling adults post-stroke

Associations between participation and personal factors in community-dwelling adults post-stroke

Association between participation self-efficacy and participation in stroke survivors

Associations between participation and personal factors in community-dwelling adults post-stroke

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