Continuity, transition and participation: Preparing clients for life in the community post-stroke

Cott, Cheryl; Wiles, Rose; Devitt, Rachel

doi:10.1080/09638280701618588

Cited by 163 publications

(157 citation statements)

References 55 publications

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“…Traditionally, most interventions focus on functional recovery and often do not consider the need for a return to life in the community and the ability to participate in life in a fulfilling way [2]. Because disability is viewed today in terms of the interaction between the individual and the environment [3][4][5], knowledge of environmental factors as facilitators or barriers is necessary to decelerate the disability creation process and accelerate the rehabilitation of patients.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers of stroke survivors in the early post-stroke phase

Algurén

Lundgren‐Nilsson

Sunnerhagen

2009

Disability and Rehabilitation

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Purpose. To identify facilitators and barriers among persons with first-ever stroke discharged to the home in the first 3 months post-stroke by means of ICF categories. Method. Stroke survivors were interviewed using semi-structured questions based on the ICF categories of Environmental factors of the Comprehensive ICF Core Set for Stroke (extended version) at 6 weeks and at 3 months post-stroke.Results. The study sample exists of 67 stroke survivors with an average age of 71 years (51% women). Eleven environmental factors from the ICF chapters 'support and relationship', 'products and technology' and 'services, systems and policies' were experienced to be facilitators and only 'physical geography' was experienced as a barrier by 50% or more of the participants in the study. Conclusions. It was possible to document facilitators and barriers among stroke survivors in a structured way using ICF categories. The high number of experienced facilitators gives an idea of how well stroke care functions in Sweden. There is a great need for further studies examining environmental factors in the post-stroke phase.

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Section: Introductionmentioning

confidence: 99%

Facilitators and barriers of stroke survivors in the early post-stroke phase

Algurén

Lundgren‐Nilsson

Sunnerhagen

2009

Disability and Rehabilitation

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“…Rehabilitation typically focuses on physical and functional restoration (37)(38)(39)(40), and stroke survivors receiving rehabilitation have been described as "context free persons" with body functions to restore (41). Stroke is described as leading to life course disruption of and lost sense of social self (42,43).…”

Section: Control and Recoverymentioning

confidence: 99%

“…The opportunity for stroke survivors to participate in such social conversation is promoted by speech and language therapists (37) and illustrates the supportive role of art participation for this aspect of recovery (36).…”

Section: Control and Recoverymentioning

confidence: 99%

Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur

Morris

Toma

Kelly

et al. 2015

Disability and Rehabilitation

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1Social context, art making processes and creative output: A qualitative study exploring how psychosocial benefits of art participation occur during stroke rehabilitation ABSTRACT PurposeTo explore stroke survivors' and artists' beliefs about participatory visual arts programme participation during in-patient rehabilitation to identify benefits and potential mechanisms of action. MethodQualitative design using semi-structured in-depth interviews with stroke survivors (n=11) and artists (n=3).Analysis: Data was audio-recorded and transcribed. Framework approach was used to identify themes and develop conceptual schemes. ResultsThe non-medical, social context of art facilitated social interaction, provided enjoyment and distraction from stroke and re-established social identity thereby improving mood. The processes of art-making generated confidence and self-efficacy, setting and achievement of creative, communication and physical recovery goals that provided control over survivors' situation and hope for recovery. Creative output involved completion of artwork and display for viewing. This enhanced self-esteem and improved mood, providing survivors with new identities through positive appraisal of the work by others. Self-efficacy, hope and control appeared to mediate benefits. ConclusionThis study provides a model of intervention components, mechanisms of action and outcome mediators to explain how art participation may work. Findings suggest that art may influence important psychosocial outcomes that other rehabilitation approaches do not typically address. The study paves the way for a future effectiveness trial. BACKGROUND

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“…Stroke patients strive to return to their pre-stroke lives (Doolittle, 1992;Hafsteinsdottir & Grypdonck, 1997) or at least to resume valued activities (Cott, Wiles, & Devitt, 2007;Folden, 1994). Rehabilitation, in turn, aims at restoring functional independence and thus significantly contributes to patients' living independently.…”

Section: Introductionmentioning

confidence: 99%