Determinants of participation restriction among community dwelling stroke survivors: A path analysis

Chau, Janita Pak Chun; Thompson, David R.; Twinn, Sheila; Chang, Anne M.; Woo, Jean

doi:10.1186/1471-2377-9-49

Cited by 125 publications

(105 citation statements)

References 28 publications

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“…Similar to a previous report 1 , an inverse relationship exists between participants' ages and level of community reintegration. Though the predominant co-morbidity among participants was hypertension, diabetes mellitus was the condition that significantly and adversely influenced their level of satisfaction with community reintegration.…”

Section: Discussionsupporting

confidence: 70%

“…Other studies on community reintegration have however involved more male survivors 9,24,25 . Though it has been reported that the female gender is a predictor of participation restriction 1 , neither community reintegration nor any of its domains was significantly influenced African Health Sciences Vol 16 Issue 3, September 2016 776 by gender in the present study. Previous studies have also failed to establish statistically significant gender difference, though scores for males generally tend to be slightly higher 9,24,25 .…”

Section: Discussioncontrasting

confidence: 38%

“…Younger ages, better functional ability, male gender, longer poststroke duration, participation in exercise program, better community and social supports, and more supportive physical and social environments have all been reported to be associated with higher level of satisfaction with community reintegration 1,9,11,24,25 . Comparison of mean RNLI scores from the Nigerian studies including the present one with findings from more developed countries revealed poorer level of satisfaction with community reintegration among Nigerian stroke survivors 1,9,11 thus buttressing findings and assumptions of the influence of socio-economic status, environmental and cultural factors on community reintegration 9,15 .…”

Section: Discussionmentioning

confidence: 99%

“…Stroke is a major cause of long-term disability and the second leading cause of death globally, with an associated high economic cost and a detrimental impact on the physical, social, and psychological functioning of the survivors 1,2 . The incidence of stroke and its associated disabilities is reportedly increasing even in poor and medically-less developed countries 3 .…”

Section: Introductionmentioning

confidence: 99%

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Community reintegration and related factors in a Nigerian stroke sample

Akosile¹,

Nworah²,

Okoye³

et al. 2016

Afr H. Sci.

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Background: The goal of stroke rehabilitation has shifted from mere survival of a victim to how well a survivor can be effectively reintegrated back into the community. Objectives: The present study determined the level of satisfaction with community reintegration (CR) and related factors among Nigerian community-dwelling stroke survivors (CDSS). Methods: This was a cross-sectional survey of 71 volunteering CDSS (35 males, 36 females) from selected South-Eastern Nigerian communities. Reintegration to Normal Living Index was used to assess participants' CR. Data was analysed using Spearman rank-order correlation, Kruskal-Wallis and Mann-Whitney U tests at p≤0.05. Results: Participants generally had deficits in CR which was either mild/moderate (52.1%) or severe (47.9%). Scores in the CR domains of distance mobility, performance of daily activities, recreational activities and family roles were particularly low (median scores ≤ 4). CR was significantly correlated with and influenced by age (r=-0.35; p=0.00) and presence/absence of diabetes mellitus (u=3.56.50; p=0.01), pre-(k=6.13; p=0.05) and post-stroke employment (k=18.26; p=0.00) status, type of assistive mobility device being used (AMD) (k=25.39; p=0.00) and support from the community (k=7.15; p=0.03) respectively. Conclusion: CR was generally poor for this CDSS sample. Survivors who are older, having diabetes as co-morbidity, using AMD (particularly wheel-chair) and without employment pre-and/or post-stroke may require keener attention. Rehabilitation focus may be targeted at enhancing mobility functions, vocational and social skills.

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Section: Discussionsupporting

confidence: 70%

Section: Discussioncontrasting

confidence: 38%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Community reintegration and related factors in a Nigerian stroke sample

Akosile¹,

Nworah²,

Okoye³

et al. 2016

Afr H. Sci.

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“…Therefore, these factors need further research to gain better insight into predictors positively and negatively influencing long-term participation which are potentially modifiable by interventions. Positive affect [44], self-esteem [45] and hopeful thinking [16] have been found to positively influence participation.…”

Section: Predictors Of Favorable Participation Outcomementioning

confidence: 99%

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Graaf

Mierlo

Post

et al. 2017

Disability and Rehabilitation

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Purpose: This study aims to (1) assess differences in participation restrictions between stroke survivors aged under and over 70 years and (2) identify predictors associated with favorable and unfavorable longterm participation in both age groups. Methods: Prospective cohort study in which 326 patients were assessed at stroke onset, two months and one year after stroke. The Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) was used to measure participation restrictions one year after stroke. Bivariate and multivariate logistic regression analyses were performed including demographic factors, stroke-related factors, emotional functioning and comorbidity as possible predictors. Results: Stroke survivors aged over 70 years perceived more participation restrictions in comparison to stroke survivors aged under 70 years one year after stroke. Independently significant predictors for unfavorable participation outcomes were advancing age, more severe stroke and anxiety symptoms in patients aged over 70 years, and female gender, more severe stroke, impaired cognition and depression symptoms in patients aged under 70 years. Lower age was the only independent predictor associated with favorable participation after one year in stroke survivors aged over 70 years. Conclusions: This study emphasizes the need to pay more attention to participation restrictions in elderly stroke survivors. ä IMPLICATIONS FOR REHABILITATIONMore attention in the rehabilitation process should be paid to restrictions in participation of stroke survivors aged older than 70 years, taking into account the different participation needs and predictors of older stroke survivors. Early screening on the presence of anxiety symptoms could potentially prevent long-term restrictions in participation in stroke survivors aged over 70-year old. Stroke survivors experience considerable restrictions in physical activity and mobility after one year, highlighting the need for the development of community-based exercise programs for stroke survivors.ARTICLE HISTORY

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Sex differences in independence in activities of daily living early in stroke rehabilitation

et al. 2021

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Background: Current stroke research suggests that there are differences between females and males regarding incidence, stroke risk factors, stroke severity, outcome, and mortality. The few studies that have investigated sex differences in rehabilitation 8-12 months poststroke found that males are more independent, compared to females.Objectives: To investigate if there is a difference in the improvement of independence in activities of daily living (ADL) between females and males in the acute phase (first 2 weeks) of stroke rehabilitation in a Danish population.Methods: A prospective cohort study enrolling patients admitted to the hospital's

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Determinants of participation restriction among community dwelling stroke survivors: A path analysis

Cited by 125 publications

References 28 publications

Community reintegration and related factors in a Nigerian stroke sample

Community reintegration and related factors in a Nigerian stroke sample

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Sex differences in independence in activities of daily living early in stroke rehabilitation

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