Perceived participation and autonomy: Aspects of functioning and contextual factors predicting participation after stroke

Fallahpour, Mandana; Tham, Kerstin; Joghataei, Mohammad Taghi; Jonsson, Hans

doi:10.2340/16501977-0789

Cited by 56 publications

(74 citation statements)

References 32 publications

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“…As a whole, these PMD users perceived their autonomy indoors as very good or good, although some participants perceived it as only fair (Table 3). This finding is in accordance with the perceptions of people with late effects of polio (Lund & Lexell, 2009) and stroke (Fallahpour, Tham, Joghataei, & Jonsson, 2011). The fact that living more years with SCI predicts less restriction in autonomy indoors is noteworthy but well in line with previous research on people with SCI showing that many adapt to their life situation over the years (Chaves et al, 2004).…”

Section: Discussionsupporting

confidence: 81%

Autonomy and Housing Accessibility Among Powered Mobility Device Users

Pettersson

Brandt

Lexell

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. To describe environmental barriers, accessibility problems, and powered mobility device (PMD) users’ autonomy indoors and outdoors; to determine the home environmental barriers that generated the most housing accessibility problems indoors, at entrances, and in the close exterior surroundings; and to examine personal factors and environmental components and their association with indoor and outdoor autonomy. METHOD. This cross-sectional study was based on data collected from a sample of 48 PMD users with a spinal cord injury (SCI) using the Impact of Participation and Autonomy and the Housing Enabler instruments. Descriptive statistics and logistic regression were used. RESULTS. More years living with SCI predicted less restriction in autonomy indoors, whereas more functional limitations and accessibility problems related to entrance doors predicted more restriction in autonomy outdoors. CONCLUSION. To enable optimized PMD use, practitioners must pay attention to the relationship between client autonomy and housing accessibility problems.

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Section: Discussionsupporting

confidence: 81%

Autonomy and Housing Accessibility Among Powered Mobility Device Users

Pettersson

Brandt

Lexell

et al. 2015

The American Journal of Occupational Therapy

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“…[3][4][5] Recovery after stroke generally means improvements in physical, emotional, and cognitive function, as well as the capacity to perform daily activities. 5,[7][8][9][10] To reflect upon "person-centered practice," a person's experience of involvement must be central for participation. 5,[7][8][9][10] To reflect upon "person-centered practice," a person's experience of involvement must be central for participation.…”

Section: Introductionmentioning

confidence: 99%

The impact of physical function on participation in the first year post-stroke

et al. 2016

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“…The other studies examined a statistical relationship between environmental factors and valued activities. Reengagement was not quantified uniformly within the studies: it was measured by counting the number of daily activities performed 32–35 or the number that could be performed without help; 32,34–37 the amount of help needed; 32,38–40 the relative difficulty experienced; 33,38,40–45 the satisfaction felt with performance; 33,46 or by exploring the subjective experience of feeling integrated within one’s living environment. 47,48 Melnyk evidence levels varied between the studies: 13 studies had level VI, 14 level IV and three level II.…”

Section: Resultsmentioning

confidence: 99%

“…However, most cross-sectional or cohort studies did not confirm a relationship between the presence of spouses, family or friends and reengagement in valued activities. 33,34,38,39,45,46,64–66 Sometimes, their presence was even found to worsen reengagement. 67 For a detailed description of the similarities and inconsistencies between findings and related levels of evidence, see Supplementary Table IV, last column; ‘synthesis’.…”

Section: Resultsmentioning

confidence: 99%

“…Thematic analysis revealed that valued activities could be divided into the following categories: reengagement in valued activities in general (studies about outdoor and indoor activities); 22,25,26,32,33,35–46,48,60–64,67–72 social and community reengagement (studies about social activities outside the home and in the community); 21,23,27, 28,34,47,50,52,55,58,73,74 mobility (studies about moving around as a meaningful activity) 29,51,53,54,56,57,59 and work. 24,49,65,66,75–86 Some single remaining studies on activities such as eating, exercise or leisure …”

Section: Resultsmentioning

confidence: 99%

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What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings

et al. 2016

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Objective:Identify the environmental factors that influence stroke-survivors’ reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types.Data sources:PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms for stroke, activities, disability, and home and community environments.Review methods:An integrated mixed-method systematic review of qualitative, quantitative and mixed-design studies was conducted. Two researchers independently identified relevant studies, assessed their methodological quality and extracted relevant findings. To validly compare and combine the various findings, all findings were classified and grouped by environmental category and level of evidence.Results:The search yielded 4024 records; 69 studies were included. Most findings came from low-evidence-level studies such as single qualitative studies. All findings were consistent in that the following factors facilitated reengagement post-stroke: personal adapted equipment; accessible environments; transport; services; education and information. Barriers were: others’ negative attitudes and behaviour; long distances and inconvenient environmental conditions (such as bad weather). Each type of valued activity, such as mobility or work, had its own pattern of environmental influences, social support was a facilitator to all types of activities. Although in many qualitative studies others’ attitudes, behaviour and stroke-related knowledge were seen as important for reengagement, these factors were hardly studied quantitatively.Conclusion:A diversity of environmental factors was related to stroke-survivors’ reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted.

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Perceived participation and autonomy: Aspects of functioning and contextual factors predicting participation after stroke

Cited by 56 publications

References 32 publications

Autonomy and Housing Accessibility Among Powered Mobility Device Users

Autonomy and Housing Accessibility Among Powered Mobility Device Users

The impact of physical function on participation in the first year post-stroke

What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings

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