The Impact of Mild Stroke on Meaningful Activity and Life Satisfaction

Edwards, Dorothy Farrar; Hahn, Michele; Baum, Carolyn; Dromerick, Alexander W.

doi:10.1016/j.jstrokecerebrovasdis.2006.04.001

Cited by 224 publications

(264 citation statements)

References 23 publications

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“…The ACS is a reliable and valid instrument (Edwards, Hahn, Baum, & Dromerick, 2006;Everard, Lach, Fisher, & Baum, 2000;Tse, Douglas, Lentin, & Carey, 2013). A recent review indicated that the ACS covers the most domains of the ICF Activities and Participation domains, relative to other measures, and meets the most psychometric properties (Tse et al, 2013).…”

Section: Methodsmentioning

confidence: 99%

Effects of Somatosensory Impairment on Participation After Stroke

Carey

Matyas

Baum

2018

The American Journal of Occupational Therapy

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OBJECTIVE. Our objective was to determine the effect of loss of body sensation on activity participation in stroke survivors. METHOD. Participants (N = 268) were assessed at hospital admission for somatosensory and motor impairment using the National Institutes of Health Stroke Scale. Participation was assessed using the Activity Card Sort (ACS) in the postacute phase. Between-group differences in activity participation were analyzed for participants with and without somatosensory impairment and with or without paresis. RESULTS. Somatosensory impairment was experienced in 33.6% of the sample and paresis in 42.9%. ACS profiles were obtained at a median of 222 days poststroke. Somatosensory loss alone (z = 1.96, p = .048) and paresis in upper and lower limbs without sensory loss (z = 4.62, p < .001) influenced activity participation. CONCLUSION. Somatosensory impairment is associated with reduced activity participation; however, paresis of upper and lower limbs can mask the contribution of sensory loss.

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Section: Methodsmentioning

confidence: 99%

Effects of Somatosensory Impairment on Participation After Stroke

Carey

Matyas

Baum

2018

The American Journal of Occupational Therapy

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“…These include social support and social network (Osberg et al, 1988;Åström, Asplund, Åström, 1992;Nagayoshi, Iwata and Hachisuka, 2008), mental and physical disabilities (Osberg et al, 1988;Viitanen, Fugl-Meyer, Bernspang, and FuglMeyer, 1988;Åström, Asplund, Åström, 1992;Gottlieb, Golander, Bar-Tal and Gottlieb, 2001;Ostir et al, 2008), depression (Åström, Adolfsson, Asplund, and Åström, 1992;Lofgren, Gustafson and Nyberg, 1999;Edwards, Hahn, Baun, and Dromerick, 2006), meaningful lifestyles/leisure activities (Sveen et al, 2004;Edwards, Hahn, Baun, and Dromerick, 2006;Ekstam, Uppgard, Von and Tham, 2007;Hartman-Maeir et al, 2007a, 2007b, and return to work (Vestling, Tufvesson, and Iwarsson, 2003;Vestling, Ramel, and Iwarsson, 2005). Although there have been four studies, in Israel, Japan, and Iran (Hartman-Maeir et al, 2007a, 2007bNagayoshi, Iwata and Hachisuka, 2008;Dalvandi 6 et al 2010), life satisfaction after stroke has been studied primarily within Western countries.…”

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confidence: 99%

Life satisfaction and self-efficacy in patients affected by a first stroke living in Kuwait: A two-phase study

Omu¹,

Reynolds

2013

Physiotherapy Theory and Practice

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. Life satisfaction and self-efficacy in patients affected by a first stroke living in Kuwait: A two-phase study. Physiotherapy Theory and Practice, 29(6), 443-456. AbstractLife satisfaction and self-efficacy are important aspects of stroke rehabilitation. Previous research focuses on Western stroke survivors, neglecting the stroke experience in the Middle East. This research was conducted in Kuwait, and entailed both quantitative and qualitative phases to obtain a more comprehensive, clinically relevant understanding of self-efficacy and life satisfaction during stroke rehabilitation in this culture. The aims were firstly to investigate relationships between self-efficacy and life satisfaction in female patients affected by stroke (Phase 1), and secondly, to explore health professionals' views regarding the importance of self-efficacy and possible strategies for enhancing self-efficacy during rehabilitation, through semi-structured interviews (Phase2). Significant correlations were found between patients' general self-efficacy, and psychosocial adaptation self-efficacy following stroke. Self-efficacy (both general and psychosocial adaptation) showed significant correlations with life satisfaction poststroke. Health professionals (more than half of whom were physiotherapists) recognized the importance of self-efficacy within stroke rehabilitation and identified five main ways to increase self-efficacy during stroke rehabilitation. These were to: motivate and encourage patients, provide more education about stroke and rehabilitation, identify change, offer a high quality environment and therapy, and set goals. In conclusion, psychosocial self-efficacy was identified as having a stronger relationship to life 2 satisfaction compared with general self-efficacy within this sample of Kuwaiti female patients. Health professionals suggested various strategies for enhancing self-efficacy and thereby life satisfaction post-stroke during the rehabilitation process in Kuwait.Despite the collectivist culture of Kuwait, the findings indicate that patient's own confidence and sense of responsibility for progress may be relevant to rehabilitation.

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“…32 This more hands-on approach combined with remote support could change the outcomes desired. Given that there is a growing body of evidence about the sequelae of mild stroke, including changes in cognition, [33][34][35] fatigue, 36 decreased quality of life, 37,38 and psychosocial issues, 39 we would argue that these low rates of service provision by rehabilitation specialists do not reflect patient need. We acknowledge that traditional rehabilitation services would need to be reorganized to meet specific mild stroke clientele needs, 40 yet the importance of specialized medical follow-up after stroke 10 is now recognized, and best practice guidelines for stroke 41 recommend that all patients admitted for an acute stroke be assessed by rehabilitation professionals.…”

Section: Discussionmentioning

confidence: 99%

The YOU CALL–WE CALL Randomized Clinical Trial

Rochette

Korner‐Bitensky

Bishop

et al. 2013

Circ: Cardiovascular Quality and Outcomes

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Background-Comparison of a multimodal intervention WE CALL (study initiated phone support/information provision) versus a passive intervention YOU CALL (participant can contact a resource person) in individuals with first mild stroke. Methods and Results-This study is a single-blinded randomized clinical trial. Primary outcome includes unplanned use of health services (participant diaries) for adverse events and quality of life (Euroquol-5D, Quality of Life Index). Secondary outcomes include planned use of health services (diaries), mood (Beck Depression Inventory II), and participation (Assessment of Life Habits [LIFE-H]). Blind assessments were done at baseline, 6, and 12 months. A mixed model approach for statistical analysis on an intention-to-treat basis was used where the group factor was intervention type and occasion factor time, with a significance level of 0.01. We enrolled 186 patients (WE=92; YOU=94) with a mean age of 62.5±12.5 years, and 42.5% were women. No significant differences were seen between groups at 6 months for any outcomes with both groups improving from baseline on all measures (effect sizes ranged from 0.25 to 0.7). The only significant change for both groups from 6 months to 1 year (n=139) was in the social domains of the LIFE-H (increment in score, 0.4/9±1.3 [95% confidence interval, 0.1-0.7]; effect size, 0.3). Qualitatively, the WE CALL intervention was perceived as reassuring, increased insight, and problem solving while decreasing anxiety. Only 6 of 94 (6.4%) YOU CALL participants availed themselves of the intervention. Conclusions-Although the 2 groups improved equally over time, WE CALL intervention was perceived as helpful, whereas YOU CALL intervention was not used. Clinical Trial Registration-URL: http://www.controlled-trials.com. Unique identifier: ISRCTN95662526.(Circ Cardiovasc Qual Outcomes. 2013;6:674-679.)

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The Impact of Mild Stroke on Meaningful Activity and Life Satisfaction

Cited by 224 publications

References 23 publications

Effects of Somatosensory Impairment on Participation After Stroke

Effects of Somatosensory Impairment on Participation After Stroke

Life satisfaction and self-efficacy in patients affected by a first stroke living in Kuwait: A two-phase study

The YOU CALL–WE CALL Randomized Clinical Trial

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