Views of survivors of stroke on benefits of physiotherapy.

Pound, Pandora; Bury, M; Gompertz, Patrick; Ebrahim, Shah

doi:10.1136/qshc.3.2.69

Cited by 80 publications

(69 citation statements)

References 10 publications

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“…Participants in this study identified a number of sources of hope -family, friends, healthcare providers and other patients which is consistent with the hope literature (Arnaert, et al, 2006;Barker & Brauer, 2005;Bays, 2001;Jones, et al, 2008;Popovich, et al, 2007;Pound, et al, 1994). This is supported by Green and Waks (2008); Christopher Green reported meeting another person with aphasia was important in helping him feel there was hope for his situation.…”

Section: Discussionsupporting

confidence: 60%

“…Levels of hope could fluctuate following stroke (Cross & Schneider, 2010;Jones, et al, 2008) and could co-exist with emotions such as worry, uncertainty and fear (Arnaert, et al, 2006;Folden, 1994;Jones, et al, 2008). Hope could be developed and maintained through internal factors such as personal attitude, progress to date and stroke severity (Arnaert, et al, 2006;Barker & Brauer, 2005;Bays, 2001;Cross & Schneider, 2010;Dowswell, et al, 2002;Jones, et al, 2008;Nilsson, Jansson, & Norberg, 1997;Popovich, Fox, & Bandagi, 2007;Pound, Bury, Gompertz, & Ebrahim, 1994) and external factors such as social connections, spiritual sources and healthcare professionals (Arnaert, et al, 2006;Barker & Brauer, 2005;Bays, 2001;Cross & Schneider, 2010;Jones, et al, 2008;Popovich, et al, 2007;Pound, et al, 1994). Hope was generally considered a positive construct, a source of motivation (Arnaert, et al, 2006;Cross & Schneider, 2010) that could help modulate mood, adjustment and ability to think about the future (Barker & Brauer, 2005;Jones, et al, 2008;White, et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Hope in people with aphasia

et al. 2013

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Section: Discussionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Hope in people with aphasia

et al. 2013

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“…The association between increased satisfaction and increased support from community services makes sense intuitively, but the relationship between satisfaction and the amount of therapy is more complex. People with stroke often give the impression that they never want therapy to stop, 17 yet while an increase in therapy was positively associated with satisfaction among the patients in this sample, they also indicated a ceiling for the amount of therapy they appreciated. Further, qualitative research is necessary to investigate why this might be.…”

Section: Resultsmentioning

confidence: 94%

Does Patient Satisfaction Reflect Differences in Care Received After Stroke?

Pound

Tilling

Rudd

et al. 1999

Stroke

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Background and Purpose-Despite the volume of research into patient satisfaction, it is not clear whether satisfaction ratings reflect differences in care received after stroke or the characteristics of patients. The aim of this study is to test the hypothesis that patient satisfaction is independently related to differences in care received after stroke. Methods-Stroke patients participating in a randomized controlled trial of early discharge to community therapy completed a satisfaction questionnaire and physical and psychological outcome measures at 4 and 12 months. Two hundred seventy-four patients (83%) were followed up at 4 months and 262 patients (79%) at 12 months. Use of therapy and community services was quantified. Logistic regression was used to investigate associations between satisfaction, patient characteristics, and service provision. Results-The more therapy, meals on wheels, and home help visits patients received, the more likely they were to be satisfied. Patients in the conventional arm of the trial were less likely to express satisfaction than those discharged early to community therapy. Women, older people, anxious people, and those more functionally independent were more likely to be satisfied, while those with depression, speech and swallowing deficit, motor deficit, and poor subjective health were less likely to be satisfied. Conclusions-The finding that satisfaction assessments reflect real differences in the provision of care and occur independently of any associations with patient characteristics is new. Patient satisfaction should be taken seriously as an outcome. (Stroke. 1999;30:49-55.)

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“…An early sociological study investigated how people with stroke disability adapt in light of societal expectations and norms, arguing that rehabilitation seeks to teach patients to redefine stroke as an inconvenience that can be overcome through new techniques. 39 Findings from a UK study indicated that physiotherapy was valued because it was felt to lead directly to functional recovery, 40 while a US study identified a failure to meet individual needs or to facilitate the transition to life at home. 41 Only one study, conducted in Hong Kong, aimed specifically to allow patients to identify their own rehabilitation needs.…”

Section: Rehabilitation Therapiesmentioning

confidence: 99%

Qualitative Studies of Stroke

McKevitt

Redfern

Mold

et al. 2004

Stroke

211

204

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Background and Purpose-Qualitative studies are increasingly used to investigate social processes and phenomena influencing health behaviors and service provision. We aimed to identify the scope of published qualitative studies of stroke, consider their relevance to development and delivery of services for people with stroke, and make recommendations for future work. Methods-Literature review of published articles was identified by systematically searching online literature databases using keywords from the start of each database until 2002. Articles were reviewed by 2 authors, using a standardized matrix for data extraction. The 2003 European Stroke Initiative recommendations for stroke management were used to categorize the literature for consideration of its contribution to stroke research. Results-We included 95 articles. Their empirical contribution includes an emphasis on recording the "human" experience of stroke; identification of needs as perceived by patients and their families, differences in priorities between patients and professionals, and barriers to best-quality care. We identified 12 papers that were specifically undertaken to develop or evaluate interventions. Conclusions-Qualitative studies have addressed a wide range of issues related to the impact of stroke on individuals and caregivers, and to the organization and delivery of services. Significant problems remain in ensuring the delivery of best-quality stroke care, which such studies have the potential to address. Maximizing this potential requires greater collaboration between nonclinical and clinical scientists, service providers, and users to formulate research questions of interest as well as new research strategies, such as meta-analysis, to pool qualitative research findings and multisited investigations. Key Words: qualitative research Ⅲ caregivers Ⅲ delivery of health care Ⅲ evaluation studies Ⅲ quality of health care Ⅲ stroke T he relevance of social science research for medical practice has long been recognized. 1 Studies conducted using qualitative methods, which are drawn from the social sciences, are now commonly advocated and used in health and healthcare research. 2 The aim of qualitative research is to understand social processes and behaviors (such as responses to disease or the organization of health services) in natural rather than experimental settings, and from the perspective of participants. Specific methods used include unstructured or semistructured interviews, focus group interviews, and ethnographic observation. These methods tend to generate textual rather than numerical data, and their analysis entails identifying meanings and developing concepts, but not measuring frequency. Studies using a variety of qualitative research methods have investigated social factors that influence the delivery and uptake of a wide range of health services.Qualitative research is undertaken by researchers from a variety of disciplines, and reports may be published in journals not widely read outside the discipline concerned. The aim...

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Views of survivors of stroke on benefits of physiotherapy.

Abstract: Objective-To describe the components of physiotherapy valued by survivors of a stroke.

Cited by 80 publications

References 10 publications

Hope in people with aphasia

Hope in people with aphasia

Does Patient Satisfaction Reflect Differences in Care Received After Stroke?

Qualitative Studies of Stroke

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