Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional Independence
Objective: To investigate longitudinal, predictive associations between community participation, positive affect, social support, and functional independence for individuals post-stroke at 3 and 12 months post-discharge. Design: Longitudinal design. Subjects: Data from 544 participants were obtaine...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2022-10-01
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| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm/article/view/2238 |
| _version_ | 1811205960148975616 |
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| author | Sameer A. Ashaie Nichol Castro |
| author_facet | Sameer A. Ashaie Nichol Castro |
| author_sort | Sameer A. Ashaie |
| collection | DOAJ |
| description |
Objective: To investigate longitudinal, predictive associations between community participation, positive affect, social support, and functional independence for individuals post-stroke at 3 and 12 months post-discharge.
Design: Longitudinal design.
Subjects: Data from 544 participants were obtained from the Stroke Recovery in Underserved Populations (2005–06) database.
Methods: A cross-lagged panel network analysis to identify the complex set of predictive relationships between community participation, positive affect, social support, and functional independence 3 months post-discharge to 12 months post-discharge.
Results: Community participation, particularly religious/spiritual activities, was an early predictor of later motor (functional) independence and social support. In addition, positive affect was an early predictor of social support.
Conclusion: While participation in social situations is a desired outcome post-stroke, the results of this study indicate the importance of identifying early factors that influence community participation throughout the recovery process.
LAY ABSTRACT
The ability to participate in desired activities is a common outcome goal of rehabilitation for stroke survivors. However, there are many factors that influence success in achieving this goal, including support from family and friends, mental health, and functional independence. This study sought to understand how these factors influence each other and participation over time. The results indicate that early participation post-stroke is an important predictor of later motor independence and social support needs. The results indicate that, while participation is often viewed as a rehabilitation outcome, understanding participation as a predictor of other rehabilitation outcomes is also important.
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| first_indexed | 2024-04-12T03:40:00Z |
| format | Article |
| id | doaj.art-82175b8d9d5241be9b3b1fa76d8546ff |
| institution | Directory Open Access Journal |
| issn | 1651-2081 |
| language | English |
| last_indexed | 2024-04-12T03:40:00Z |
| publishDate | 2022-10-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-82175b8d9d5241be9b3b1fa76d8546ff2022-12-22T03:49:19ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812022-10-015410.2340/jrm.v54.2238Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional IndependenceSameer A. Ashaie0Nichol Castro1Think and Speak, Shirley Ryan AbilityLab, Chicago, IL; Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, ILDepartment of Communicative Disorders and Sciences, University at Buffalo, Buffalo, NY, USA Objective: To investigate longitudinal, predictive associations between community participation, positive affect, social support, and functional independence for individuals post-stroke at 3 and 12 months post-discharge. Design: Longitudinal design. Subjects: Data from 544 participants were obtained from the Stroke Recovery in Underserved Populations (2005–06) database. Methods: A cross-lagged panel network analysis to identify the complex set of predictive relationships between community participation, positive affect, social support, and functional independence 3 months post-discharge to 12 months post-discharge. Results: Community participation, particularly religious/spiritual activities, was an early predictor of later motor (functional) independence and social support. In addition, positive affect was an early predictor of social support. Conclusion: While participation in social situations is a desired outcome post-stroke, the results of this study indicate the importance of identifying early factors that influence community participation throughout the recovery process. LAY ABSTRACT The ability to participate in desired activities is a common outcome goal of rehabilitation for stroke survivors. However, there are many factors that influence success in achieving this goal, including support from family and friends, mental health, and functional independence. This study sought to understand how these factors influence each other and participation over time. The results indicate that early participation post-stroke is an important predictor of later motor independence and social support needs. The results indicate that, while participation is often viewed as a rehabilitation outcome, understanding participation as a predictor of other rehabilitation outcomes is also important. https://medicaljournalssweden.se/jrm/article/view/2238strokeparticipationaphasiapositive emotionnetworksupport |
| spellingShingle | Sameer A. Ashaie Nichol Castro Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional Independence Journal of Rehabilitation Medicine stroke participation aphasia positive emotion network support |
| title | Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional Independence |
| title_full | Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional Independence |
| title_fullStr | Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional Independence |
| title_full_unstemmed | Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional Independence |
| title_short | Complexity of Participation Post-Stroke: Longitudinal Assessment of Community Participation, Positive Affect, Social Support and Functional Independence |
| title_sort | complexity of participation post stroke longitudinal assessment of community participation positive affect social support and functional independence |
| topic | stroke participation aphasia positive emotion network support |
| url | https://medicaljournalssweden.se/jrm/article/view/2238 |
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