Abstract
Objective
To examine racial differences in poststroke rehabilitation utilization and functional
outcomes.
Design
Observational follow-up study.
Setting
Designated stroke center.
Participants
Stroke survivors (N=162; 106 whites and 56 blacks) surveyed at 1 year poststroke.
Intervention
Not applicable.
Main Outcome Measures
Twenty-question measure of activities of daily living (ADL) and instrumental activities
of daily living (IADL) performance, life participation, and driving. One-year follow-up
data collected from stroke survivors as part of the Stroke Education and Prevention-South
Carolina Project were examined for racial disparities in rehabilitation utilization
and functional outcomes.
Results
Analyses revealed no significant differences between blacks and whites for rehabilitation
utilization. In multivariate comparisons controlling for stroke severity, blacks were
less likely to report independence in overall functional performance and domain-specific
measures of toileting, walking, transportation, laundry, and shopping. Blacks also
reported less independence in driving at 1-year follow-up.
Conclusions
Blacks were less likely to report independence in performing ADL and IADL at 1 year
poststroke after controlling for stroke severity. Racial disparities were reported
in ADL and IADL performance despite a lack of racial differences in rehabilitation
utilization. Future studies are needed to further understand the reason for this disparity
in reported functional independence.
Keywords
List of abbreviations:
ADL (activities of daily living), IADL (instrumental activities of daily living), NIHSS (National Institutes of Health Stroke Scale), OT (occupational therapy), PT (physical therapy), ST (speech therapy)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 14, 2014
Footnotes
Disclosures: none.
Identification
Copyright
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
