Highlights
- •Perceived participation was evaluated in 236 stroke survivors 6 months poststroke.
- •Physical function was the strongest predictor of participation.
- •Social participation was significantly influenced by depression status.
- •Participation factors should be individually assessed for tailored early intervention.
- •Physical function should be emphasized early poststroke.
Abstract
Objectives
To describe perceived participation of first-stroke survivors in mainland China, and
to determine variables that may correlate with perceived participation 6 months after
discharge.
Design
Cross-sectional survey.
Setting
Neurology department of a tertiary hospital, with subsequent follow-up of patients
in their homes.
Participants
First-stroke survivors (N=236) who had been treated in the neurology department and
discharged 6 months before their participation in our study.
Interventions
Not applicable.
Main Outcome Measures
Participation was assessed using the Chinese version of the self-report Impact on
Participation and Autonomy Questionnaire. Performance on activities of daily living
was measured using the Barthel Index, and physical function was measured with the
Chinese Stroke Scale. The Hospital Anxiety and Depression Scale and the Social Support
Rating Scale were also used.
Results
The mean score of perceived participation was 40.39±15.29, and 52.1%, 38.1%, 33.1%,
and 5.5% of the participants reported insufficient participation in the domains of
autonomy outdoors, family role, social relations, and autonomy indoors, respectively.
Physical function served as the strongest correlate for the domains of family role
and autonomy outdoors (standardized coefficients =.426 and .336, respectively), while
depression was the strongest correlate for the domain of social relations (standardized
coefficient =.315).
Conclusions
Physical function and activities of daily living were significantly associated with
perceived participation in almost all domains. Depression was an important correlater
of participation in the social relations domain. Perceived participation may be influenced
by multiple factors, and tailored strategies should be implemented early in the rehabilitation
phase poststroke to promote participation in all domains of daily living.
Keywords
List of abbreviations:
IPA (Impact on Participation and Autonomy Questionnaire), IPA-C (Chinese version of the Impact on Participation and Autonomy Questionnaire)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 26, 2017
Footnotes
Supported by the Shanghai Municipal Commission of Health and Family Planning (grant no. XBR2013108) and the Shanghai Science and Technology Committee (grant no. 16XD1403200).
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
