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Determinants of Social Participation at 1, 3, and 6 Months Poststroke in Benin

Published:April 25, 2019DOI:https://doi.org/10.1016/j.apmr.2019.03.020

      Abstract

      Objective

      To build a model of prediction of social participation of community-dwelling stroke survivors in Benin at 1 month, 3 months, and 6 months.

      Design

      An observational study with evaluations at 1 month, 3 months, and 6 months poststroke. Correlational analyses and multivariate linear regressions were performed.

      Setting

      Outpatient rehabilitation centers in Benin.

      Participants

      A volunteer sample of 91 stroke patients was enrolled at baseline; 64 (70%) patients completed all the study (N=64): 70% male and 52% right hemiparesis.

      Intervention

      Not applicable.

      Main Outcome Measures

      Participants were evaluated with the Participation Measurement Scale, ACTIVLIM-Stroke (activities of daily living [ADL]), Stroke Impairment Assessment Set, 6-minute walk test, Hospital Anxiety and Depression Scale, and the modified Rankin Scale.

      Results

      The significant predictors of social participation after controlling the confounders were the following: at 1 month ADL (0.4 [0.3, 0.6]) and depression (‒0.6 [‒0.8, ‒0.2]) with total model R2=0.44; at 3 months ADL (0.58 [0.4, 0.7]) and depression (‒0.58 [‒0.5, ‒0.7]) with total model R2=0.65; and at 6 months ADL (0.31 [0.2, 0.5]), impairments (‒0.82 [‒0.5, ‒0.7]), and depression (‒0.94 [‒0.8, ‒0.2]) with total model R2=0.78.

      Conclusions

      Using socioculturally tailored tools, the present study identified ADL performance (ACTIVLIM-Stroke), depression (Hospital Anxiety Depression Scale), and overall impairments (Stroke Impairment Assessment Set) as the significant determinants of social participation (Participation Measurement Scale) poststroke in Benin. These findings will be a valuable resource for rehabilitation stakeholders in evaluating interventions, programs, and policies designed to encourage social participation for stroke patients.

      List of abbreviations:

      6MWT (6-minute-walk test), ADL (activities of daily living), HADS (Hospital Anxiety and Depression Scale), PM-Scale (Participation Measurement Scale), PSD (poststroke depression), SIAS (Stroke Impairment Assessment Set)

      Keywords

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