Abstract
Experiences of participation, life satisfaction, and personal factors from adults living in the community after stroke: A qualitative study
International Journal of Stroke, Vol.17(1, Supplement), pp.22-22
SMART STROKES: Change, Challenges and Opportunities in Stroke Care, 2022 (Sydney, Australia, 18-Aug-2022–19-Aug-2022)
2022
Abstract
Introduction: A large proportion of community dwelling adults living with the effects of stroke report continuing restrictions in participation and decreased life satisfaction. The contributions of personal factors to these outcomes have previously received little attention. Recent exploratory quantitative studies have indicated associations between participation, life satisfaction, and personal factors, such as age, gender, self-concept/self-discrepancy, threat appraisals, dispositional optimism, and adult attachment styles. While these recent studies have expanded knowledge, there is a need to gain a deeper understanding of these associations by applying qualitative methodology to explore experiences and perspectives of the people living with the effects of stroke.
Aims: To explore the experience of participation, life satisfaction, and personal factors for people living in the community after experiencing stroke.
Methods: Eight adults living in the community post-stroke were purposively sampled based on participation and life satisfaction results in previous quantitative work. In-depth semi-structured interviews were conducted and interpretative phenomenological analysis supported the generation of findings.
Results: Three themes emerged. What does participation mean to me? was an overarching theme with participation identified as a multifaceted construct that was commonly seen to incorporate active involvement and social interaction. The two subsequent themes, Looking forward or looking back, and Appraisals, avoidance, and “getting on with it”, addressed the impacts of pre-/post-stroke self-discrepancies and threat appraisals on participation and life satisfaction outcomes.
Conclusions/Discussion: Personal factors, such as self- and threat appraisals, may prove useful in identifying people at risk of poor outcomes post-stroke. The relationships between participation and personal factors appeared bidirectional while rumination on negative self-discrepancies, based on differences between pre- and post-stroke participation, appeared to influence life satisfaction. Further research is necessary to examine these relationships and determine if interventions targeting relevant personal factors can influence key post-stroke outcomes.
Details
- Title
- Experiences of participation, life satisfaction, and personal factors from adults living in the community after stroke: A qualitative study
- Authors
- Melanie Hoyle (Author) - University of QueenslandLouise Gustafsson (Author) - University of QueenslandPamela Meredith (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
- Publication details
- International Journal of Stroke, Vol.17(1, Supplement), pp.22-22
- Conference details
- SMART STROKES: Change, Challenges and Opportunities in Stroke Care, 2022 (Sydney, Australia, 18-Aug-2022–19-Aug-2022)
- Publisher
- Sage Publications Ltd.
- Date published
- 2022
- DOI
- 10.1177/17474930221115480
- ISSN
- 1747-4949
- Organisation Unit
- School of Health - Occupational Therapy; School of Health and Behavioural Sciences - Legacy; University of the Sunshine Coast, Queensland; Cancer Research Cluster
- Language
- English
- Record Identifier
- 99668498102621
- Output Type
- Abstract
Metrics
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Clinical Neurology
- Peripheral Vascular Disease