Journal article
Associations between participation and personal factors in community-dwelling adults post-stroke
Brain Impairment, Vol.24(3), pp.456-473
2023
Abstract
Purpose: To examine associations between post-stroke participation and personal factors, including demographic characteristics, self- and threat appraisals, and personality variables. Methods: An exploratory cross-sectional study with purpose-designed survey was completed online or via mail. The survey was comprised of demographic and health-related questions and multiple questionnaires, including the Stroke Impact Scale Version 3.0 (SISv3) (participation/perceived recovery), Community Integration Questionnaire (CIQ) (participation), Head Injury Semantic Differential III (pre- vs post-stroke self-concept/self-discrepancy), Appraisal of Threat and Avoidance Questionnaire (threat appraisal), Life Orientation Test – Revised (optimism) and Relationships Questionnaire (adult attachment style) that measured variables of interest. Sixty-two participants, aged 24–96 years who had experienced a stroke (one or multiple events) and had returned to community living, completed the survey. Associations were examined using correlations, and univariate and multiple linear regression analyses. Results: Regression analysis showed that greater participation, measured using the CIQ, was associated with younger age, female gender, lower self-discrepancy and higher perceived recovery, explaining 69% of the variability in CIQ participation. Further, greater participation on the SISv3 was associated with lower self-discrepancy and higher perceived recovery, explaining 64% of the variability in SISv3 participation. Conclusions: Results indicate that personal factors, particularly self-appraisals like self-concept/self-discrepancy, in combination with perceived recovery may be important in explaining a large portion of variance in post-stroke participation. Specifically, findings highlight the interrelatedness of self-concept change, perceived recovery and post-stroke participation. Further longitudinal research is needed to clarify the directionality of these associations throughout the hospital-to-home transition.
Details
- Title
- Associations between participation and personal factors in community-dwelling adults post-stroke
- Authors
- Melanie Hoyle (Corresponding Author) - University of QueenslandPamela Meredith (Author) - University of the Sunshine Coast, Queensland, School of Health - Occupational TherapyTamara Ownsworth (Author) - Griffith UniversityAsaduzzaman Khan (Author) - University of QueenslandLouise Gustafsson (Author) - University of Queensland
- Publication details
- Brain Impairment, Vol.24(3), pp.456-473
- Publisher
- Cambridge University Press
- Date published
- 2023
- DOI
- 10.1017/BrImp.2022.31
- ISSN
- 1839-5252
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health - Occupational Therapy; Cancer Research Cluster
- Language
- English
- Record Identifier
- 99698697502621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Clinical Neurology
- Neurosciences
- Rehabilitation
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