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Personal factors, participation, and satisfaction post-stroke: A qualitative exploration
Journal article   Peer reviewed

Personal factors, participation, and satisfaction post-stroke: A qualitative exploration

Melanie Hoyle, Louise Gustafsson and Pamela Meredith
Scandinavian Journal of Occupational Therapy, Vol.30(4), pp.572-584
2023
DOI: https://doi.org/10.1080/11038128.2022.2154708
PMID: 36537995
url
https://doi.org/10.1080/11038128.2022.2154708View
Published Version

Abstract

Cerebrovascular accident community occupational therapy quality of life rehabilitation self-appraisals self-concept threat appraisals
Background Decreased participation and life satisfaction are common post-stroke. Exploratory studies have indicated associations between these outcomes and personal factors. Information remains limited and experiences of people with stroke are not well-represented or understood. Aims/Objectives: The aim of this study was to explore how personal factors influence experiences of participation and life satisfaction for people with stroke living in the community. Material and Methods: Qualitative in-depth semi-structured interviews were conducted with eight participants living in the community post-stroke, chosen purposively based on participation and life satisfaction levels. Data were interrogated using interpretative phenomenological analysis. Results: Three themes were identified: (1) What does participation mean to me? (2) Looking forward or looking back, and (3) Appraisals, avoidance, and “getting on with it”. The first acknowledged the multifaceted nature of participation, although it was typically viewed as incorporating active involvement and social interaction. The additional two themes explored impacts of pre/post-stroke self-discrepancies and threat appraisals on participation and life satisfaction outcomes. Conclusions and Significance: Relationships between participation and personal factors seem to be bidirectional. Life satisfaction appeared to be influenced by rumination on negative self-discrepancies based on difference in pre/post-stroke participation. Findings suggest there may be value in examining the influence of personal factor-related interventions on post-stroke outcomes.

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Domestic collaboration
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Rehabilitation

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#3 Good Health and Well-Being

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