Perceived Community Participation and Associated Factors in People With Stroke.
Siddhi R Shrivastav, Marcia A Ciol, Danbi Lee
PMID 36123973WHAT IT FOUND
Community participation after stroke is strongly linked to supportive environments, and moderately linked to less depression, less fatigue, and better mobility.
Rehabilitation should address these non-neurologic factors and environmental barriers, not just physical function.
Key findings
01Higher environmental support was strongly associated with both better participation performance and greater satisfaction with participation.
02Fewer depressive symptoms, lower fatigue severity, and better mobility were moderately associated with higher participation performance and satisfaction.
03Perceived recovery was moderately associated with participation performance.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The sample was relatively small (113 participants) and recruited from only two urban areas in the Midwest, limiting generalizability. The data were collected over 10 years ago, which may not reflect current rehabilitation practices or community environments. As a cross-sectional study, it can only show associations, not causation. Participants had mild to moderate stroke and excluded those with severe cognitive impairment or aphasia, so findings do not apply to these groups. No correction for multiple comparisons was applied due to the exploratory nature of the study.
The easy way to misread this
Do not assume these factors cause changes in participation. This is a cross-sectional study showing associations only. Furthermore, the sample excluded people with severe cognitive or communication impairments, so these findings may not apply to all stroke survivors.