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    Determinants of participation restriction among community dwelling stroke survivors: A path analysis

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    80
    Author
    Chau, JPC; Thompson, DR; Twinn, S; Chang, AM; Woo, J
    Date
    2009-09-07
    Source Title
    BMC Neurology
    Publisher
    BMC
    University of Melbourne Author/s
    Thompson, David
    Affiliation
    Psychiatry
    Metadata
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    Document Type
    Journal Article
    Citations
    Chau, J. P. C., Thompson, D. R., Twinn, S., Chang, A. M. & Woo, J. (2009). Determinants of participation restriction among community dwelling stroke survivors: A path analysis. BMC NEUROLOGY, 9 (1), https://doi.org/10.1186/1471-2377-9-49.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/259443
    DOI
    10.1186/1471-2377-9-49
    Abstract
    BACKGROUND: Apart from promoting physical recovery and assisting in activities of daily living, a major challenge in stroke rehabilitation is to minimize psychosocial morbidity and to promote the reintegration of stroke survivors into their family and community. The identification of key factors influencing long-term outcome are essential in developing more effective rehabilitation measures for reducing stroke-related morbidity. The aim of this study was to test a theoretical model of predictors of participation restriction which included the direct and indirect effects between psychosocial outcomes, physical outcome, and socio-demographic variables at 12 months after stroke. METHODS: Data were collected from 188 stroke survivors at 12 months following their discharge from one of the two rehabilitation hospitals in Hong Kong. The settings included patients' homes and residential care facilities. Path analysis was used to test a hypothesized model of participation restriction at 12 months. RESULTS: The path coefficients show functional ability having the largest direct effect on participation restriction (beta = 0.51). The results also show that more depressive symptoms (beta = -0.27), low state self-esteem (beta = 0.20), female gender (beta = 0.13), older age (beta = -0.11) and living in a residential care facility (beta = -0.12) have a direct effect on participation restriction. The explanatory variables accounted for 71% of the variance in explaining participation restriction at 12 months. CONCLUSION: Identification of stroke survivors at risk of high levels of participation restriction, depressive symptoms and low self-esteem will assist health professionals to devise appropriate rehabilitation interventions that target improving both physical and psychosocial functioning.

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