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Poststroke activity engagement in community dwellers: Association with illness perceptions and perceived environment.

Publication ,  Journal Article
Shi, Y; Howe, T-H; Halpin, PF; Wu, B
Published in: Clinical rehabilitation
January 2023

To investigate whether individuals' poststroke activity engagement is associated with their perceptions of stroke, as well as their perceptions of physical and social environment.Cross-sectional study.Participants were recruited from eight rehabilitation settings in Beijing, China.A total of 202 dyads of community dwellers with stroke and their primary caregivers.Activity engagement measured by the Assessment of Life Habits; stroke individuals' and caregivers' illness perceptions measured by the Stroke-Specific Illness Perceptions Questionnaire - Revised; and stroke individuals' perceived social and physical environment measured by the Social Support Survey and abbreviated Neighborhood Environment Walkability Scale.A total of 202 dyads of individuals with stroke and their caregivers participated in the study with mean ages of 61.3 (8.3) and 52.6 (11.6), respectively. On average, stroke individuals scored 7.61 (1.42) on the daily activities subscale, indicating that they completed personal level activities without assistance but with some difficulty. They scored 6.21 (2.21) on the social roles subscale, suggesting that individuals completed societal level activities with assistive devices and with some difficulty. Illness perceptions correlated significantly with personal level activity engagement (change in R-squared = 0.029; p = 0.049), and perceived accessibility and heterogeneity correlated significantly with societal level activity engagement (change in R-squared = 0.025; p = 0.011).Poststroke activity engagement is associated not only with stroke individuals' performance skills but also with their perceptions of stroke, and how they perceive their physical environment. The findings may assist clinicians' decision making when developing comprehensive, targeted interventions for improving activity engagement and maximizing recovery after stroke.

Duke Scholars

Published In

Clinical rehabilitation

DOI

EISSN

1477-0873

ISSN

0269-2155

Publication Date

January 2023

Volume

37

Issue

1

Start / End Page

132 / 142

Related Subject Headings

  • Surveys and Questionnaires
  • Stroke Rehabilitation
  • Stroke
  • Rehabilitation
  • Humans
  • Cross-Sectional Studies
  • Caregivers
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
 

Citation

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Shi, Y., Howe, T.-H., Halpin, P. F., & Wu, B. (2023). Poststroke activity engagement in community dwellers: Association with illness perceptions and perceived environment. Clinical Rehabilitation, 37(1), 132–142. https://doi.org/10.1177/02692155221111926
Shi, Yun, Tsu-Hsin Howe, Peter F. Halpin, and Bei Wu. “Poststroke activity engagement in community dwellers: Association with illness perceptions and perceived environment.Clinical Rehabilitation 37, no. 1 (January 2023): 132–42. https://doi.org/10.1177/02692155221111926.
Shi Y, Howe T-H, Halpin PF, Wu B. Poststroke activity engagement in community dwellers: Association with illness perceptions and perceived environment. Clinical rehabilitation. 2023 Jan;37(1):132–42.
Shi, Yun, et al. “Poststroke activity engagement in community dwellers: Association with illness perceptions and perceived environment.Clinical Rehabilitation, vol. 37, no. 1, Jan. 2023, pp. 132–42. Epmc, doi:10.1177/02692155221111926.
Shi Y, Howe T-H, Halpin PF, Wu B. Poststroke activity engagement in community dwellers: Association with illness perceptions and perceived environment. Clinical rehabilitation. 2023 Jan;37(1):132–142.
Journal cover image

Published In

Clinical rehabilitation

DOI

EISSN

1477-0873

ISSN

0269-2155

Publication Date

January 2023

Volume

37

Issue

1

Start / End Page

132 / 142

Related Subject Headings

  • Surveys and Questionnaires
  • Stroke Rehabilitation
  • Stroke
  • Rehabilitation
  • Humans
  • Cross-Sectional Studies
  • Caregivers
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences