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Understanding activity participation 3-months after stroke: a mixed methodology study.

Tamara Tse1,2,3, Primrose Lentin4, Jacinta Douglas5,6

  • 1Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.

Disability and Rehabilitation
|December 23, 2020
PubMed
Summary

Stroke survivors partially resumed 96% of activities 3 months post-stroke, favoring home-based tasks. Reasons for participation evolved, influenced by personal, environmental, and temporal factors, highlighting a dynamic adaptation process.

Keywords:
Strokeadaptationhuman activitiesoccupationrehabilitationsocial participation

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Area of Science:

  • Rehabilitation Science
  • Occupational Therapy
  • Neuroscience

Background:

  • Stroke significantly impacts survivors' ability to participate in daily activities and occupations.
  • Understanding the factors influencing activity participation post-stroke is crucial for effective rehabilitation.

Purpose of the Study:

  • To investigate activity participation levels 3 months after stroke.
  • To explore the reasons behind stroke survivors' activity participation.
  • To examine changes in the reasons for activity participation over time.

Main Methods:

  • Thirty stroke survivors participated in the study.
  • The Activity Card Sort-Australia and semi-structured interviews were used.
  • Data analysis involved descriptive statistics and spiral content analysis.

Main Results:

  • Survivors returned to 96% of previous activities, with a shift towards sedentary and home-based tasks.
  • Thirteen participants reported changes in their reasons for activity participation.
  • Personal, environmental, and temporal dimensions influenced activity choices and changes.

Conclusions:

  • Returning to full activity participation post-stroke is a dynamic adaptation process.
  • Rehabilitation professionals must recognize survivors' agency in managing capacities and environments.
  • Client-centered, collaborative approaches are essential for successful reintegration into meaningful activities.