Factors associated with post-stroke social participation: A quantitative study based on the ICF framework.

Area of Science:

• Rehabilitation Medicine
• Psychology
• Public Health

Background:

• Post-stroke social participation is crucial for quality of life but its determinants, especially psychological and environmental factors, are understudied.
• Limited data exists on factors influencing social reintegration after stroke.

Purpose of the Study:

• To investigate the determinants of post-stroke social participation using the International Classification of Functioning, Disability and Health (ICF) framework.
• To identify clinical, personal, and environmental factors affecting social participation in stroke survivors.

Main Methods:

• A cohort study of 352 non-institutionalized stroke survivors in Rhône County.
• Multiple hierarchical linear regressions analyzed predictors including clinical variables, Activities of Daily Living (ADL) limitations, coping strategies, and environmental satisfaction.
• Social participation was measured using the Stroke Impact Scale (SIS) 2.0.

Main Results:

• Positive thinking coping strategies and higher satisfaction with the living environment were associated with increased social participation.
• Fewer perceived activity limitations also positively correlated with higher social participation.
• Conversely, seeking social support coping style and a greater number of stroke-related sequelae were linked to reduced social participation.

Conclusions:

• Personal (coping strategies) and environmental (living satisfaction) factors significantly influence post-stroke social participation.
• Findings suggest modifiable targets for enhancing rehabilitation programs and developing psychosocial interventions.
• Strengthening rehabilitation with psychosocial support can improve social reintegration for stroke survivors.