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Fatigue Influences Social Participation in Aphasia: A Cross-sectional and Retrospective Study Using Patient-Reported
Yina M Quique1, Sameer A Ashaie2, Edna M Babbitt2
1Center for Education in Health Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL; Shirley Ryan AbilityLab, Chicago, IL.
Objective:
To examine associations between social participation, fatigue, and aphasia severity using patient-reported outcome measures and to examine associations between demographic/diagnostic variables and fatigue in people with aphasia.
Design:
Retrospective analysis of patient-reported outcome measures using a Bayesian framework.
Setting:
Urban rehabilitation research hospital.
Participants:
67 participants (N=67) with chronic aphasia (mean age=54.1 years) as a consequence of stroke.
Interventions:
Not applicable.
Main Outcome Measures:
Ability to Participate in Social Roles and Activities, Fatigue, and Global Health Questionnaire scales from the Patient-Reported Outcomes Measurement Information System initiative and the Western Aphasia Battery-Revised. We hypothesized an association between social participation and fatigue in people with aphasia.
Results:
People with aphasia with higher fatigue levels tended to report less social participation. Also, people with aphasia who were a longer time post-stroke tended to report higher social participation. People with aphasia who reported better physical health were more likely to report higher social participation.
Conclusions:
There is an association between fatigue and social participation in people with aphasia. Fatigue should be considered in clinical assessments and treatments for this population.
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