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How do environment and place attachment influence social participation among stroke survivors? A mixed-methods study
Huijing Zhang1, Xuetong Zhao1, Xi Vivien Wu2
1School of Nursing, Jilin University, Changchun, China.
Health & Place
|March 22, 2026
Summary
Place attachment mediates social participation for stroke survivors. Enhancing residential quality and neighborhood cohesion strengthens this bond, promoting greater engagement in life situations.
Area of Science:
- Rehabilitation Science
- Environmental Psychology
- Sociology
Background:
- Social participation is a key rehabilitation outcome for stroke survivors.
- The role of place attachment in mediating environmental factors and social participation remains unclear.
- Environmental satisfaction and neighborhood cohesion are potential influencers of social participation.
Purpose of the Study:
- To investigate the mediating role of place attachment in the relationship between environmental satisfaction and social participation among stroke survivors.
- To examine the mediating role of place attachment in the relationship between neighborhood cohesion and social participation among stroke survivors.
Main Methods:
- Mixed-methods study involving quantitative and qualitative data collection from stroke survivors in China.
- Cross-sectional path analyses were used to assess mediation effects.
- Thematic analysis of qualitative data explored environmental and social factors influencing place attachment and participation.
Main Results:
- Place attachment partially mediated the link between environmental satisfaction and social participation.
- Place attachment fully mediated the link between neighborhood cohesion and social participation.
- Qualitative findings highlighted the importance of a supportive, accessible environment and strong social bonds for fostering place attachment and participation.
Conclusions:
- Place attachment is a significant mediator for social participation in stroke survivors.
- Improving residential quality and fostering neighborhood cohesion can enhance place attachment and promote social participation.
- Interventions should consider environmental and social factors to support stroke survivors' long-term engagement.
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