Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

01-02-2014 | Uitgave 1/2014

Quality of Life Research 1/2014

Necessary and sufficient causes of participation post-stroke: practical and philosophical perspectives

Tijdschrift:
Quality of Life Research > Uitgave 1/2014
Auteurs:
Nancy E. Mayo, David Bronstein, Susan C. Scott, Lois E. Finch, Sydney Miller

Abstract

Introduction

Participation, a construct within the disability/functioning framework, is evaluated on a person’s involvement in life situations including family, community, work, social, and civic life. In the context of recovering from a major health event, participation is a treatment goal and it is known to correlate with the quality of life.

Objective

The purpose of this study is to track the dynamics of participation post-stroke in relationship to the dynamics of walking capacity, social support, and mood.

Methods

An inception cohort was followed over the first post-stroke year. Group-based trajectory analysis, a form of latent class analysis, was used to identify distinctive groups of individuals with similar trajectories. Dual trajectories were used to estimate concordance between participation trajectory and trajectories for each of the three constructs under study.

Results

From the sample of 102 persons (mean age 70), four trajectories of participation were identified, two of which were qualified as excellent and very good, and two qualified as fair and poor. All those with excellent walking showed excellent participation. However, people with excellent (and very good) community participation had a range of walking capacities. Most (82 %) people with normal mood showed excellent participation. People with good mood but not meeting norms for age showed the complete range of participation trajectories from excellent to poor. The higher proportion of people with excellent or good social support (57 %) showed excellent participation.

Conclusion

Two treatable component causes of participation, walking capacity and mood, were identified; of these, only excellent walking capacity could be considered a sufficient cause.

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Literatuur
Over dit artikel

Andere artikelen Uitgave 1/2014

Quality of Life Research 1/2014 Naar de uitgave