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Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors

Background. Many persons with stroke experience physical, cognitive, and emotional problems that contribute to restrictions in social participation. There is, however, a lack of knowledge on the long-term course of participation over time post-stroke. Objective. To describe the time course of partic...

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Autores principales: Verberne, Daan P. J., Post, Marcel W. M., Köhler, Sebastian, Carey, Leeanne M., Visser-Meily, Johanna M. A., van Heugten, Caroline M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146317/
https://www.ncbi.nlm.nih.gov/pubmed/30178696
http://dx.doi.org/10.1177/1545968318796341
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author Verberne, Daan P. J.
Post, Marcel W. M.
Köhler, Sebastian
Carey, Leeanne M.
Visser-Meily, Johanna M. A.
van Heugten, Caroline M.
author_facet Verberne, Daan P. J.
Post, Marcel W. M.
Köhler, Sebastian
Carey, Leeanne M.
Visser-Meily, Johanna M. A.
van Heugten, Caroline M.
author_sort Verberne, Daan P. J.
collection PubMed
description Background. Many persons with stroke experience physical, cognitive, and emotional problems that contribute to restrictions in social participation. There is, however, a lack of knowledge on the long-term course of participation over time post-stroke. Objective. To describe the time course of participation up to 2 years post-stroke and to identify which demographic and stroke-related factors are associated with this time course. Methods. This was a multicenter, prospective cohort study following 390 persons with stroke from hospital admission up to 2 years (at 2, 6, 12, and 24 months). Multilevel modeling with linear and quadratic time effects was used to examine the course of the frequency of vocational and social/leisure activities, experienced restrictions, and satisfaction with participation. Results. The frequency of vocational activities increased up to 1 year post-stroke and leveled off thereafter. Older and lower-educated persons showed less favorable courses of participation than younger and higher-educated persons, respectively. The frequency of social/leisure activities decreased post-stroke. Participation restrictions declined up to 1 year post-stroke and leveled off thereafter. Persons dependent in activities of daily living (ADL) kept experiencing more restrictions throughout time than independent persons. Satisfaction with participation increased slightly over time. Conclusions. Changes in participation occurred mostly in the first year post-stroke. Particularly older and lower-educated persons, and those dependent in ADL showed less favorable courses of participation up to 2 years post-stroke. Clinicians can apply these findings in identifying persons most at risk of long-term unfavorable participation outcome and, thus, target rehabilitation programs accordingly.
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spelling pubmed-61463172018-09-28 Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors Verberne, Daan P. J. Post, Marcel W. M. Köhler, Sebastian Carey, Leeanne M. Visser-Meily, Johanna M. A. van Heugten, Caroline M. Neurorehabil Neural Repair Original Research Articles Background. Many persons with stroke experience physical, cognitive, and emotional problems that contribute to restrictions in social participation. There is, however, a lack of knowledge on the long-term course of participation over time post-stroke. Objective. To describe the time course of participation up to 2 years post-stroke and to identify which demographic and stroke-related factors are associated with this time course. Methods. This was a multicenter, prospective cohort study following 390 persons with stroke from hospital admission up to 2 years (at 2, 6, 12, and 24 months). Multilevel modeling with linear and quadratic time effects was used to examine the course of the frequency of vocational and social/leisure activities, experienced restrictions, and satisfaction with participation. Results. The frequency of vocational activities increased up to 1 year post-stroke and leveled off thereafter. Older and lower-educated persons showed less favorable courses of participation than younger and higher-educated persons, respectively. The frequency of social/leisure activities decreased post-stroke. Participation restrictions declined up to 1 year post-stroke and leveled off thereafter. Persons dependent in activities of daily living (ADL) kept experiencing more restrictions throughout time than independent persons. Satisfaction with participation increased slightly over time. Conclusions. Changes in participation occurred mostly in the first year post-stroke. Particularly older and lower-educated persons, and those dependent in ADL showed less favorable courses of participation up to 2 years post-stroke. Clinicians can apply these findings in identifying persons most at risk of long-term unfavorable participation outcome and, thus, target rehabilitation programs accordingly. SAGE Publications 2018-09-04 2018-09 /pmc/articles/PMC6146317/ /pubmed/30178696 http://dx.doi.org/10.1177/1545968318796341 Text en © The Author(s) 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Articles
Verberne, Daan P. J.
Post, Marcel W. M.
Köhler, Sebastian
Carey, Leeanne M.
Visser-Meily, Johanna M. A.
van Heugten, Caroline M.
Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors
title Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors
title_full Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors
title_fullStr Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors
title_full_unstemmed Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors
title_short Course of Social Participation in the First 2 Years After Stroke and Its Associations With Demographic and Stroke-Related Factors
title_sort course of social participation in the first 2 years after stroke and its associations with demographic and stroke-related factors
topic Original Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146317/
https://www.ncbi.nlm.nih.gov/pubmed/30178696
http://dx.doi.org/10.1177/1545968318796341
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