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Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach

Participation and activity post stroke can be limited due to adverse weather conditions. This study aimed to: Quantify and compare summer and winter participation and activity, and explore how community dwelling people with stroke describe their feelings about their level of participation and activi...

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Detalles Bibliográficos
Autores principales: Barclay, Ruth, Leclair, Leanne, Webber, Sandra C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555779/
https://www.ncbi.nlm.nih.gov/pubmed/34714877
http://dx.doi.org/10.1371/journal.pone.0259307
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author Barclay, Ruth
Leclair, Leanne
Webber, Sandra C.
author_facet Barclay, Ruth
Leclair, Leanne
Webber, Sandra C.
author_sort Barclay, Ruth
collection PubMed
description Participation and activity post stroke can be limited due to adverse weather conditions. This study aimed to: Quantify and compare summer and winter participation and activity, and explore how community dwelling people with stroke describe their feelings about their level of participation and activity by season. This embedded mixed-methods observational study took place in a city with weather extremes. Community dwelling individuals at least one year post-stroke, able to walk ≥50 metres +/- a walking aide were included. Evaluations and interviews occurred at participants’ homes in two seasons: Reintegration to Normal living Index (RNL), Activities-specific Balance Confidence (ABC) and descriptive outcomes. Participants wore activity monitors for one week each season. Analysis included descriptive statistics, non-parametric tests and an inductive approach to content analysis. Thirteen individuals participated in quantitative evaluation with eight interviewed. Mean age 61.5 years, 62% female and mean 6.2 years post-stroke. No differences between winter-summer values of RNL, ABC, or activity monitor outcomes. However, participants felt they could do more and were more independent in summer. The winter conditions such as ice, snow, cold and wind restricted participation and limited activities. Nonetheless, many participants were active and participated despite the winter challenges by finding other ways to be active, and relying on social supports and personal motivation. The qualitative findings explained unexpected quantitative results. Participants described many challenges with winter weather, but also ways they had discovered to participate and be active despite these challenges. Changes to future studies into seasonal differences are suggested.
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spelling pubmed-85557792021-10-30 Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach Barclay, Ruth Leclair, Leanne Webber, Sandra C. PLoS One Research Article Participation and activity post stroke can be limited due to adverse weather conditions. This study aimed to: Quantify and compare summer and winter participation and activity, and explore how community dwelling people with stroke describe their feelings about their level of participation and activity by season. This embedded mixed-methods observational study took place in a city with weather extremes. Community dwelling individuals at least one year post-stroke, able to walk ≥50 metres +/- a walking aide were included. Evaluations and interviews occurred at participants’ homes in two seasons: Reintegration to Normal living Index (RNL), Activities-specific Balance Confidence (ABC) and descriptive outcomes. Participants wore activity monitors for one week each season. Analysis included descriptive statistics, non-parametric tests and an inductive approach to content analysis. Thirteen individuals participated in quantitative evaluation with eight interviewed. Mean age 61.5 years, 62% female and mean 6.2 years post-stroke. No differences between winter-summer values of RNL, ABC, or activity monitor outcomes. However, participants felt they could do more and were more independent in summer. The winter conditions such as ice, snow, cold and wind restricted participation and limited activities. Nonetheless, many participants were active and participated despite the winter challenges by finding other ways to be active, and relying on social supports and personal motivation. The qualitative findings explained unexpected quantitative results. Participants described many challenges with winter weather, but also ways they had discovered to participate and be active despite these challenges. Changes to future studies into seasonal differences are suggested. Public Library of Science 2021-10-29 /pmc/articles/PMC8555779/ /pubmed/34714877 http://dx.doi.org/10.1371/journal.pone.0259307 Text en © 2021 Barclay et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Barclay, Ruth
Leclair, Leanne
Webber, Sandra C.
Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach
title Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach
title_full Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach
title_fullStr Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach
title_full_unstemmed Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach
title_short Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach
title_sort experiences of stroke survivors and measurement of post stroke participation and activity across seasons—a mixed methods approach
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555779/
https://www.ncbi.nlm.nih.gov/pubmed/34714877
http://dx.doi.org/10.1371/journal.pone.0259307
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