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Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study

BACKGROUND: Little is known about the self-perceived level of disability of stroke survivors in the community. We aimed to characterise Health-related quality of life (HRQoL) 1 year after stroke and investigate how sociodemographic and stroke-related factors and medical adherence explain the self-pe...

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Autores principales: Lee, Hey Jean, Song, Jung-Kook, Moon, Jiyoung, Kim, Keonyeop, Park, Hyeung-Keun, Kang, Gil-Won, Shin, Jun-Ho, Kang, Jongsoo, Kim, Byoung-Gwon, Lee, Young-Hoon, Jeong, Hye Seon, Heeyoung, Lee, Lee, Won Kyung, Kim, Seongheon, Park, Young-Kwon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789571/
https://www.ncbi.nlm.nih.gov/pubmed/36564762
http://dx.doi.org/10.1186/s12883-022-03032-2
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author Lee, Hey Jean
Song, Jung-Kook
Moon, Jiyoung
Kim, Keonyeop
Park, Hyeung-Keun
Kang, Gil-Won
Shin, Jun-Ho
Kang, Jongsoo
Kim, Byoung-Gwon
Lee, Young-Hoon
Jeong, Hye Seon
Heeyoung, Lee
Lee, Won Kyung
Kim, Seongheon
Park, Young-Kwon
author_facet Lee, Hey Jean
Song, Jung-Kook
Moon, Jiyoung
Kim, Keonyeop
Park, Hyeung-Keun
Kang, Gil-Won
Shin, Jun-Ho
Kang, Jongsoo
Kim, Byoung-Gwon
Lee, Young-Hoon
Jeong, Hye Seon
Heeyoung, Lee
Lee, Won Kyung
Kim, Seongheon
Park, Young-Kwon
author_sort Lee, Hey Jean
collection PubMed
description BACKGROUND: Little is known about the self-perceived level of disability of stroke survivors in the community. We aimed to characterise Health-related quality of life (HRQoL) 1 year after stroke and investigate how sociodemographic and stroke-related factors and medical adherence explain the self-perceived level of disability in a Korean stroke population. METHODS: This was a multicentre cross-sectional study. A total of 382 ischaemic stroke survivors at 1 year after onset from 11 university hospitals underwent a one-session assessment, including socioeconomic variables, the modified Rankin Scale (mRS), various neurological sequelae, the Morisky, Green and Levin-Medication Adherence Questionnaire (MGL), and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 36-items. The relationship between disability and different variables was analysed using ordinal logistic regression. RESULTS: The prevalence of disability based on global WHODAS 2.0 was 62.6% (mild, 41.6%; moderate, 16.0%; severe, 5.0%). The prevalence of severe disability was higher in participation in society (16.8%) and getting around (11.8%) than in other domains. Low MGL- motivation was the only factor determining a significant association between all six domains of disability after adjustment. Different predictors for specific domains were age, mRS, dysarthria, trouble seeing, cognition problems, and MGL-motivation for understanding and communicating; age, recurrent stroke, mRS, hemiplegia, facial palsy, general weakness, and MGL-motivation for getting around; age, education, mRS, hemiplegia, and MGL-motivation for self-care; education, recurrent stroke, hemiplegia, dysarthria, and MGL-motivation for getting along with people; age, education, income, mRS, hemiplegia, dysarthria, MGL-knowledge, and MGL-motivation for life activities; living without a spouse, mRS, hemiplegia, dysarthria, trouble seeing, cognition problems, general weakness, and MGL-motivation for participation in society. CONCLUSIONS: Self-perceived disability according to the WHODAS 2.0 at 1 year after stroke was highly prevalent. Each disability domain showed a different prevalence and associated factors. Interventions promoting medical adherence to motivation seemed to help achieve high HRQoL in all domains. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-022-03032-2.
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spelling pubmed-97895712022-12-25 Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study Lee, Hey Jean Song, Jung-Kook Moon, Jiyoung Kim, Keonyeop Park, Hyeung-Keun Kang, Gil-Won Shin, Jun-Ho Kang, Jongsoo Kim, Byoung-Gwon Lee, Young-Hoon Jeong, Hye Seon Heeyoung, Lee Lee, Won Kyung Kim, Seongheon Park, Young-Kwon BMC Neurol Research Article BACKGROUND: Little is known about the self-perceived level of disability of stroke survivors in the community. We aimed to characterise Health-related quality of life (HRQoL) 1 year after stroke and investigate how sociodemographic and stroke-related factors and medical adherence explain the self-perceived level of disability in a Korean stroke population. METHODS: This was a multicentre cross-sectional study. A total of 382 ischaemic stroke survivors at 1 year after onset from 11 university hospitals underwent a one-session assessment, including socioeconomic variables, the modified Rankin Scale (mRS), various neurological sequelae, the Morisky, Green and Levin-Medication Adherence Questionnaire (MGL), and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 36-items. The relationship between disability and different variables was analysed using ordinal logistic regression. RESULTS: The prevalence of disability based on global WHODAS 2.0 was 62.6% (mild, 41.6%; moderate, 16.0%; severe, 5.0%). The prevalence of severe disability was higher in participation in society (16.8%) and getting around (11.8%) than in other domains. Low MGL- motivation was the only factor determining a significant association between all six domains of disability after adjustment. Different predictors for specific domains were age, mRS, dysarthria, trouble seeing, cognition problems, and MGL-motivation for understanding and communicating; age, recurrent stroke, mRS, hemiplegia, facial palsy, general weakness, and MGL-motivation for getting around; age, education, mRS, hemiplegia, and MGL-motivation for self-care; education, recurrent stroke, hemiplegia, dysarthria, and MGL-motivation for getting along with people; age, education, income, mRS, hemiplegia, dysarthria, MGL-knowledge, and MGL-motivation for life activities; living without a spouse, mRS, hemiplegia, dysarthria, trouble seeing, cognition problems, general weakness, and MGL-motivation for participation in society. CONCLUSIONS: Self-perceived disability according to the WHODAS 2.0 at 1 year after stroke was highly prevalent. Each disability domain showed a different prevalence and associated factors. Interventions promoting medical adherence to motivation seemed to help achieve high HRQoL in all domains. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-022-03032-2. BioMed Central 2022-12-24 /pmc/articles/PMC9789571/ /pubmed/36564762 http://dx.doi.org/10.1186/s12883-022-03032-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Lee, Hey Jean
Song, Jung-Kook
Moon, Jiyoung
Kim, Keonyeop
Park, Hyeung-Keun
Kang, Gil-Won
Shin, Jun-Ho
Kang, Jongsoo
Kim, Byoung-Gwon
Lee, Young-Hoon
Jeong, Hye Seon
Heeyoung, Lee
Lee, Won Kyung
Kim, Seongheon
Park, Young-Kwon
Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study
title Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study
title_full Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study
title_fullStr Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study
title_full_unstemmed Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study
title_short Health-related quality of life using WHODAS 2.0 and associated factors 1 year after stroke in Korea: a multi-centre and cross-sectional study
title_sort health-related quality of life using whodas 2.0 and associated factors 1 year after stroke in korea: a multi-centre and cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789571/
https://www.ncbi.nlm.nih.gov/pubmed/36564762
http://dx.doi.org/10.1186/s12883-022-03032-2
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