An Ecological Approach to Activity After Stroke: It Takes a Community
| Autor: | Kyle Whitfield, Sharon Anderson |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Gerontology Biopsychosocial model medicine.medical_specialty Inclusion (disability rights) medicine.medical_treatment Stigma (botany) Environment Grounded theory Residence Characteristics Intervention (counseling) Activities of Daily Living Interview Psychological Ecological psychology medicine Humans Disabled Persons Survivors Psychiatry Community and Home Care Rehabilitation Stroke Rehabilitation Middle Aged Stroke Social ecological model Female Neurology (clinical) Psychological Theory Psychology |
| Zdroj: | Topics in Stroke Rehabilitation. 18:509-524 |
| ISSN: | 1945-5119 1074-9357 |
| Popis: | Background: Biopsychosocial recovery from stroke is remarkable for some individuals, but the majority of stroke survivors have diffi culty resuming activities. Even survivors with mild disability become disengaged. Methods: Situational analysis grounded theory and ecological models were used to examine the barriers and facilitators to choice of everyday activities of stroke survivors aged 50 to 64 years. Results: Resuming activities was an iterative process of scaffolding small tasks into activities through bargaining for access to practical support and inclusion into social situations. Although participants geared up to manage their condition and access activities, for the most part they were not in charge of the services and supports they required. They had little control over who was accepted to rehabilitation, for which services they qualifi ed or disability policies. Conclusions: There are layers of interactions between individuals and multiple factors in their environments that infl uence participation. Low poststroke activity levels may be amenable to intervention. Further research should consider the following: (1) participation in activities through the lens of all levels of the socioecological model; (2) the impact of disability and aging-related stigma; (3) the results of ad hoc community navigation; and (4) the effects of restrictive health |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|