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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Autores principales: Ruth Barclay, Leanne Leclair, Sandra C. Webber
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/47d0413fa21c4c20a052b1a42c8ec87e
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spelling oai:doaj.org-article:47d0413fa21c4c20a052b1a42c8ec87e2021-11-04T07:42:10ZExperiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach1932-6203https://doaj.org/article/47d0413fa21c4c20a052b1a42c8ec87e2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555779/?tool=EBIhttps://doaj.org/toc/1932-6203Participation 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.Ruth BarclayLeanne LeclairSandra C. WebberPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ruth Barclay
Leanne Leclair
Sandra C. Webber
Experiences of stroke survivors and measurement of post stroke participation and activity across seasons—A mixed methods approach
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.
format article
author Ruth Barclay
Leanne Leclair
Sandra C. Webber
author_facet Ruth Barclay
Leanne Leclair
Sandra C. Webber
author_sort Ruth Barclay
title 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_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_sort experiences of stroke survivors and measurement of post stroke participation and activity across seasons—a mixed methods approach
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/47d0413fa21c4c20a052b1a42c8ec87e
work_keys_str_mv AT ruthbarclay experiencesofstrokesurvivorsandmeasurementofpoststrokeparticipationandactivityacrossseasonsamixedmethodsapproach
AT leanneleclair experiencesofstrokesurvivorsandmeasurementofpoststrokeparticipationandactivityacrossseasonsamixedmethodsapproach
AT sandracwebber experiencesofstrokesurvivorsandmeasurementofpoststrokeparticipationandactivityacrossseasonsamixedmethodsapproach
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