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Sökning: id:"swepub:oai:DiVA.org:uu-491022" > Changes in perceive...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004849naa a2200469 4500
001oai:DiVA.org:uu-491022
003SwePub
008221221s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:151294681
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4910222 URI
024a https://doi.org/10.2340/jrm.v54.10602 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1512946812 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Fallahpour, Mandanau Karolinska Institutet4 aut
2451 0a Changes in perceived impact of stroke on everyday life over five years in a rehabilitation sample that received an activity of daily living intervention :b A follow-up study
264 c 2022-06-20
264 1b Medical Journals Sweden AB,c 2022
338 a electronic2 rdacarrier
520 a Objective: To compare changes in the perceived impact of stroke on everyday life over time in a rehabilitation sample that received a client-centred activities of daily living (CADL) intervention or usual ADL (UADL) intervention.Design: Longitudinal follow-up of a randomized controlled trial.Methods: A total of 145 persons with stroke were assigned into CADL or UADL. Groups were assessed using the Stroke Impact Scale (SIS) at 3 months, 12 months and 5 years post-intervention. Changes in SIS domain scores over time were compared within and between groups.Results: Changes in the impact of stroke over time were not related to which intervention the groups received. There were no significant differences in the SIS domains or stroke recovery between groups at the 3-month, 12-month and 5-year follow-ups. Despite an increased impact of stroke over time in some domains in both groups, both groups perceived a decreased impact of stroke in the Participation domain at 12 months. Perceived participation was sustained at the same level at 12 months as at 5 years in both groups.Conclusion: These findings stress the importance of access to follow-up rehabilitation interventions 1-year post-stroke to enable participation in daily activities. Such follow-up and enablement would support the use of self-management strategies in the performance of persons’ valued activities, which might be difficult to perform, due to, for example, impact on hand function or mobility. The results of this study emphasize the importance of prioritizing participation in activities that are meaningful from a personal perspective.Lay abstractIn this study, perceived impact of stroke on everyday life over time was compared among 145 persons with stroke who received the client-centred or usual activities of daily living intervention. They were followed up at 3, 12 months and 5-years post-stroke. No differences were found in the impact of stroke over time between groups. Despite increased impact of stroke (indicating more problems) over time in some areas, the groups perceived decreased impact of stroke (less problems) in their participation at 12 months. Perceived participation was sustained at the same level at 12 months as at 5 years in both groups. Findings stress the importance of access to follow-up rehabilitation interventions one-year post-stroke to enable participation in daily activities, and to support the use of self-management strategies to facilitate participation in valued and meaningful activities that might be difficult due to person’s functional limitations.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Arbetsterapi0 (SwePub)303062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Therapy0 (SwePub)303062 hsv//eng
653 a stroke
653 a participation
653 a everyday life
653 a daily activities
653 a rehabilitation
653 a occupational therapy
653 a follow-up studies
653 a longitudinal studies
700a Eriksson, Gunillau Karolinska Institutet,Uppsala universitet,Rehabiliteringsmedicin,Karolinska Inst, Div Occupat Therapy, Dept Neurobiol, Care Sci & Soc, Stockholm, Sweden4 aut0 (Swepub:uu)gueri516
700a Guidetti, Susanneu Karolinska Institutet4 aut
710a Karolinska Institutetb Rehabiliteringsmedicin4 org
773t Journal of Rehabilitation Medicined : Medical Journals Sweden ABg 54q 54x 1650-1977x 1651-2081
856u https://doi.org/10.2340/jrm.v54.1060y Fulltext
856u https://uu.diva-portal.org/smash/get/diva2:1721472/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-491022
8564 8u https://doi.org/10.2340/jrm.v54.1060
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:151294681

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