Ann Rehabil Med.  2018 Oct;42(5):660-669. 10.5535/arm.2018.42.5.660.

Predictors of Community Participation Among Individuals With First Stroke: A Thailand Study

Affiliations
  • 1Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand. jatuporn.sut@mahidol.edu

Abstract


OBJECTIVE
To describe perceived participation among persons with first stroke and to identify the predictors based on the International Classification of Functioning, Disability and Health (ICF) concept of participation after stroke.
METHODS
A total of 121 participants completed 4 questionnaires: the Impact on Participation and Autonomy (IPA), Personal Resource Questionnaire (PRQ2000), Hospital Anxiety and Depression Scale (HADS), and personal history. They were evaluated for their balance, motor function, functional and walking ability.
RESULTS
The majority of participants perceived participation restriction in family role as poor to very poor. The best predictors of participation included social support, walking and balance, functional ability, number of secondary health problems and affected side, account for 66.6% of the variances in participation.
CONCLUSION
The study highlights the importance of social support, walking and balance performance, functional ability in daily living, and number of secondary health problems after stroke. These factors that facilitate participation after stroke should be addressed by health personnel during rehabilitation.

Keyword

Community participation; Stroke; Social support; Predictor; Rehabilitation

MeSH Terms

Anxiety
Consumer Participation*
Depression
Health Personnel
Humans
International Classification of Functioning, Disability and Health
Rehabilitation
Stroke*
Thailand*
Walking

Reference

1. Ministry of Public Health. Annual report of the Noncommunicable Disease Office 2015 [Internet]. Bangkok, Thailand: Ministry of Public Health;2015. [cited 2018 Aug 15]. Available from: http://thaincd.com/document/file/download/paper-manual/Annualreport-2015.pdf.
2. Kissela BM, Khoury JC, Alwell K, Moomaw CJ, Woo D, Adeoye O, et al. Age at stroke: temporal trends in stroke incidence in a large, biracial population. Neurology. 2012; 79:1781–7.
Article
3. Hartman-Maeir A, Soroker N, Ring H, Avni N, Katz N. Activities, participation and satisfaction one-year post stroke. Disabil Rehabil. 2007; 29:559–66.
Article
4. Egan M, Davis CG, Dubouloz CJ, Kessler D, Kubina LA. Participation and well-being poststroke: evidence of reciprocal effects. Arch Phys Med Rehabil. 2014; 95:262–8.
Article
5. Dijkers MP. Issues in the conceptualization and measurement of participation: an overview. Arch Phys Med Rehabil. 2010; 91(9 Suppl):S5–16.
Article
6. Heinemann AW. Measurement of participation in rehabilitation research. Arch Phys Med Rehabil. 2010; 91(9 Suppl):S1–4.
Article
7. World Health Organization. The International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland: World Health Organization;2001. p. 10–7.
8. Hammel J, Magasi S, Heinemann A, Whiteneck G, Bogner J, Rodriguez E. What does participation mean? An insider perspective from people with disabilities. Disabil Rehabil. 2008; 30:1445–60.
Article
9. Obembe A, Mapayi B, Johnson O, Agunbiade T, Emechete A. Community reintegration in stroke survivors: relationship with motor function and depression. Hong Kong Physiother J. 2013; 31:69–74.
Article
10. Schmid AA, Van Puymbroeck M, Altenburger PA, Dierks TA, Miller KK, Damush TM, et al. Balance and balance self-efficacy are associated with activity and participation after stroke: a cross-sectional study in people with chronic stroke. Arch Phys Med Rehabil. 2012; 93:1101–7.
Article
11. Fallahpour M, Tham K, Joghataei MT, Jonsson H. Perceived participation and autonomy: aspects of functioning and contextual factors predicting participation after stroke. J Rehabil Med. 2011; 43:388–97.
Article
12. Crawford A, Hollingsworth HH, Morgan K, Gray DB. People with mobility impairments: physical activity and quality of participation. Disabil Health J. 2008; 1:7–13.
Article
13. Desrosiers J, Noreau L, Rochette A, Bourbonnais D, Bravo G, Bourget A. Predictors of long-term participation after stroke. Disabil Rehabil. 2006; 28:221–30.
Article
14. Desrosiers J, Demers L, Robichaud L, Vincent C, Belleville S, Ska B, et al. Short-term changes in and predictors of participation of older adults after stroke following acute care or rehabilitation. Neurorehabil Neural Repair. 2008; 22:288–97.
Article
15. Pang MY, Eng JJ, Miller WC. Determinants of satisfaction with community reintegration in older adults with chronic stroke: role of balance self-efficacy. Phys Ther. 2007; 87:282–91.
Article
16. Bouffioulx E, Arnould C, Thonnard JL. Satisfaction with activity and participation and its relationships with body functions, activities, or environmental factors in stroke patients. Arch Phys Med Rehabil. 2011; 92:1404–10.
Article
17. Suwanwela NC. Stroke epidemiology in Thailand. J Stroke. 2014; 16:1–7.
Article
18. Suttiwong J, Vongsirinavarat M, Chaiyawat P, Vachalathiti R. Predicting community participation after spinal cord injury in Thailand. J Rehabil Med. 2015; 47:325–9.
Article
19. Khiaocharoen O, Pannarunothai S, Zungsontiporn C. Cost of acute and sub-acute care for stroke patients. J Med Assoc Thai. 2012; 95:1266–77.
20. Kuptniratsaikul V, Kovindha A, Massakulpan P, Piravej K, Suethanapornkul S, Dajpratham P, et al. An epidemiologic study of the Thai Stroke Rehabilitation Registry (TSRR): a multi-center study. J Med Assoc Thai. 2008; 91:225–33.
21. Hiengkaew V, Vongsirinavarat M. Home-based physical therapy for individuals with stroke in Thailand. Home Health Care Manag Pract. 2016; 28:209–15.
Article
22. Train the Brain Forum Committee. Thai Mental State Examination (TMSE). Siriraj Hosp Gaz. 1993; 45:359–74.
23. Suttiwong J, Vongsirinavarat M, Vachalathiti R, Chaiyawat P. Impact on participation and autonomy questionnaire: psychometric properties of the Thai version. J Phys Ther Sci. 2013; 25:769–74.
24. Tuppotayan P. The relationships between hope, social support and depressive symptoms in patients with spinal cord injury [dissertation]. Nakhon Pathom, Thailand: Mahidol University;2007.
25. Nilchaikovit T. Development of Thai version of hospital anxiety and depression scale in cancer patients. J Psychiatr Assoc Thai. 1996; 4:18–30.
26. Benaim C, Perennou DA, Villy J, Rousseaux M, Pelissier JY. Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke Patients (PASS). Stroke. 1999; 30:1862–8.
27. Wang CH, Hsieh CL, Dai MH, Chen CH, Lai YF. Interrater reliability and validity of the stroke rehabilitation assessment of movement (stream) instrument. J Rehabil Med. 2002; 34:20–4.
Article
28. Dajpratham P, Meenaphant R, Junthon P, Pianmanakij S, Jantharakasamjit S, Yuwan A. The inter-rater reliability of Barthel Index (Thai version) in stroke patients. J Thai Rehabilitation. 2006; 16:1–9.
29. Mehrholz J, Wagner K, Rutte K, Meissner D, Pohl M. Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke. Arch Phys Med Rehabil. 2007; 88:1314–9.
Article
30. Field A. Discovering statistics using IBM SPSS statistics. Thousand Oaks, CA: Sage Publications;2013. p. 293–356.
31. Cardol M, de Jong BA, van den Bos GA, Beelem A, de Groot IJ, de Haan RJ. Beyond disability: perceived participation in people with a chronic disabling condition. Clin Rehabil. 2002; 16:27–35.
Article
32. Chau JP, Thompson DR, Twinn S, Chang AM, Woo J. Determinants of participation restriction among community dwelling stroke survivors: a path analysis. BMC Neurol. 2009; 9:49.
Article
33. Desrosiers J, Noreau L, Rochette A, Bravo G, Boutin C. Predictors of handicap situations following poststroke rehabilitation. Disabil Rehabil. 2002; 24:774–85.
Article
34. Rochette A, Desrosiers J, Noreau L. Association between personal and environmental factors and the occurrence of handicap situations following a stroke. Disabil Rehabil. 2001; 23:559–69.
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr