Factors predicting community participation in patients living with stroke, in the Western Cape, South Africa

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dc.contributor.authorElloker, Toughieda
dc.contributor.authorRhoda, Anthea
dc.contributor.authorArowoiya, Ayorinde
dc.contributor.authorLawal, Isa Usman
dc.date.accessioned2018-06-15T09:34:15Z
dc.date.available2018-06-15T09:34:15Z
dc.date.issued2018
dc.description.abstractPURPOSE: An important focus of poststroke rehabilitation is the attainment of community participation. However, several factors may influence participation some of which vary from setting to setting. The aim of this study is to investigate the factors influencing community participation among community-dwelling stroke survivors in the Western Cape, South Africa. MATERIALS AND METHODS: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and the Social Support Questionnaire 6 (SSQ6) were the instruments used to collect data. Participant demographics, clinical features and domain-specific scores of the WHODAS 2.0 were used as potential predictors. Correlation analysis and multiple regression models were used to examine determinants of community participation. All assessments were conducted using face-to-face interviews. RESULTS: One hundred and six stroke survivors enrolled in this cross-sectional study. Risk factors, cognition, mobility, self-care, getting along with people, household activities and total WHODAS 2.0 score were associated with participation. Four predictors of community participation were identified from multiple regression, namely mobility (38%), cognition (11%), life activities (4%) and stroke risk factors (1%). Determinants varied by gender and age group. Mobility predominated in males and younger adults, while cognition was more pronounced in females and the elderly. Lastly, the influence of social support on community participation was largely defined by the gender and age of stroke survivors. CONCLUSION: The findings suggest focusing stroke rehabilitation on important factors such as mobility, cognition, life activities and risk factors to advance patients’ participation. It also emphasizes giving specific consideration to key factors specific for gender and age of stroke survivors.en_US
dc.identifier.citationElloker, T. et al. (2018). Factors predicting community participation in patients living with stroke, in the Western Cape, South Africa. Disability and Rehabilitation.en_US
dc.identifier.issn0963-8288
dc.identifier.urihttp://dx.doi.org/10.1080/09638288.2018.1473509
dc.identifier.urihttp://hdl.handle.net/10566/3810
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherTaylor & Francisen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1080/09638288.2018.1473509
dc.status.ispeerreviewedTRUE
dc.subjectStroke or CVAen_US
dc.subjectCommunity participationen_US
dc.subjectPredictorsen_US
dc.subjectRehabilitationen_US
dc.subjectRecoveryen_US
dc.subjectWestern Capeen_US
dc.titleFactors predicting community participation in patients living with stroke, in the Western Cape, South Africaen_US
dc.typeArticleen_US

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