Factors Affecting Changes in Social Activities of People with Stroke Living in The Community: Follow-Up 1 to 3 Years after Being Discharged Home
Purpose: This follow- up study by questionnaire aimed to identify factors associated with social activity levels of stroke patients by investigating their activities between 1 and 3 years after discharge.Materials and Methods: Participants included 191 people with stroke who were living in their hom...
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Veröffentlicht in: | Asian Journal of Occupational Therapy 2020, Vol.16(1), pp.19-27 |
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description | Purpose: This follow- up study by questionnaire aimed to identify factors associated with social activity levels of stroke patients by investigating their activities between 1 and 3 years after discharge.Materials and Methods: Participants included 191 people with stroke who were living in their home. Their social activity levels at 1 and 3 years post-discharge were investigated using the Frenchay Activities Index (FAI: an index for evaluating social activities such as housework, leisure, and work). Factors associated with inactivity at 3 years post-discharge, and with a decline in activity levels from 1 to 3 years post-discharge were analyzed by logistic regression analysis.Results: The median FAI was 23 points after 1 year; however, it declined significantly to 19 points after 3 years. Cognitive dysfunction [odds ratio (OR) = 11.61, p < .001] and dependency in activities of daily living (ADLs) [OR = 8.46, p < .001] were identified as factors associated with inactivity after 3 years. Moreover, dependence in ADLs (OR = 0.10, p = .027) was identified as a factor associated with a decline in activity level from 1 to 3 years post-discharge.Conclusions: Patients with stroke living at home tend to be inactive in the long term; this could be attributed to cognitive dysfunction and ADL dependency. Therefore, occupational therapists need to pay more attention to the social activities of patients with stroke in the community; providing activities tailored to the patient's abilities is vital. Furthermore, interventions are needed to prevent long-term decline in social activities in patients with stroke living at home, who show independence in ADL. |
doi_str_mv | 10.11596/asiajot.16.19 |
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Their social activity levels at 1 and 3 years post-discharge were investigated using the Frenchay Activities Index (FAI: an index for evaluating social activities such as housework, leisure, and work). Factors associated with inactivity at 3 years post-discharge, and with a decline in activity levels from 1 to 3 years post-discharge were analyzed by logistic regression analysis.Results: The median FAI was 23 points after 1 year; however, it declined significantly to 19 points after 3 years. Cognitive dysfunction [odds ratio (OR) = 11.61, p < .001] and dependency in activities of daily living (ADLs) [OR = 8.46, p < .001] were identified as factors associated with inactivity after 3 years. Moreover, dependence in ADLs (OR = 0.10, p = .027) was identified as a factor associated with a decline in activity level from 1 to 3 years post-discharge.Conclusions: Patients with stroke living at home tend to be inactive in the long term; this could be attributed to cognitive dysfunction and ADL dependency. Therefore, occupational therapists need to pay more attention to the social activities of patients with stroke in the community; providing activities tailored to the patient's abilities is vital. Furthermore, interventions are needed to prevent long-term decline in social activities in patients with stroke living at home, who show independence in ADL.</description><identifier>ISSN: 1347-3476</identifier><identifier>EISSN: 1347-3484</identifier><identifier>DOI: 10.11596/asiajot.16.19</identifier><language>eng</language><publisher>Japanese Association of Occupational Therapists</publisher><subject>long-term outcome ; predictors ; rehabilitation ; social activity ; stroke</subject><ispartof>Asian Journal of Occupational Therapy, 2020, Vol.16(1), pp.19-27</ispartof><rights>2020 Japanese Association of Occupational Therapists</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2719-485a8c217e8edf05ba88787ee8077a99200720a66da64dcfa75d3dd4a64d5b5a3</citedby><cites>FETCH-LOGICAL-c2719-485a8c217e8edf05ba88787ee8077a99200720a66da64dcfa75d3dd4a64d5b5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids></links><search><creatorcontrib>Mutai, Hitoshi</creatorcontrib><creatorcontrib>Wakabayashi, Ayumi</creatorcontrib><creatorcontrib>Suzuki, Akihito</creatorcontrib><creatorcontrib>Furukawa, Tomomi</creatorcontrib><title>Factors Affecting Changes in Social Activities of People with Stroke Living in The Community: Follow-Up 1 to 3 Years after Being Discharged Home</title><title>Asian Journal of Occupational Therapy</title><addtitle>Asian Journal of Occupational Therapy</addtitle><description>Purpose: This follow- up study by questionnaire aimed to identify factors associated with social activity levels of stroke patients by investigating their activities between 1 and 3 years after discharge.Materials and Methods: Participants included 191 people with stroke who were living in their home. Their social activity levels at 1 and 3 years post-discharge were investigated using the Frenchay Activities Index (FAI: an index for evaluating social activities such as housework, leisure, and work). Factors associated with inactivity at 3 years post-discharge, and with a decline in activity levels from 1 to 3 years post-discharge were analyzed by logistic regression analysis.Results: The median FAI was 23 points after 1 year; however, it declined significantly to 19 points after 3 years. Cognitive dysfunction [odds ratio (OR) = 11.61, p < .001] and dependency in activities of daily living (ADLs) [OR = 8.46, p < .001] were identified as factors associated with inactivity after 3 years. Moreover, dependence in ADLs (OR = 0.10, p = .027) was identified as a factor associated with a decline in activity level from 1 to 3 years post-discharge.Conclusions: Patients with stroke living at home tend to be inactive in the long term; this could be attributed to cognitive dysfunction and ADL dependency. Therefore, occupational therapists need to pay more attention to the social activities of patients with stroke in the community; providing activities tailored to the patient's abilities is vital. Furthermore, interventions are needed to prevent long-term decline in social activities in patients with stroke living at home, who show independence in ADL.</description><subject>long-term outcome</subject><subject>predictors</subject><subject>rehabilitation</subject><subject>social activity</subject><subject>stroke</subject><issn>1347-3476</issn><issn>1347-3484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVkE1PwkAQhhujiYhePc8fKO72a7eeRBQxIdEEOHhqhu0UFkuX7K4S_oU_2SKExNN8vO8zk5kguOWsx3maZ3foNK6M7_Gsx_OzoMPjRIRxIpPzUy6yy-DKuRVjUcqY7AQ_Q1TeWAf9qiLldbOAwRKbBTnQDUyM0lhDvxW-tddt01TwTmZTE2y1X8LEW_NJMG7llmyJ6ZJgYNbrr0b73T0MTV2bbTjbAAdvIIYPwnYZVp4sPNIeetJOLdEuqISRWdN1cFFh7ejmGLvBbPg8HYzC8dvL66A_DlUkeB4mMkWpIi5IUlmxdI5SCimIJBMC8zxiTEQMs6zELClVhSIt47JM9lU6TzHuBr3DXGWNc5aqYmP1Gu2u4Kz4-2dx_GfBs4LnLfBwAFbO44JOdrReq5r-uQ_ISdrfV1AT_wJzlYNg</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Mutai, Hitoshi</creator><creator>Wakabayashi, Ayumi</creator><creator>Suzuki, Akihito</creator><creator>Furukawa, Tomomi</creator><general>Japanese Association of Occupational Therapists</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>2020</creationdate><title>Factors Affecting Changes in Social Activities of People with Stroke Living in The Community: Follow-Up 1 to 3 Years after Being Discharged Home</title><author>Mutai, Hitoshi ; Wakabayashi, Ayumi ; Suzuki, Akihito ; Furukawa, Tomomi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2719-485a8c217e8edf05ba88787ee8077a99200720a66da64dcfa75d3dd4a64d5b5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>long-term outcome</topic><topic>predictors</topic><topic>rehabilitation</topic><topic>social activity</topic><topic>stroke</topic><toplevel>online_resources</toplevel><creatorcontrib>Mutai, Hitoshi</creatorcontrib><creatorcontrib>Wakabayashi, Ayumi</creatorcontrib><creatorcontrib>Suzuki, Akihito</creatorcontrib><creatorcontrib>Furukawa, Tomomi</creatorcontrib><collection>CrossRef</collection><jtitle>Asian Journal of Occupational Therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mutai, Hitoshi</au><au>Wakabayashi, Ayumi</au><au>Suzuki, Akihito</au><au>Furukawa, Tomomi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Affecting Changes in Social Activities of People with Stroke Living in The Community: Follow-Up 1 to 3 Years after Being Discharged Home</atitle><jtitle>Asian Journal of Occupational Therapy</jtitle><addtitle>Asian Journal of Occupational Therapy</addtitle><date>2020</date><risdate>2020</risdate><volume>16</volume><issue>1</issue><spage>19</spage><epage>27</epage><pages>19-27</pages><issn>1347-3476</issn><eissn>1347-3484</eissn><abstract>Purpose: This follow- up study by questionnaire aimed to identify factors associated with social activity levels of stroke patients by investigating their activities between 1 and 3 years after discharge.Materials and Methods: Participants included 191 people with stroke who were living in their home. Their social activity levels at 1 and 3 years post-discharge were investigated using the Frenchay Activities Index (FAI: an index for evaluating social activities such as housework, leisure, and work). Factors associated with inactivity at 3 years post-discharge, and with a decline in activity levels from 1 to 3 years post-discharge were analyzed by logistic regression analysis.Results: The median FAI was 23 points after 1 year; however, it declined significantly to 19 points after 3 years. Cognitive dysfunction [odds ratio (OR) = 11.61, p < .001] and dependency in activities of daily living (ADLs) [OR = 8.46, p < .001] were identified as factors associated with inactivity after 3 years. Moreover, dependence in ADLs (OR = 0.10, p = .027) was identified as a factor associated with a decline in activity level from 1 to 3 years post-discharge.Conclusions: Patients with stroke living at home tend to be inactive in the long term; this could be attributed to cognitive dysfunction and ADL dependency. Therefore, occupational therapists need to pay more attention to the social activities of patients with stroke in the community; providing activities tailored to the patient's abilities is vital. Furthermore, interventions are needed to prevent long-term decline in social activities in patients with stroke living at home, who show independence in ADL.</abstract><pub>Japanese Association of Occupational Therapists</pub><doi>10.11596/asiajot.16.19</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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source | J-STAGE (Free - Japanese); Free E-Journal (出版社公開部分のみ) |
subjects | long-term outcome predictors rehabilitation social activity stroke |
title | Factors Affecting Changes in Social Activities of People with Stroke Living in The Community: Follow-Up 1 to 3 Years after Being Discharged Home |
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