Determinants of social participation

Stroke can lead to impairments that restrict participation in social roles. Despite being recognized as an important outcome in rehabilitation, little is known about the predictors of participation. The aim of this study was to estimate the independent contributions of depressive symptomatology, gender and functional independence, measured 2 weeks post-stroke, in predicting participation among stroke survivors 6 months post- stroke beyond those afforded by age, co-morbid conditions and a history of depression (N=66). Multiple regression analyses generated a significant model (F(5,60) = 5.74, R2=37%, p0.01), where greater functional independence predicted greater levels of participation. No other study variables were identified as independent predictors. These results are in line with other evidence that functional limitation is a risk factor for restricted participation. Screening and targeting functional independence during hospitalization for stroke will allow for rehabilitation programs to identify those at risk for restricted participation once stroke survivors return to the community.

Autorentext

Cynthia Dolezsar is a PhD student in clinical psychology at Concordia University. She completed her B.A. in psychology in 2007 and her M.A. in 2010, both at Concordia University. Driven by the growing burden of stroke and its sequelae, her research focuses on investigating how stroke survivors return to living in the community.