Factors Associated With Participation in Life Situations for Adults With Stroke: A Systematic Review

Content Provider	Scilit
Author	Ezekiel, Leisle Collett, Johnny Mayo, Nancy E. Pang, Lori Field, Leanne Dawes, Helen
Copyright Year	2018
Description	Journal: Archives of Physical Medicine and Rehabilitation To identify biopsychosocial factors associated with participation outcomes for adults with stroke and to investigate factors associated with participation at different time points post stroke. Medline, CINAHL, AMED, PyschINFO and Web of Science were systematically searched using key words “stroke”, “participation” and “outcomes” and their synonyms on 15th May 2017. Observational studies reporting on biopsychosocial factors and participation outcomes for community dwelling adults with stroke were selected. Studies were eligible for inclusion if participation outcomes were measured using indices that mapped to the participation domain of the ICF. Intervention studies were excluded. A second reviewer checked all studies against eligibility criteria at each stage. Data were extracted on any statistically determined association between biopsychosocial factors and participation outcomes. The proportion of studies reporting significant associations with variables were classified according to the ICF. The exact binomial test was used to determine the probability that the proportion of studies reporting significant associations was due to chance alone. Qualitative descriptive summaries of each study allowed consideration of interactions between variables and changes in participation over time points. Whilst depressive symptoms, cognitive functioning and mobility were found to have the strongest associations with participation, we found that other frequently occurring factors (such as fatigue and environmental factors) were less extensively considered. The diversity of outcome measures encountered within the review highlight the need for a consensus on a core set of outcome measures to evaluate long term participation in life situations after stroke.
Related Links	https://radar.brookes.ac.uk/radar/file/4f68282f-d6b1-4c0b-a1b5-a23c8ace05fd/1/fulltext.pdf http://www.archives-pmr.org/article/S000399931830443X/pdf
Ending Page	955
Page Count	11
Starting Page	945
ISSN	00039993
e-ISSN	1532821X
DOI	10.1016/j.apmr.2018.06.017
Journal	Archives of Physical Medicine and Rehabilitation
Issue Number	5
Volume Number	100
Language	English
Publisher	Elsevier BV
Publisher Date	2019-05-01
Access Restriction	Open
Subject Keyword	Journal: Archives of Physical Medicine and Rehabilitation Community Participation Activities of Daily Living Cognitive Dysfunctions and Chronic Disease
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation Sports Science