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Long-Term Predictors of Social and Leisure Activity 10 Years after Stroke.

Norlander, Anna LU ; Carlstedt, Emma LU ; Jönsson, Ann-Cathrin LU ; Månsson Lexell, Eva LU ; Ståhl, Agneta LU ; Lindgren, Arne LU and Iwarsson, Susanne LU (2016) In PLoS ONE 11(2).
Abstract
BACKGROUND:



Restrictions in social and leisure activity can have negative consequences for the health and well-being of stroke survivors. To support the growing number of people who are ageing with stroke, knowledge is needed about factors that influence such activity in a long-term perspective.

AIM:



To identify long-term predictors of the frequency of social and leisure activities 10 years after stroke.

METHOD:



145 stroke survivors in Sweden were followed-up at16 months and 10 years after a first-ever stroke. Data representing body functions, activities & participation, environmental factors and personal factors at 16 months after stroke, were used in multiple... (More)
BACKGROUND:



Restrictions in social and leisure activity can have negative consequences for the health and well-being of stroke survivors. To support the growing number of people who are ageing with stroke, knowledge is needed about factors that influence such activity in a long-term perspective.

AIM:



To identify long-term predictors of the frequency of social and leisure activities 10 years after stroke.

METHOD:



145 stroke survivors in Sweden were followed-up at16 months and 10 years after a first-ever stroke. Data representing body functions, activities & participation, environmental factors and personal factors at 16 months after stroke, were used in multiple linear regression analyses to identify predictors of the activity frequency after 10 years, as assessed by the 'Community, social and civic life' sub-domain of the Frenchay Activities Index (FAI-CSC).

RESULTS:



At the 10-year follow-up the frequency of social and leisure activities varied considerably among the participants, with FAI-CSC scores spanning the entire score range 0-9 (mean/median 4.9/5.0). Several factors at 16 months post stroke were independently related to the long-term activity frequency. The final regression model included four significant explanatory variables. Driving a car (B = 0.999), ability to walk a few hundred meters (B = 1.698) and extent of social network (B = 1.235) had a positive effect on activity frequency, whereas an age ≥ 75 years had a negative effect (B = -1.657). This model explained 36.9% of the variance in the FAI-CSC (p<0.001).

CONCLUSION:



Stroke survivors who drive a car, have the ability to walk a few hundred meters and have a wide social network at 16 months after a first-ever stroke are more likely to have a high frequency of social and leisure activities after 10 years, indicating that supporting outdoor mobility and social anchorage of stroke survivors during rehabilitation is important to counteract long-term inactivity. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
PLoS ONE
volume
11
issue
2
publisher
Public Library of Science
external identifiers
  • pmid:26901501
  • scopus:84960539017
  • wos:000371276100068
ISSN
1932-6203
DOI
10.1371/journal.pone.0149395
language
English
LU publication?
yes
id
ac904c89-1a0a-41be-bca2-852f1a4ea10c (old id 8822021)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26901501?dopt=Abstract
date added to LUP
2016-03-03 11:05:23
date last changed
2017-08-06 04:06:07
@article{ac904c89-1a0a-41be-bca2-852f1a4ea10c,
  abstract     = {BACKGROUND:<br/><br>
<br/><br>
Restrictions in social and leisure activity can have negative consequences for the health and well-being of stroke survivors. To support the growing number of people who are ageing with stroke, knowledge is needed about factors that influence such activity in a long-term perspective.<br/><br>
AIM:<br/><br>
<br/><br>
To identify long-term predictors of the frequency of social and leisure activities 10 years after stroke.<br/><br>
METHOD:<br/><br>
<br/><br>
145 stroke survivors in Sweden were followed-up at16 months and 10 years after a first-ever stroke. Data representing body functions, activities &amp; participation, environmental factors and personal factors at 16 months after stroke, were used in multiple linear regression analyses to identify predictors of the activity frequency after 10 years, as assessed by the 'Community, social and civic life' sub-domain of the Frenchay Activities Index (FAI-CSC).<br/><br>
RESULTS:<br/><br>
<br/><br>
At the 10-year follow-up the frequency of social and leisure activities varied considerably among the participants, with FAI-CSC scores spanning the entire score range 0-9 (mean/median 4.9/5.0). Several factors at 16 months post stroke were independently related to the long-term activity frequency. The final regression model included four significant explanatory variables. Driving a car (B = 0.999), ability to walk a few hundred meters (B = 1.698) and extent of social network (B = 1.235) had a positive effect on activity frequency, whereas an age ≥ 75 years had a negative effect (B = -1.657). This model explained 36.9% of the variance in the FAI-CSC (p&lt;0.001).<br/><br>
CONCLUSION:<br/><br>
<br/><br>
Stroke survivors who drive a car, have the ability to walk a few hundred meters and have a wide social network at 16 months after a first-ever stroke are more likely to have a high frequency of social and leisure activities after 10 years, indicating that supporting outdoor mobility and social anchorage of stroke survivors during rehabilitation is important to counteract long-term inactivity.},
  articleno    = {e0149395},
  author       = {Norlander, Anna and Carlstedt, Emma and Jönsson, Ann-Cathrin and Månsson Lexell, Eva and Ståhl, Agneta and Lindgren, Arne and Iwarsson, Susanne},
  issn         = {1932-6203},
  language     = {eng},
  number       = {2},
  publisher    = {Public Library of Science},
  series       = {PLoS ONE},
  title        = {Long-Term Predictors of Social and Leisure Activity 10 Years after Stroke.},
  url          = {http://dx.doi.org/10.1371/journal.pone.0149395},
  volume       = {11},
  year         = {2016},
}