Determinants of participation restriction among community dwelling stroke survivors: A path analysis

Chau, Janita P.C., Thompson, David R., Twinn, Sheila, Chang, Anne M. and Woo, Jean (2009) Determinants of participation restriction among community dwelling stroke survivors: A path analysis. BMC Neurology, 9 Article number 1471. doi:10.1186/1471-2377-9-49

Author Chau, Janita P.C.
Thompson, David R.
Twinn, Sheila
Chang, Anne M.
Woo, Jean
Title Determinants of participation restriction among community dwelling stroke survivors: A path analysis
Journal name BMC Neurology   Check publisher's open access policy
ISSN 1471-2377
Publication date 2009-09
Year available 2009
Sub-type Article (original research)
DOI 10.1186/1471-2377-9-49
Open Access Status DOI
Volume 9
Start page Article number 1471
Total pages 7
Editor Melissa Norton
Place of publication London, United Kingdom
Publisher Biomed Central
Collection year 2010
Language eng
Subject 110201 Cardiology (incl. Cardiovascular Diseases)
920103 Cardiovascular System and Diseases
920210 Nursing
111099 Nursing not elsewhere classified
Formatted abstract
Apart from promoting physical recovery and assisting in activities of daily living, a major challenge in stroke rehabilitation is to minimize psychosocial morbidity and to promote the reintegration of stroke survivors into their family and community. The identification of key factors influencing long-term outcome are essential in developing more effective rehabilitation measures for reducing stroke-related morbidity. The aim of this study was to test a theoretical model of predictors of participation restriction which included the direct and indirect effects between psychosocial outcomes, physical outcome, and socio-demographic variables at 12 months after stroke.


Data were collected from 188 stroke survivors at 12 months following their discharge from one of the two rehabilitation hospitals in Hong Kong. The settings included patients' homes and residential care facilities. Path analysis was used to test a hypothesized model of participation restriction at 12 months.

The path coefficients show functional ability having the largest direct effect on participation restriction (β = 0.51). The results also show that more depressive symptoms (β = - 0.27), low state self-esteem (β = 0.20), female gender (β = 0.13), older age (β = -0.11) and living in a residential care facility (β = - 0.12) have a direct effect on participation restriction. The explanatory variables accounted for 71% of the variance in explaining participation restriction at 12 months.

Identification of stroke survivors at risk of high levels of participation restriction, depressive symptoms and low self-esteem will assist health professionals to devise appropriate rehabilitation interventions that target improving both physical and psychosocial functioning.
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Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Mon, 26 Oct 2009, 11:43:16 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work