Social Support Mediates the Association Between Abilities and Participation After Stroke.

IF 1.5 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2024-07-01 Epub Date: 2024-05-12 DOI:10.1177/15394492241249446

Melissa Anthony, Robin Hattori, Marjorie L Nicholas, Samantha Randolph, Yejin Lee, Carolyn M Baum, Lisa Tabor Connor

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Abstract

Stroke survivors face participation restrictions, yet little is known regarding how social support affects the association between an individual's abilities and participation. Through a Person-Environment-Occupation-Performance (PEOP) model lens, social support was examined as a potential mediator between ability and participation in cognitively and mobility-demanding activities for stroke survivors with aphasia (persons with aphasia [PWA]) and without aphasia (persons without aphasia [PWOA]). A cross-sectional design, including PWA (n = 50) and PWOA (n = 59) examined associations among person factors (physical impairment, cognition), an environmental factor (social support), and occupational participation through cognitively- and mobility-demanding activity subscales of the Activity Card Sort. Cognition was associated with participation in cognitively demanding activities for both groups, though social support was a mediator only for PWA. Physical impairment was associated with participation in mobility-demanding activities for PWOA, though social support did not mediate that relationship. Social support is key to PWA participating in cognitively demanding activities post-stroke.

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社会支持对中风后能力与参与之间的联系起着中介作用。

中风患者在参与活动时会受到限制，但人们对社会支持如何影响个人能力与参与活动之间的关系却知之甚少。通过 "人-环境-职业-表现（PEOP）"模型的视角，我们研究了社会支持在有失语症的脑卒中幸存者（失语症患者 [PWA]）和无失语症的脑卒中幸存者（无失语症患者 [PWOA]）的能力与参与认知和行动要求活动之间的潜在中介作用。该研究采用横断面设计，包括 PWA（n = 50）和 PWOA（n = 59），通过活动卡分类的认知和行动需求活动分量表，研究了个人因素（身体损伤、认知）、环境因素（社会支持）和职业参与之间的关系。两组人的认知能力都与参与认知要求高的活动有关，但社会支持只对 PWA 起中介作用。对于残疾人和行动不便者来说，身体缺陷与参与行动能力要求高的活动有关，但社会支持并没有调节这种关系。社会支持是脑卒中后残疾人参与认知要求高的活动的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.