Limitation in social participation and general health as perceived by stroke patients

Research output: Contribution to conference typesAbstractpeer-review


Background and Aims: The International Classification of Functioning, Disability and Health (ICF) framework highlighted the importance of participation, for measuring health. We explored the relationship between participation and health perception in stroke patients.Methods: Data were obtained from 2,514 patients (46% women; mean age 69 years (SD:14)), South London Stroke Register (1995–2018). Participation was assessed by the Short Form 12 (SF-12), item ‘Has your health limited your social activities?’ and recoded as binary (‘All of the time’, ‘Most of the time’ and ‘A good bit of the time’) versus (‘Some of the time’ ‘A little of the time’ and ‘None of the time’). Mixed effects models were used, and all estimates were adjusted for sociodemographic factors, age and stroke severity.Results: Around 41% (SD:2.47%) of men and 46% (SD:3.45%) of women reported limited participation between 3 months to 10 years after stroke. Limited participation was significantly associated with self reported health as poor/fair, as opposed to excellent to good (adjusted odds ratio (aOR) 2.98, 95% Confidence Interval (CI): 2.66 to 3.52, p < 0.001). Men were significantly less likely to report limited participation compared women. Self-reported limited participation interacts with stroke severity for both sexes. Figure 1.Conclusions: The high prevalence of limited participation, and the strong association with self-rated health require an evaluation of self-management and other interventions to improve quality of life for stroke patients.Trial registration number: N/A
Original languageEnglish
Publication statusPublished - 22 May 2019


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