Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/17711
Title: Increased work and social engagement is associated with increased stroke specific quality of life in stroke survivors at 3 months and 12 months post-stroke: a longitudinal study of an Australian stroke cohort.
Authors: Tse, Tamara;Binte Yusoff, Siti Zubaidah;Churilov, Leonid;Ma, Henry;Davis, Stephen;Donnan, Geoffrey Alan;Carey, Leeanne M
Affiliation: Occupational Therapy, Department of Community and Clinical Allied Health, School of Allied Health , La Trobe University , Melbourne , Australia
Neurorehabilitation and Recovery, Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Ang Mo Kio - Thye Hua Kwan Hospital , Ang Mo Kio , Singapore..d
Statistics and Decision Analysis Academic Platform, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
School of Mathematical and Geospatial Sciences , RMIT University , Melbourne , Australia
Department of Medicine, Stroke Unit, Monash Health, Monash University, Clayton, Australia
Florey Department of Neuroscience and Mental Health, The University of Melbourne, Parkville, Australia
The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Department of Medicine, Melbourne Brain Centre, Royal Melbourne Hospital, University of Melbourne, Parkville, Australia
Issue Date: Sep-2017
EDate: 2017
Citation: Topics in stroke rehabilitation 2017; 24(6): 405-414
Abstract: There is a relative lack of longitudinal studies investigating stroke-specific outcomes and quality of life (QOL). This study aimed to identify which factors (level of disability, cognitive functioning, depressive symptoms, physical activity, and work and social engagement) were independently associated with each stroke-specific domain of QOL, adjusting for age and gender, at 3 months and 12 months post-stroke in an Australian cohort. Survivors of ischemic stroke were recruited from 18 sites of the STroke imAging pRevention and Treatment (START) longitudinal cohort study. Survivors were assessed at 3 months (n = 185) and 12 months (n = 170) post-stroke using the Stroke Impact Scale (SIS), modified Rankin Scale (mRS), Montreal Cognitive Assessment (MoCA), Montgomery-Asberg Depression Rating Scale, Rapid Assessment of Physical Activity, and Work and Social Adjustment Scale (WSAS). WSAS was independently associated with the SIS domains of: Physical Composite function; Participation; and Perceived Recovery at 3 months and 12 months and SIS domain of Emotion at 12 months post-stroke. The presence of depressive symptoms was independently associated with the SIS domains of: Memory and Thinking; and Emotion at 3 months. At 12 months post-stroke, mRS was independently associated with SIS domain of Physical Composite function and MoCA with SIS domain of Communication. Engaging in work and social activities is an important factor associated with stroke-specific domains of QOL over time. It is recommended that services focus on improving work and social engagement given their importance related to QOL in the first year of recovery post-stroke. Identifying and treating those with depressive symptoms may enhance QOL in the early months post-stroke. START-PrePARE Australian New Zealand Clinical Trials, www.anzctr.org.au , Registry number: ACTRN12610000987066. EXTEND ClinicalTrial.gov identifier: NCT00887328.
URI: http://ahro.austin.org.au/austinjspui/handle/1/17711
DOI: 10.1080/10749357.2017.1318339
ORCID: 0000-0002-7136-5037
0000-0002-1436-1750
0000-0001-6324-3403
0000-0001-6376-8613
PubMed URL: 28438076
Type: Journal Article
Subjects: Quality of life
depression
participation
social activities
stroke
work
Appears in Collections:Journal articles

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