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Permanent link (DOI): https://doi.org/10.7939/R3SX3F
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Community living after stroke: an ecological model Open Access
- Other title
- Type of item
- Degree grantor
University of Alberta
- Author or creator
- Supervisor and department
Dr. Kyle Whitfield (Faculty of Extension)
- Examining committee member and department
Dr. Laurel Strain (Department of Sociology, Director of the Alberta Centre on Aging)
Dr. Alex Clark (Faculty of Nursing)
Centre for Health Promotion Studies
- Date accepted
- Graduation date
Master of Science
- Degree level
Background: Over 80% of people who experience stroke survive, but for half, their level of activity drops significantly. Even survivors with mild disability become disengaged.
Research Question: Based on an ecological model, what perceived facilitators and barriers do stroke survivors encounter in their choice of everyday activities 1 to 6 years after stroke?
Methods: Situational analysis grounded theory.
Results: Disability changed participant’s social position regarding their ability to control their own situation to dependence on other people to facilitate choice. Re-negotiating identity and position in society was an iterative process of scaffolding small tasks into activities through bargaining for access to practical support and inclusion into social situations.
Conclusions: Stroke survivors who experienced inclusion in their communities resumed some level of meaningful activities more successfully. However, some with mild disability had difficulty resuming activities as they were expected to system navigate and adapt on their own.
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