Community living after stroke: an ecological model

• Author / Creator

  Anderson, Sharon

• 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.

• Subjects / Keywords

  • Stroke
  • Ecological model
  • Community integration
  • Activity

• Graduation date

  Spring 2010

• Type of Item

  Thesis

• Degree

  Master of Science

• DOI

  https://doi.org/10.7939/R3SX3F

• License

  This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.