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Titre : | Determinants of Living Well With Aphasia in the First Year Poststroke: A Prospective Cohort Study (2017) |
Auteurs : | Linda E. Worrall ; Kyla Hudson ; Asaduzzaman Khan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/2, 2017) |
Article en page(s) : | pp.235-240 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Aphasie ; Déterminants sociaux de la santé ; Qualité de vie ; Rééducation et réadaptation ; Troubles du langage |
Mots-clés: | Aphasia ; International Classification of Functioning ; Disability and Health ; Classification internationale du fonctionnement ; du handicap et de la santé ; Language disorders ; Patient outcome assessment ; Évaluation des résultats des patients ; Quality of life ; Social determinants of health ; Speech-language pathology ; Pathologie de la parole et du langage (spécialité) ; Stroke |
Résumé : |
Objective To determine factors that contribute to living well with aphasia in the first 12 months poststroke. Design Prospective longitudinal cohort study. Setting Hospitalized care, ambulatory care, and general community. Participants A referred sample of people (N=58) with a first incidence of aphasia after stroke was assessed at 3, 6, 9, and 12 months postonset. Participants were recruited through speech-language pathologists in 2 capital cities in Australia. Presence of aphasia was determined through the Western Aphasia Battery-Revised by an experienced speech-language pathologist. Interventions Not applicable. Main Outcome Measures The main outcomes were the 5 domains of the Assessment for Living with Aphasia at 3, 6, 9, and 12 months poststroke. The independent variables included demographics, physical functioning, social network, mood, aphasia severity, and a self-rating of successfully living with aphasia at the same time points. Mixed effects modeling was used to determine which factors contributed to the trajectory of each of the 5 domains of participation, impairment, environment, personal factors, and life with aphasia. Results Higher household income, larger social network size, being a woman, and having milder aphasia were positively associated with the participation domain. Graduate or postgraduate educational levels, low mood, and poor physical functioning were negatively associated with the participation domain. Factors positively associated with other domains included higher income, self-ratings of successfully living with aphasia, and aphasia severity. Low mood was consistently negatively associated with all of the domains. Conclusions Psychosocial determinants were the most significant predictors of living well with aphasia in the first 12 months postonset. Aphasia rehabilitation needs to attend more to these factors to optimize outcomes. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316303409 |