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Titre : | Barriers to Activity and Participation for Stroke Survivors in Rural China (2015) |
Auteurs : | Lifang Zhang ; Tiebin Yan ; Liming You |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/7, 2015) |
Article en page(s) : | p. 12221228 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Chine ; Environnement ; Participation sociale ; Rééducation et réadaptation |
Mots-clés: | China ; Environment ; Social participation ; Stroke |
Résumé : |
Objectives To investigate environmental barriers reported by stroke survivors in the rural areas of China and to determine the impact of environmental barriers on activity and participation relative to demographic characteristics and body functioning. Design Cross-sectional survey. Setting Structured interviews in the participants' homes. Participants Community-dwelling stroke survivors in the rural areas of China (N=639). Interventions Not applicable. Main Outcome Measures Activity and participation (Chinese version of the World Health Organization Disability Assessment Schedule 2.0), environmental barriers (Craig Hospital Inventory of Environmental Factors), neurological function (Canadian Neurological Scale), cognitive function (Abbreviated Mental Test), and depression (6-item Hamilton Rating Scale for Depression). Results Physical/structural barriers are the major impediment to activity and participation for these participants (odds ratio, 1.86 and 1.99 for activity and participation, respectively; P<.01 services barriers primarily impede participation rather than activity ratio in p> Conclusions Physical/structural and services/assistance barriers were considered the dominant barriers to activity and participation for stroke survivors in the rural areas of China. Attitudinal/support and policy barriers did not emerge as serious concerns. To generate an enabling environment, physical/structural and services/assistance barriers are the environmental barriers to be decreased and eliminated first. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315001434 |