From recovery to regaining control of life : the perspectives of people with stroke, their carers and health professionals

Pereira, Carla Mednes, Greenwood, Nan and Jones, Fiona (2020) From recovery to regaining control of life : the perspectives of people with stroke, their carers and health professionals. Disability and Rehabilitation, ISSN (print) 0963-8288 (Epub Ahead of Print)

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Abstract

To understand how people with stroke and carers adapt over time, and how health professionals support transition to home. A multi-perspective, prospective, qualitative, longitudinal study was conducted using in-depth semi-structured interviews one and six months after inpatient discharge. Twenty-four participants (eight triads, including people with stroke, carers and health professionals) were included. Thematic and narrative analysis facilitated identification of cross-cutting themes according to individual trajectories post-stroke. A major theme: "regaining control of life" suggested a shift in perspective after six months at home. Four sub-themes help to understand the triads' perspectives over time: i) ii) iii) and iv) . People who were involved in supporting adaptation and rehabilitation processes were reported differently between triads and over time, showing the complexity of interrelations. A reduction in professional involvement was matched by changes in participants' goals and expectations. Findings suggest the importance of a dyadic perspective and a gradual increase in people with stroke and carers' active engagement. Professionals' approach throughout rehabilitation should be modified according to people with stroke and carers' changing needs and expectations.IMPLICATIONS FOR REHABILITATIONDivergence in perspectives about priorities and goals between the person with stroke their carers and healthcare professionals can lead to the creation of different agendas within rehabilitation.An open dialogue and decision-making process that involves both the person with stroke and carers is highly recommended for the identification of shared rehabilitation goals and to support ongoing recovery post discharge.A tailored approach to rehabilitation is required which focusses on shared priorities and includes individual or collective support for the person with stroke and their carers.Ongoing consultation about the desires of the person with stroke about rehabilitation, priorities and goals is important in order to tailor the professional approach to the stage individuals are at with their coping and adjustment post stroke.

Item Type: Article
Additional Information: This work was supported by PROTEC : Programa de Apoio a Formacao Avancada de Docentes do Ensino Superior Politecnico (literally "Programme to Support the Advanced Studies of Higher Education Teachers"), supported by the Portuguese Government - Directorate of Higher Education and the Polytechnic Institute of Setubal (SFRH/PROTEC/67867/2010).
Research Area: Allied health professions and studies
Faculty, School or Research Centre: Faculty of Health, Social Care and Education
Faculty of Health, Social Care and Education > Centre for Health and Social Care Research
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Depositing User: Anna Englund
Date Deposited: 31 Jan 2020 14:05
Last Modified: 24 Feb 2020 10:38
URI: http://eprints.kingston.ac.uk/id/eprint/44909

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