Systems and Cognitive Neuroscience Division, Institute of Neuroscience, Catholic University of Louvain, Brussels, Belgium; Unit of Neurology, University Hospital of Parakou, Parakou, Benin; Department of Neurology, Faculty of Medicine, University of Parakou, Parakou, Benin.
National Center of Reference in Physical Therapy and Rehabilitation, University Hospital Roi Khaled, Bujumbura, Burundi.
Arch Phys Med Rehabil. 2019 Nov;100(11):2071-2078. doi: 10.1016/j.apmr.2019.03.020. Epub 2019 Apr 25.
To build a model of prediction of social participation of community-dwelling stroke survivors in Benin at 1 month, 3 months, and 6 months.
An observational study with evaluations at 1 month, 3 months, and 6 months poststroke. Correlational analyses and multivariate linear regressions were performed.
Outpatient rehabilitation centers in Benin.
A volunteer sample of 91 stroke patients was enrolled at baseline; 64 (70%) patients completed all the study (N=64): 70% male and 52% right hemiparesis.
Not applicable.
Participants were evaluated with the Participation Measurement Scale, ACTIVLIM-Stroke (activities of daily living [ADL]), Stroke Impairment Assessment Set, 6-minute walk test, Hospital Anxiety and Depression Scale, and the modified Rankin Scale.
The significant predictors of social participation after controlling the confounders were the following: at 1 month ADL (0.4 [0.3, 0.6]) and depression (‒0.6 [‒0.8, ‒0.2]) with total model R=0.44; at 3 months ADL (0.58 [0.4, 0.7]) and depression (‒0.58 [‒0.5, ‒0.7]) with total model R=0.65; and at 6 months ADL (0.31 [0.2, 0.5]), impairments (‒0.82 [‒0.5, ‒0.7]), and depression (‒0.94 [‒0.8, ‒0.2]) with total model R=0.78.
Using socioculturally tailored tools, the present study identified ADL performance (ACTIVLIM-Stroke), depression (Hospital Anxiety Depression Scale), and overall impairments (Stroke Impairment Assessment Set) as the significant determinants of social participation (Participation Measurement Scale) poststroke in Benin. These findings will be a valuable resource for rehabilitation stakeholders in evaluating interventions, programs, and policies designed to encourage social participation for stroke patients.
建立贝宁社区居住的中风幸存者 1 个月、3 个月和 6 个月社会参与预测模型。
一项观察性研究，在中风后 1 个月、3 个月和 6 个月进行评估。进行了相关分析和多元线性回归分析。
贝宁的门诊康复中心。
基线时招募了 91 名中风患者的志愿者样本；64 名（70%）患者完成了所有研究（N=64）：70%为男性，52%为右侧偏瘫。
无。
采用活动测量量表、中风 ACTIVLIM-活动能力（ADL）、中风损伤评估集、6 分钟步行测试、医院焦虑和抑郁量表以及改良 Rankin 量表对参与者进行评估。
在控制混杂因素后，社会参与的显著预测因素如下：1 个月时 ADL（0.4 [0.3, 0.6]）和抑郁（-0.6 [-0.8, -0.2]），总模型 R=0.44；3 个月时 ADL（0.58 [0.4, 0.7]）和抑郁（-0.58 [-0.5, -0.7]），总模型 R=0.65；6 个月时 ADL（0.31 [0.2, 0.5]）、损伤（-0.82 [-0.5, -0.7]）和抑郁（-0.94 [-0.8, -0.2]），总模型 R=0.78。
使用社会文化定制工具，本研究在贝宁确定了 ADL 表现（ACTIVLIM-ADL）、抑郁（医院焦虑抑郁量表）和整体损伤（中风损伤评估集）作为中风后社会参与（参与测量量表）的重要决定因素。这些发现将为康复利益相关者评估旨在鼓励中风患者参与社会的干预、方案和政策提供有价值的资源。
