Washington University School of Medicine, St. Louis, MO, USA.
MGH Institute of Health Professions, Boston, MA, USA.
OTJR (Thorofare N J). 2024 Jul;44(3):467-477. doi: 10.1177/15394492241249446. Epub 2024 May 12.
Stroke survivors face participation restrictions, yet little is known regarding how social support affects the association between an individual's abilities and participation. Through a Person-Environment-Occupation-Performance (PEOP) model lens, social support was examined as a potential mediator between ability and participation in cognitively and mobility-demanding activities for stroke survivors with aphasia (persons with aphasia [PWA]) and without aphasia (persons without aphasia [PWOA]). A cross-sectional design, including PWA ( = 50) and PWOA ( = 59) examined associations among person factors (physical impairment, cognition), an environmental factor (social support), and occupational participation through cognitively- and mobility-demanding activity subscales of the Activity Card Sort. Cognition was associated with participation in cognitively demanding activities for both groups, though social support was a mediator only for PWA. Physical impairment was associated with participation in mobility-demanding activities for PWOA, though social support did not mediate that relationship. Social support is key to PWA participating in cognitively demanding activities post-stroke.
中风幸存者面临参与限制，但对于社会支持如何影响个体能力与参与之间的关系知之甚少。通过个体-环境-作业-绩效（PEOP）模型的视角，研究了社会支持作为中风后伴有失语症（失语症患者 [PWA]）和不伴有失语症（无失语症患者 [PWOA]）患者认知和移动要求活动中能力和参与之间的潜在中介因素。一项包括 PWA（n=50）和 PWOA（n=59）的横断面设计，通过活动卡片分类的认知和移动要求活动子量表，考察了个体因素（身体损伤、认知）、环境因素（社会支持）与职业参与之间的关联。认知与两组的认知要求活动参与相关，尽管社会支持仅对 PWA 起中介作用。身体损伤与 PWOA 的移动要求活动参与相关，但社会支持并未调节这种关系。社会支持是 PWA 中风后参与认知要求活动的关键。
