Living in Latvia after stroke : The association between functional, social and personal factors and the level of self-perceived disability - A cross-sectional study

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dc.contributor.authorBerzina, Guna
dc.contributor.authorSmilškalne, Baiba
dc.contributor.authorVetra, Anita
dc.contributor.authorSunnerhagen, Katharina Stibrant
dc.contributor.institutionDepartment of Rehabilitation
dc.date.accessioned2021-04-30T07:55:01Z
dc.date.available2021-04-30T07:55:01Z
dc.date.issued2016-06-01
dc.descriptionPublisher Copyright: © Published by the BMJ Publishing Group Limited.
dc.description.abstractObjective To investigate how functional, social and personal factors are associated with self-perceived level of disability in the chronic phase of stroke in a Latvian stroke population. The consequences of stroke can vary greatly and often leads to long-term disability that, according to the WHO definitions, depends on the interaction between the person and his/her context. Design Cross-sectional study with retrospective data gathering. Setting Community-dwelling persons who received specialised in-patient rehabilitation after stroke in Latvia. Participants Of 600 persons after stroke who were identified through hospital register and selected for the study, 255 were included in the analysis. Primary and secondary outcome measures The medical information and discharge data of the Functional Independence Measure (FIM) was extracted from medical records. Participants filled out a questionnaire on sociodemographic information and the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0), either in Latvian or Russian, depending on their wish when contacted for their oral agreement to participate. Stepwise multiple regression analysis was conducted to find a model that best explains the variance in WHODAS 2.0 scores. Results The models explained 23-43.5% of variance in outcomes. The best explained WHODAS 2.0 domains were 'mobility' and 'self-care'. The significant factors were level of independence in 'self-care', 'locomotion' and 'communication' according to FIM, as well as working status, time since rehabilitation, age, gender, living alone or in family and preferred language. Conclusions Functional, social and personal factors are of similar importance when explaining self-perceived disability in the chronic phase of stroke. Some, but not all, of the factors are modifiable by the healthcare system. Therefore, a complex approach and involvement of medical, social and political systems is needed.en
dc.description.statusPeer reviewed
dc.format.extent1685384
dc.identifier.citationBerzina, G, Smilškalne, B, Vetra, A & Sunnerhagen, K S 2016, 'Living in Latvia after stroke : The association between functional, social and personal factors and the level of self-perceived disability - A cross-sectional study', BMJ Open, vol. 6, no. 6, e010327. https://doi.org/10.1136/bmjopen-2015-010327
dc.identifier.doi10.1136/bmjopen-2015-010327
dc.identifier.issn2044-6055
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/3999
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=84976637268&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofBMJ Open
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFunctional factors
dc.subjectOutcome
dc.subjectPerceived disability
dc.subjectPersonal factors
dc.subjectSocial factors
dc.subject3.3 Health sciences
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectGeneral Medicine
dc.titleLiving in Latvia after stroke : The association between functional, social and personal factors and the level of self-perceived disability - A cross-sectional studyen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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