Perceived and experienced restrictions in participation and autonomy among adult survivors of stroke in Ghana|
Amosun, SL; Nyante, GG & Wiredu, EK
Background: Many stroke survivors do not participate in everyday life activities.
Objectives: To assess the perceived and experienced restrictions in participation and autonomy among adult stroke survivors
Methods: The "Impact on Participation and Autonomy Questionnaire" (IPAQ) instrument was administered in a survey
of 200 adult stroke survivors to assess perceived restrictions in participation and autonomy, followed by in-depth interviews
with a sub-sample on the restrictions they experienced in participation. Results: Perceived restrictions in participation were
most prevalent in the domains of education and training (3.46±0.79), paid or voluntary work (2.68±0.89), helping and
supporting other people (2.20±0.82), and mobility (2.12±0.79). There were significant differences in two domains between
survivors who received physiotherapy and those who received traditional rehabilitation. Over half of the survivors also
perceived they would encounter severe problems in participation in the domains of paid or voluntary work, mobility, and
education and training. The sub-sample of stroke survivors (n=7) mostly experienced restrictions in participation and
autonomy in going outside the house, working, and in fulfilling family roles.
Conclusions:If these perceptions and experiences are not addressed during rehabilitation, they could further inhibit the full
participation and social integration of stroke survivors.
Participation and autonomy, restriction, stroke