Community Integration and Quality of Life: Stroke Survivors as Recipients of Rehabilitation by Village Health Volunteers (VHVs) in Thailand

Background Health-related quality of life (HRQL) in stroke survivors is related to numerous factors, but more research is needed to delineate factors related to HRQL in people with aphasia. Objective To examine the relationship between HRQL and demographic factors, impairment-based measures, and lesion characteristics in chronic aphasia. Methods A total of 41 left-hemisphere stroke survivors with aphasia underwent cognitive testing and magnetic resonance imaging. To address relationships with demographic and impairment-based measures, test scores were entered into a principal component analysis (PCA) and multiple linear regression was performed for overall and domain (physical, communication, psychosocial) scores of the Stroke and Aphasia Quality of Life Scale (SAQOL-39g). Independent variables included factor scores from the PCA, motricity, lesion volume, depressed mood, and demographic variables. To address relationships with lesion location, multivariate support vector regression lesion-symptom mapping (SVR-LSM) was used to localize lesions associated with SAQOL-39g scores. Results The PCA yielded 3 factors, which were labeled Language Production, Nonlinguistic Cognition, and Language Comprehension. Multiple linear regression revealed that depression symptoms predicted lower SAQOL-39g average and domain scores. Lower motricity scores predicted lower SAQOL-39g average and physical scores, and lower Language Production factor scores predicted lower communication scores. SVR-LSM demonstrated that basal ganglia lesions were associated with lower physical scores, and inferior frontal lesions were associated with lower psychosocial scores. Conclusions HRQL in chronic left-hemisphere stroke survivors with aphasia relates to lesion location, depression symptoms, and impairment-based measures. This information may help identify individuals at risk for specific aspects of low HRQL and facilitate targeted interventions to improve well-being.

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The impact of COVID-19 on community integration, quality of life, depression and anxiety in people with chronic spinal cord injury

Journal of Spinal Cord Medicine ◽

10.1080/10790268.2021.1922230 ◽

2021 ◽

pp. 1-10

Author(s):

Alejandro García-Rudolph ◽

Joan Saurí ◽

Jaume López Carballo ◽

Blanca Cegarra ◽

Mark Andrew Wright ◽

...

Keyword(s):

Quality Of Life ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Community Integration ◽

Depression And Anxiety ◽

Chronic Spinal Cord Injury ◽

Cord Injury ◽

The Impact

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Abstract T P124: Psychometric Properties of the Chinese Version of the Stroke Specific Quality of Life Scale in Community-Dwelling Stroke Survivors

Stroke ◽

10.1161/str.46.suppl_1.tp124 ◽

2015 ◽

Vol 46 (suppl_1) ◽

Author(s):

Suzanne H Lo ◽

Anne M Chang ◽

Janita P Chau ◽

Glenn E Gardner

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Physical Health ◽

Stroke Survivors ◽

Sf 36 ◽

Quality Of Life Scale ◽

Life Scale ◽

Positive Correlations ◽

Component Scores

Introduction: Health-related quality of life is a significant outcome of stroke survivors’ recovery. The 49-item English version of the Stroke Specific Quality of Life Scale (SSQOL) (Williams et al., 2009) is a stroke-specific assessment of stroke survivors’ health-related quality of life in 12 domains. However there has been no Chinese version of the scale for Chinese stroke survivors in Hong Kong. Aim: To examine the reliability and validity of the Chinese version of Stroke Specific Quality of Life Scale (SSQOL-C) in stroke survivors. Methods: SSQOL was translated into Chinese and blind back-translated by independent bilingual baccalaureate nursing students. Content validity was reviewed by an expert panel which consisted of one nurse academic, one nurse manager, three advanced practice nurses, and two registered nurses. A cross-sectional study was conducted to validate the translated version. A convenience sample of 135 adult stroke survivors were recruited from three community centres and a stroke support group in Hong Kong. Internal consistency analysis was performed. Pearson’s correlation coefficients were calculated between SSQOL-C, SF-36, and Frenchay Activities Index (FAI) to determine the convergent validity. Results: Content validity index of SSQOL-C was 0.99. SSQOL-C had high internal consistency with Cronbach’s alpha of 0.94 for the total scale, and between 0.65 and 0.90 for the 12 domains. The total SSQOL-C scores showed significant positive correlations with SF-36 physical health (r=0.58, p<0.01) and mental health (r=0.54, p<0.01) component scores, and FAI score (r=0.59, p<0.01). SSQOL-C physical subtotal scores showed significant positive correlations with SF-36 physical health (r=0.55, p<0.01) and mental health (r=0.43, p<0.01) component scores, and FAI score (r=0.54, p<0.01). SSQOL-C psychosocial subtotal scores showed significant positive correlations with SF-36 physical health (r=0.52, p<0.01) and mental health (r=0.56, p<0.01) component scores, and FAI score (r=0.56, p<0.01). Conclusion: The results showed SSQOL-C had good content and convergent validity, and reliability in Chinese stroke survivors. Further evaluation of factor structure of SSQOL-C will be conducted to determine its validity.

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Depression, anxiety and quality of life in stroke survivors and their family caregivers: A pilot study using an actor/partner interdependence model

Electronic physician ◽

10.19082/4924 ◽

2017 ◽

Vol 9 (8) ◽

pp. 4924-4933 ◽

Cited By ~ 13

Author(s):

Khaw Wan-Fei ◽

Syed Tajuddin Syed Hassan ◽

Lye Munn Sann ◽

Siti Irma Fadhilah Ismail ◽

Rosna Abdul Raman ◽

...

Keyword(s):

Quality Of Life ◽

Pilot Study ◽

Family Caregivers ◽

Stroke Survivors ◽

Actor Partner Interdependence Model

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Validity and reliability of Chinese version of Adult Carer Quality of Life questionnaire (AC-QoL) in family caregivers of stroke survivors

PLoS ONE ◽

10.1371/journal.pone.0186680 ◽

2017 ◽

Vol 12 (11) ◽

pp. e0186680 ◽

Cited By ~ 1

Author(s):

Yongxia Mei ◽

Beilei Lin ◽

Yingshuang Li ◽

Chunge Ding ◽

Zhenxiang Zhang

Keyword(s):

Quality Of Life ◽

Family Caregivers ◽

Chinese Version ◽

Stroke Survivors ◽

Life Questionnaire ◽

Validity And Reliability ◽

Quality Of Life Questionnaire

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A Causal Relationship of Home Care Services on the Quality of Life among Survivors of Stroke in Thailand

Walailak Journal of Science and Technology (WJST) ◽

10.48048/wjst.2021.9049 ◽

2021 ◽

Vol 18 (5) ◽

Author(s):

Patoomthip ADUNWATANASIRI ◽

Siriorn SINDHU ◽

Napaporn WANITKUN ◽

Chukiat VIWATWONGKASEM

Keyword(s):

Quality Of Life ◽

Home Care ◽

Functional Status ◽

Home Care Services ◽

Self Management ◽

Stroke Survivors ◽

Management Support ◽

Policy Makers ◽

Care Services

Survivors of stroke suffer impairments associated with a complex need of care from healthcare services after being discharged from hospital and returning home, and these impairments affect the quality of their lives. This cross-sectional study, aimed at evaluating the pathways linking home care services, patient factors, and quality of life (QOL), was carried out by conducting interviews and questionnaires with stroke survivors at their homes. Simple random sampling was used to select the settings for data collection, and multi-stage sampling was used to select the samples. In all, 317 stroke survivors admitted to 13 hospitals in rural and urban setting were selected for participation in the study. The data obtained were analyzed by using Structural Equation Modeling (SEM). The hypothetical model demonstrated a good fit (chi-square = 15.299, df = 9, p = 0.083, GFI = 0.98, CFI = 0.98, RMSEA = 0.047). Statistically significant explanatory variables for the home care service had a direct effect on perceived self-management support, functional status, and QOL (β = 0.39, 0.12 and 0.11, respectively), while number of community supporters had a significant positive indirect effect on QOL through functional status (β = 0.13). The variables accounted for 56 % of the variance in QOL. This finding could be used by policy makers to make important policy development in home care services and help improve health outcomes. In particular, it is also recommended that policy makers push for policies that encompass self-management support and community support groups among stroke survivors in community settings.

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