Janssen, H and Bird, M-L and Luker, J and Seller, B and Berndt, A and Ashby, S and McClusky, A and Ada, L and Blennerhassett, J and Bernhardt, J and Spratt, NJ, Impairments, and physical design and culture of a rehabilitation unit influence stroke survivor activity: qualitative analysis of rehabilitation staff perceptions, Disability and Rehabilitation pp. 1-6. ISSN 0963-8288 (2022) [Refereed Article]
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Materials and methods: Purposive sampling of multi-disciplinary teams from four rehabilitation units was performed, and semi-structured interviews were conducted by telephone, digitally audio-recorded and then transcribed verbatim. A stepped iterative process of thematic analysis was employed until data saturation was reached.
Results: All but one of the 22 participants were female, the majority were either physiotherapists or occupational therapists, with a median of 4 years (interquartile range, 2Ė10) working at their respective rehabilitation units. Analysis of the data revealed three themes: (i) stroke survivor characteristics influence their activity outside therapy, (ii) the rehabilitation environment influences physical, cognitive, and social activity, and (iii) institutional priorities, staff culture, and attitude can be barriers to activity. Rehabilitation units were perceived to be unstimulating, and visitors considered enablers of activity when resources were perceived to be scarce.
Conclusions: Our results suggest careful consideration of the involvement of visitors, an individualís needs and preferences, and the institutionís priorities and staff attitude may result in greater stroke survivor activity during rehabilitation.
|Item Type:||Refereed Article|
|Keywords:||activity, rehabilitation, stroke, implementation, activity, barriers, environment|
|Research Division:||Biomedical and Clinical Sciences|
|Research Field:||Neurology and neuromuscular diseases|
|Objective Group:||Public health (excl. specific population health)|
|Objective Field:||Preventive medicine|
|UTAS Author:||Bird, M-L (Dr Marie-Louise Bird)|
|Web of Science® Times Cited:||1|
|Deposited By:||Health Sciences|
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