title: Emerging concerns of older stroke patients about assistive device use.
abstract: Assistive devices minimize limitations from physical impairment and are integral to rehabilitation. Little is known about older patients' concerns, perceptions, and beliefs about assistive devices. This study used a structured, qualitative approach to describe device perceptions of 103 stroke patients in rehabilitation. Six dimensions of patient concerns were identified, including the operation and utility of devices, social contexts and consequences, and attributions of cultural meanings of use. Initial device use posed cultural value dilemmas originating in discrepancies between sociocultural beliefs and conflicting normative expectations. Knowledge of these dimensions suggests new areas for social science research and refinements to clinical practice.
authors.affiliation: Community and Homecare Research Division, College of Health Professions, Thomas Jefferson University, Philadelphia, PA 19107, USA. gitlin1@jeflin.tju.edu
authors.forename: L N
authors.initials: LN
authors.lastname: Gitlin
authors.forename: M R
authors.initials: MR
authors.lastname: Luborsky
authors.forename: R L
authors.initials: RL
authors.lastname: Schemm
mesh_terms: D000203:Activities of Daily Living; D000368:Aged / Q000523:psychology*; D002561:Cerebrovascular Disorders / Q000534:rehabilitation*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015143:Philadelphia; D012656:Self-Help Devices / Q000523:psychology* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors