title: Examining barriers and supports to community living and participation after a stroke from a participatory action research approach.
abstract: This participatory action research study focused on identifying community participation goals, barriers, and supports/strategies in partnership with people who have experienced a stroke. Goals demonstrate that participation is more than activity performance in context; instead, it relates to "being a part of" the community and having access to participation opportunities and supports. Results of community site audits from the first 20 participants document environmental (physical, cognitive, social) and system level barriers, as well as effective strategies for promoting participation via environmental modification and systems level changes. A consumer-directed, Web-based tool for documenting participation barriers and sharing strategies is discussed.
authors.affiliation: Doctoral Program in Disability Studies, Department of Occupational Therapy & Disability and Human Development, University of Illinois at Chicago, USA.
authors.forename: Joy
authors.initials: J
authors.lastname: Hammel
authors.forename: Robin
authors.initials: R
authors.lastname: Jones
authors.forename: Andrea
authors.initials: A
authors.lastname: Gossett
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Morgan
mesh_terms: D001107:Architectural Accessibility; D003256:Community Participation; D005260:Female; D006297:Health Services Accessibility; D006302:Health Services Research; D006801:Humans; D020407:Internet; D008297:Male; D012111:Residence Characteristics; D012919:Social Behavior; D012931:Social Environment; D020521:Stroke / Q000503:physiopathology / Q000523:psychology*