Relationship between awareness of disability and occupational performance during the first year after a stroke.
OBJECTIVE
This study examined the relationship between awareness of disability and occupational performance in a group of elderly persons during the year after stroke.


METHODS
Data on awareness of disability and occupational performance (i.e., activities of daily living [ADL] motor and process ability) were collected 1, 3, 6, and 12 months after stroke. A mixed-linear-effects model was implemented to examine the relationship between awareness of disability and ADL motor and process ability over time.


RESULTS
Increased awareness of disability was related to improvements in occupational performance (ADL motor and process ability). The 2 relationships were different, with a positive linear relationship between awareness of disability and ADL motor ability, and a stronger, positive, nonlinear relationship between awareness of disability and ADL process ability.


CONCLUSIONS
Clients' awareness of disability and their ability to perform occupations should be assessed several times during a rehabilitation process so that interventions can be adjusted to match each client's potential to benefit from them.
Ekstam
Lisa
L
Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Box 23200, SE-141 83, Huddinge, Sweden. lisa.ekstam@ki.se
Uppgard
Brittmari
B
Kottorp
Anders
A
Tham
Kerstin
K
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001364:Awareness; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D015577:Geriatric Assessment; D006699:Home Care Services; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000209:etiology; D010468:Perceptual Disorders / Q000209:etiology; D011446:Prospective Studies; D011597:Psychomotor Performance; D012050:Rehabilitation, Vocational; D012649:Self Concept; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D013548:Sweden