title: Perceived and experienced restrictions in participation and autonomy among adult survivors of stroke in Ghana.
abstract: BACKGROUND
  Many stroke survivors do not participate in everyday life activities.
  
  
  OBJECTIVE
  To assess the perceived and experienced restrictions in participation and autonomy among adult stroke survivors in Ghana.
  
  
  METHODS
  The "Impact on Participation and Autonomy Questionnaire" (IPAQ) instrument was administered in a survey of 200 adult stroke survivors to assess perceived restrictions in participation and autonomy, followed by in-depth interviews with a sub-sample on the restrictions they experienced in participation.
  
  
  RESULTS
  Perceived restrictions in participation were most prevalent in the domains of education and training (3.46±0.79), paid or voluntary work (2.68±0.89), helping and supporting other people (2.20±0.82), and mobility (2.12±0.79). There were significant differences in two domains between survivors who received physiotherapy and those who received traditional rehabilitation. Over half of the survivors also perceived they would encounter severe problems in participation in the domains of paid or voluntary work, mobility, and education and training. The sub-sample of stroke survivors (n=7) mostly experienced restrictions in participation and autonomy in going outside the house, working, and in fulfilling family roles.
  
  
  CONCLUSIONS
  If these perceptions and experiences are not addressed during rehabilitation, they could further inhibit the full participation and social integration of stroke survivors.
authors: Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, South Africa. seyi.amosun@uct.ac.za
authors: S L
authors: SL
authors: Amosun
authors: G G
authors: GG
authors: Nyante
authors: E K
authors: EK
authors: Wiredu
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation; D005260:Female; D005869:Ghana; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D010465:Perception; D010549:Personal Satisfaction; D012111:Residence Characteristics; D057566:Self Report; D012931:Social Environment; D058992:Social Participation; D012944:Social Support; D012959:Socioeconomic Factors; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*
keywords: Participation and autonomy; restriction; stroke
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