Perceptions of self-rated health among stroke survivors: a qualitative study in the United Kingdom.
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Mavaddat, N., Sadler, E., Lim, L., Williams, K., Warburton, L., Kinmonth, A., Mant, J., et al. (2018). Perceptions of self-rated health among stroke survivors: a qualitative study in the United Kingdom.. BMC geriatrics, 18 (1), 81. https://doi.org/10.1186/s12877-018-0765-8
Abstract Background Self-rated health predicts health outcomes independently of levels of disability or mood. Little is known about what influences the subjective health experience of stroke survivors. Our aim was to investigate stroke survivors’ perceptions of self-rated health, with the aim of informing the design of interventions that may improve their subjective health experience. Methods We conducted semi-structured interviews with a purposive sample of 28 stroke survivors recruited from a stroke unit and follow-up outpatient clinic, 4-6 months after stroke, to explore what factors are perceived to be part of self-rated health in the early stages of recovery. Qualitative data were analysed using a thematic analysis approach to identify underlying themes. Results Participants’ accounts show that stroke survivors’ perceptions of self-rated health are multifactorial, comprising physical, psychological and social components. Views on future recovery after stroke play a role in present health experience and are shaped by psychosocial resources that are influenced by past experiences of ill-health, dispositional outlook such as degree of optimism, a sense of control and views on ageing. Conclusions Severity of physical limitations alone does not influence perceptions of self-rated health among stroke survivors. Self-rated health in stroke survivors is a multidimensional construct shaped by changes in health status occurring after the stroke, individual characteristics and social context. Understanding the factors stroke survivors themselves associate with better health will inform the development of effective approaches to improve rehabilitation and recovery after stroke.
Humans, Incidence, Perception, Qualitative Research, Social Environment, Aged, Aged, 80 and over, Middle Aged, Disabled Persons, Survivors, Female, Male, Stroke, United Kingdom, Stroke Rehabilitation
Nahal Mavaddat was supported by a Walport Clinical Lectureship in Primary Care Research from the University of Cambridge/National Institute of Health Research. Elizabeth Warburton was supported by the Biomedical Research Grant (NIHR BRC) to Cambridge. Euan Sadler and Christopher McKevitt acknowledge the support of the National Institute for Health Research (NIHR) Biomedical Research Centre at Guy’s and St Thomas’ NHS Foundation Trust and King’s College London and the NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) South London. Jenni Burt is funded by the National Institute of Health Research School for Primary Care Research.
National Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough Clinical Commissioning Group (CCG)) (unknown)
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External DOI: https://doi.org/10.1186/s12877-018-0765-8
This record's URL: https://www.repository.cam.ac.uk/handle/1810/276279
Attribution 4.0 International
Licence URL: http://creativecommons.org/licenses/by/4.0/
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