Journal
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Volume 96, Issue 7, Pages 1222-1228Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2015.01.024
Keywords
China; Environment; Rehabilitation; Social participation; Stroke
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Funding
- Qixing Chanty Fund for Stroke and Rehabilitation of the Guangdong Branch of the Red Cross Society of China [20131217]
- China Medical Board [04-808]
- National Key Technology R&D Program of China's 12th Five-Year Plan [2013BA110B03]
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Objectives: To investigate environmental barriers reported by stroke survivors in the rural areas of China and to determine the impact of environmental barriers on activity and participation relative to demographic characteristics and body functioning. Design: Cross-sectional survey. Setting: Structured interviews in the participants' homes. Participants: Community-dwelling stroke survivors in the rural areas of China (N=639). Interventions: Not applicable. Main Outcome Measures: Activity and participation (Chinese version of the World Health Organization Disability Assessment Schedule 2.0), environmental barriers (Craig Hospital Inventory of Environmental Factors), neurological function (Canadian Neurological Scale), cognitive function (Abbreviated Mental Test), and depression (6-item Hamilton Rating Scale for Depression). Results: Physical/structural barriers are the major impediment to activity and participation for these participants (odds ratio, 1.86 and 1.99 for activity and participation, respectively; P<.01). Services/assistance barriers primarily impede participation rather than activity (odds ratio, 1.58 in participation; P<.05). Conclusions: Physical/structural and services/assistance barriers were considered the dominant barriers to activity and participation for stroke survivors in the rural areas of China. Attitudinal/support and policy barriers did not emerge as serious concerns. To generate an enabling environment, physical/structural and services/assistance barriers are the environmental barriers to be decreased and eliminated first. (C) 2015 by the American Congress of Rehabilitation Medicine
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